Question 1

According to the Health Belief Model, which of the following patients would be most likely to change health behavior?

Accepted Answer

A)   The person who perceives that he is at risk for colon cancer
B)   The person who recognizes that colon cancer is easily cured
C)   The person who believes that behavior can change outcomes
D)   The patient who faces multiple social barriers A

Question 2

The patient is asking about using the Internet for resources regarding lifestyle behaviors and benefits of modification. The nurse's should tell the patient that:

Accepted Answer

A)   information on lifestyle behaviors is not available on the Internet.
B)   the patient should use websites that are easy to understand.
C)   ,most websites are designed for health care providers only.
D)   only negative outcomes are evaluated on the Internet. B

Question 3

The patient asks the nurse to explain collaborative health care partnerships. The nurse gives a correct description when stating that collaborative care:

Accepted Answer

A)   does not require participation of the patient.
B)   is individual and cannot be mandated or legislated.
C)   education needs are delegated to assistive personnel.
D)   is designed to provide care to the patient as a whole. D

Question 4

Self-concept refers to the way in which individuals perceive unchanging aspects of themselves, such as social character, cognitive abilities, physical appearance, and body image. As such, self-concept:

Accepted Answer

A)   if negative, will allow the patient to compensate for weaknesses.
B)   if positive, will cause the patient to see challenges as devastating.
C)   is a concept that is derived from the patient internally.
D)   depends on relationships with family and friends.

Question 5

The World Health Organization defines health as

Accepted Answer

A)   the absence of disease.
B)   the lack of infirmity.
C)   complete well-being.
D)   being independent of fiscal responsibility.

Question 6

An overweight, sedentary middle-aged smoker with a family history of cardiac disease has noticed a steady rise in resting blood pressure over a 3- to 4-year period. The patient is concerned about his slightly elevated blood pressure and begins walking 20 to 30 minutes in the evenings with his wife and reduces his pack-a-day cigarette habit to ten cigarettes a day. This person has taken the first steps in:

Accepted Answer

A)   risk factor reduction.
B)   self-actualization.
C)   self-transcendence.
D)   health promotion.

Question 7

When caring for patients with chronic illness, the nurse needs to:

Accepted Answer

A)   help the patient face the reality that he will not get better.
B)   emphasize to the patient that the illness is not his fault.
C)   emphasize improving quality of life through preventive behaviors.
D)   acknowledge the limitations placed on the patient by his suffering.

Question 8

The nurse correctly recognizes which one of the following illnesses to trigger the broadest range of emotional and behavioral responses?

Accepted Answer

A)   Ear infection
B)   Mild concussion
C)   Rheumatoid arthritis
D)   Influenza

Question 9

A patient presents to the clinic for illness, and the sick role is legitimized by the provider. The nurse recognizes this as what stage of illness according to Suchman's Model?

Accepted Answer

A)   III
B)   II
C)   I
D)   IV

Question 10

The nurse caring for a patient with chronic pain uses guided imagery, therapeutic touch, and relaxation techniques as interventions for pain. The nurse is using what type of approach?

Accepted Answer

A)   Holistic
B)   Eastern holistic
C)   Risk factor reduction
D)   Health protection

Question 11

The genetic vulnerability of an organism, or risk of disease expression based on genotype, is

Accepted Answer

A)   involuntarily passed from biologic parents to offspring.
B)   totally unrelated to environmental factors.
C)   non-responsive to alteration by way of lifestyle modification.
D)   not a factor in mental illness because it is behavioral.

Question 12

The use of seatbelts and airbags in automobiles is an example of:

Accepted Answer

A)   secondary prevention.
B)   tertiary prevention.
C)   holistic care model.
D)   primary prevention.

Question 13

The nurse is developing a plan of care for a patient with a hip fracture. In order to prioritize the patient's care, the nurse should use:

Accepted Answer

A)   the Health Belief Model.
B)   Pender's Health Promotion Model.
C)   Maslow's hierarchy of needs.
D)   the Holistic Health Model.

Question 14

A patient is diagnosed with pneumonia after an abrupt onset of fever, cough, and malaise. The patient is started on antibiotic therapy and is expected to improve in 2 to 3 weeks. The nurse correctly identifies this illness as:

Accepted Answer

A)   acute.
B)   chronic.
C)   remission.
D)   exacerbation.

Question 15

The nursing goal for all individuals and their families seeking preventive care is to have individuals and families:

Accepted Answer

A)   take responsibility for their health and wellness.
B)   abandon the use of electronic educational media.
C)   make lifestyle changes after diseases occur.
D)   use temporary changes until the danger has passed.

Question 16

Several models exist that describe the relationship between health and wellness. The model used to understand the interrelationship between elements of basic requirements for survival and the desires that drive personal growth and development and is represented as a pyramid is:

Accepted Answer

A)   Maslow's hierarchy of needs.
B)   Health Belief Model.
C)   Health Promotion Model.
D)   Holistic Health Model.

Question 17

The nurse is preparing a patient teaching plan and is seeking a way to determine the patient's readiness and motivation to act regarding lifestyle changes to best manage diabetes mellitus. Which model would be useful for this nurse?

Accepted Answer

A)   Maslow's hierarchy of needs.
B)   Holistic Health Model.
C)   Health Promotion Model.
D)   Health Belief Model.

Question 18

A 40-year-old patient presents to her provider for a yearly physical. The provider notes a family history of breast cancer in the patient's mother. The provider schedules the patient for a mammogram. The nurse recognizes this as what level of prevention?

Accepted Answer

A)   Tertiary
B)   Primary
C)   Secondary
D)   Holistic

Question 19

Exercise is essential for the prevention of illness and promotion of wellness. Regular physical exercise: (Select all that apply.)

Accepted Answer

A)   enhances the immune system.
B)   decreases bone density.
C)   limits joint mobility.
D)   improves mental health.
E)   helps to prevent diabetes.

Question 20

When considering factors influencing health and the impact of illness, specifically age, the nurse would correctly identify which patient as having the greatest risk?

Accepted Answer

A)   A 47-year-old man
B)   A 23-year-old woman
C)   a 10-year-old girl
D)   an 85-year-old woman

Exam 16: Health and Wellness