Question 1

The nurse is preparing to use the clinical model for care of a patient. Which should the nurse focus upon?

Accepted Answer

A)   Pain.
B)   Environment.
C)   Patient's potential.
D)   Patient's social role. A

Question 2

The nurse has held a smoking cessation class based on the Health Belief Model. According to the model, which statement made by a participant should the nurse recognize indicates the highest level of positive self-efficacy?

Accepted Answer

A)   "I think this time will be different."
B)   "I am going to do the best that I can, so that I won't get lung cancer."
C)   "I am afraid of getting lung cancer like my father."
D)   "I know that this time I will quit smoking permanently." D

Question 3

The nurse is using the Health Belief Model to promote smoking cessation. Which should the nurse recognize will have the greatest impact on the client outcomes?

Accepted Answer

A)   Adaptation.
B)   Behaviors.
C)   Flexibility.
D)   Actualization. B

Question 4

A client tells the nurse that they were at the dentist two months prior for a routine cleaning. Which level of prevention should the nurse document the client has taken?

Accepted Answer

A)   Primary.
B)   Secondary.
C)   Tertiary.
D)   Wellness.

Question 5

A group of clients attend an educational program focused on prevention and screening activities for breast cancer. Based on the Health Belief Model, which participant should the nurse anticipate will most likely engage in available screenings?

Accepted Answer

A)   The client whose mother and grandmother have a history of breast cancer.
B)   The client who is attending the program as a course requirement.
C)   The client attending in support of the presenter.
D)   The client who agreed to attend in support of another participant.

Question 6

The nurse is reviewing the history of the clients that had previously participated in an exercise program. Based on the Health Belief Model, which client should the nurse recognize is most likely to participate in a new health promoting behavior?

Accepted Answer

A)   A client that was unable to continue to participate due to time constraints.
B)   A client that was unable to afford to participate in the program.
C)   A client that had lost weight in a prior exercise program but gained it back.
D)   A client that had prior difficulty obtaining childcare to consistently participate.

Question 7

During a preconceptual assessment, a couple tells the nurse they have a family history of sickle cell disease. Which statement made by the couple should the nurse recognize indicates the desire to participate in primary prevention?

Accepted Answer

A)   "We need to both be treated for sickle cell anemia before we can have a baby."
B)   "We will have blood tests to determine if we are carriers for the disease."
C)   "We need to see a genetics counselor to discuss the potential for having a child with sickle cell disease."
D)   "We both do not have sickle cell disease, so there is a good chance that our baby will not have it."

Question 8

The nurse is developing a program focusing on breast cancer and secondary prevention. Which topic should the nurse include?

Accepted Answer

A)   Types of mastectomy that are available.
B)   Chemotherapy and radiation treatments.
C)   Education on the prevention of breast cancer.
D)   Techniques for performing self-breast examination.

Question 9

The nurse is using the ecologic model as a framework for preparing a community health program. Which program objective should the nurse understand best reflects the concepts of the model?

Accepted Answer

A)   The participants will recognize health as the absence of disease.
B)   The participants will verbalize the role of self-actualization in relation to their health.
C)   The participants will define health as the interaction between the agent, host, and the environment.
D)   Internal harmony is the foundational basis for health achievement.

Question 10

The nurse is discharging a patient who was hospitalized for a cerebral vascular accident (CVA). Which statement made by the patient indicates understanding of primary prevention?

Accepted Answer

A)   "I will need instruction on using my walker."
B)   "I need to have my flu shot this year."
C)   "I must take my blood pressure medications regularly."
D)   "I need to have my cholesterol monitored every 2 months."

Question 11

The nurse is collaborating with a client to create a plan for weight loss. During which phase of the nursing process should the nurse help identify the client's strengths?

Accepted Answer

A)   Assessment.
B)   Evaluation.
C)   Planning.
D)   Implementation.

Question 12

A client has been prescribed a mammogram. Which level of prevention should the nurse recognize the client is participating in?

Accepted Answer

A)   Primary.
B)   Tertiary.
C)   Prepathologic.
D)   Secondary.

Question 13

The manager is reviewing the modifying factors of the Health Belief Model with several nurses. Which statement made by a nurse indicates the understanding of a cue to action?

Accepted Answer

A)   "Education is a cue to action."
B)   "Socioeconomic status is a cue to action."
C)   "The client's personality is a cue to action."
D)   "The cultural practices of a client are a cue to action."

Question 14

The nurse using the Health Belief Model is evaluating a client's interpersonal influences. Which statement made by the client reflects an interpersonal influence?

Accepted Answer

A)   "My family responsibilities may interfere with my success."
B)   "My Mother is going to help me create healthier recipes."
C)   "I feel like some of the recommended dietary changes will be difficult."
D)   "I am concerned about the time it will take to grocery shop for the recommended foods."

Question 15

The nurse is using the Health Belief Model to conduct a weight loss class for a group of patients. Which should the nurse recognize as mediating factors of the model? Select all that apply.

Accepted Answer

A)   Susceptibility of development of complications from being overweight.
B)   Perceived severity of an illness that results from being overweight.
C)   The client's cost of the classes.
D)   The amount of time commitment for the class.
E)   The number of the patients who will be taking the class.

Question 16

The nurse recognizes the fact that more individuals have become conscious of health and wellness. Based on this factor, which should the nurse place a stronger emphasis on? Select all that apply.

Accepted Answer

A)   Tertiary prevention.
B)   Disease prevention.
C)   Health Promotion.
D)   Secondary prevention.
E)   Wellness.

Question 17

The nurse is preparing a care plan for a client. Which area of health risk appraisal should the nurse include in the diagnosis and planning? Select all that apply.

Accepted Answer

A)   Medical diagnosis.
B)   Sexual activity.
C)   Immunization history.
D)   Occupation.
E)   Laboratory results.

Question 18

The nurse is evaluating the responses of the client's willingness to participate in an exercise program. Based on the Health Belief Model, which client statement should the nurse recognize is reflective of a situational influence?

Accepted Answer

A)   "I don't like where the gym is located."
B)   "I don't like feeling so sore the next day."
C)   "I feel like this program is too costly."
D)   "I really have never exercised before."

Question 19

The nurse is assessing a client for taking self-responsibility in wellness. Which action by the client should the nurse consider reflects good decision making?

Accepted Answer

A)   Planning a menu that includes a variety of foods.
B)   Decreasing the number of cigarettes smoked from 3 packs per day to 1.5 packs per day.
C)   Practicing sexual abstinence or using a condom during sexual intercourse.
D)   Walking at a pace of 3 to 4.5 mph for 15 minutes three times per week.

Question 20

The nurse is using the theory of reasoned action/planned behavior to develop a class on nutrition. Which variables should the nurse be aware of that may affect the client's intention to improve their nutritional intake?

Accepted Answer

A)   Self-efficacy.
B)   Motivation.
C)   Knowledge.
D)   Objective norms.

Exam 2: Health and Wellness