Chapter 7 Promoting Health and Wellness

Chapter 7  Promoting Health and Wellness

Complete Chapter Questions And Answers
 

Sample Questions

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. The nurse explains to the patient that health is measured on a continuum scale and that
A.
It proves that health is constant and rarely fluctuates.
B.
The higher the measurement is, the better one’s health is.
C.
It measures only the physical aspects of health.
D.
It would be more accurate if mental and emotional aspects could be measured.

____ 2. A male patient with severe chronic obstructive pulmonary disease (COPD) was brought to the hospital by emergency personnel. He lives alone, has no relatives or friends living nearby, and lives on a fixed income, which prevents him from purchasing all of the medications that he needs. Based on Dunn’s wellness grid, the nurse determines that the quadrant that the patient is in is
A.
High-level wellness in a favorable environment.
B.
Emergent high-level wellness in an unfavorable environment.
C.
Protected poor health in a favorable environment.
D.
Poor health in an unfavorable environment

____ 3. The nurse educator explains to student nurses Fitzpatrick’s rhythm model theory. According to this theory, the patient’s health
A.
Is only a state of mind over matter and is controlled by the patient.
B.
Is always changing and fluctuates throughout four wellness quadrants.
C.
Defines how well the individual promotes his or her physical well-being.
D.
Is the result of the interaction between an individual and the environment.

____ 4. The nurse discusses with the patient ways to improve health and prevent disease. The nurse suggests that the patient
A.
Use emergency and urgent care facilities for routine care.
B.
Worry less about food groups and more about calories.
C.
Eliminate certain food groups from the diet.
D.
Participate in stress-management techniques.

____ 5. The nurse educates the patient in ways to prevent long-term illnesses or diseases. The nurse states,
A.
“It is important that you receive the flu vaccination every year.”
B.
“Your diet should be moderate in calories and include a variety of foods.”
C.
“Running at least 4 to 5 miles per day will ensure that you do not develop cancers or heart diseases.”
D.
“Smoking cigarettes that are low in tar and nicotine will greatly decrease your risk of developing respiratory problems.”

Chapter 7. Promoting Health and Wellness
Answer Section

MULTIPLE CHOICE

1. ANS: B

Feedback
A
Well-being and health may fluctuate during any given day; the continuum does not prove that health is constant.
B
The more positive the physical and mental aspects of a person are, the higher the rating is on the scale. Chapter Objective: Explain the wellness-illness continuum.
C
Both the mental and physical health of an individual are measured and rated on the continuum.
D
Mental and emotional aspects, as well as physical aspects, are measured.

PTS: 1 REF: Chapter: 7 | Page: 134 OBJ: Chapter Objective: 7-2
KEY: Content Area: Health Promotion and Maintenance | Integrated Process: Teaching and Learning | Client Need: Health Promotion and Maintenance/Health Promotion/Screening Programs | Cognitive Level: Application

2. ANS: D

Feedback
A
Individuals in this quadrant are healthy and implement healthy lifestyle behaviors.
B
In this quadrant are individuals who are healthy and understand behaviors to promote health, but who do not take the time or have the motivation to implement healthy lifestyle behaviors.
C
In this quadrant are individuals who are ill but have good support systems in place.
D
In this quadrant are individuals with life-threatening diseases; poor or nonexistent support systems; and no access to appropriate medications, diet, and health-care instruction. Chapter Objective: Describe two theories of wellness and illness.

PTS: 1 REF: Chapter: 7 | Page: 134 OBJ: Chapter Objective: 7-3
KEY: Content Area: Health Promotion and Maintenance | Integrated Process: Communication and Documentation | Client Need: Health Promotion and Maintenance/Data Collection Techniques | Cognitive Level: Analysis

3. ANS: D

Feedback
A
Fitzpatrick’s theory is based on four concepts: the whole person, health, wellness-illness, and transitions.
B
Dunn’s theory of wellness involves four wellness quadrants.
C
According to Fitzpatrick, health changes continuously throughout a person’s lifetime, responding to his or her interaction with the environment.
D
Fitzpatrick’s theory teaches that health is a result of an individual’s interaction with his or her environment. Chapter Objective: Describe two theories of wellness and illness.

PTS: 1 REF: Chapter: 7 | Page: 135 OBJ: Chapter Objective: 7-3
KEY: Content Area: Coordinated Care | Integrated Process: Teaching and Learning | Client Need: Safe and Effective Care Environment/Coordinated Care/Staff Education | Cognitive Level: Comprehension

4. ANS: D

Feedback
A
Routine medical care is encouraged to promote health and wellness. Emergency and urgent care are utilized for acute care.
B
Diet should be in moderation, pertaining to food groups and calories.
C
A balanced diet promotes health and should include foods from each food group.
D
Too much stress impacts health; learning to manage stress improves health. Chapter Objective: Identify risk factors for selected illnesses.

PTS: 1 REF: Chapter: 7 | Page: 140 OBJ: Chapter Objective: 7-6
KEY: Content Area: Health Promotion and Maintenance | Integrated Process: Teaching and Learning | Client Need: Health Promotion and Maintenance/Health Promotion/Screening Programs | Cognitive Level: Application

5. ANS: B

Feedback
A
Getting the flu vaccination annually does protect against the flu and its complications, but influenza is not a chronic illness.
B
Eating a well-balanced diet with moderate calories protects against diabetes mellitus, gastric cancers, and many other long-term illnesses. Chapter Objective: Identify risk factors for selected illnesses.
C
Moderate exercise will help protect an individual from developing illnesses or diseases; however, running 4 to 5 miles per day is not moderate exercise, nor will it ensure that a person will not develop diseases.
D
Smoking can harm one’s health whether or not cigarettes are low in tar and nicotine.

PTS: 1 REF: Chapter: 7 | Page: 139 OBJ: Chapter Objective: 7-6
KEY: Content Area: Health Promotion and Maintenance | Integrated Process: Teaching and Learning | Client Need: Health Promotion and Maintenance/Health Promotion/Screening Programs | Cognitive Level: Application