Question 1

A nurse is assessing a patient's risk factors for heart disease and finds that the patient has several risk factors.How should the nurse interpret this finding?

Accepted Answer

A)   The patient needs surgery for heart disease.
B)   The patient has a genetic disease.
C)   The patient will develop the disease.
D)   The patient has an increased chance to develop the disease. D

Question 2

A nurse is planning to care for a patient with a disease that is a major cause of death and disability in the United States.The nurse is caring for which patient?

Accepted Answer

A)   One with an acute disease
B)   One with a chronic disease
C)   One with an infectious disease
D)   One with an exotic disease B

Question 3

A nurse is assessing a patient's stage of behavioral change.Which statement by the patient will indicate to the nurse that the patient is in the preparation stage?

Accepted Answer

A)   "I started to exercise regularly, but it didn't last long. I'll probably try again in a few weeks."
B)   "I have a problem, and I really think I need to work on it."
C)   "I am really working hard to stop smoking."
D)   "There is nothing that I really need to change." A

Question 4

A nurse working in a rural public health clinic is developing a smoking cessation program for patients in the county.This corresponds with Healthy People 2020's efforts to provide direction for health care efforts on what level?

Accepted Answer

A)   National
B)   Community
C)   Individual
D)   Family

Question 5

A nurse teaches a patient about physiological risk factors.Which information by the patient indicates more teaching is needed?

Accepted Answer

A)   A physiological risk factor is heredity.
B)   A physiological risk factor is environment.
C)   A physiological risk factor is pregnancy.
D)   A physiological risk factor is obesity.

Question 6

To determine a patient's external variables for health beliefs and practices,which area should the nurse assess?

Accepted Answer

A)   Emotional factors
B)   Intellectual background
C)   Developmental stage
D)   Socioeconomic factors

Question 7

A married father of four has recently been diagnosed with emphysema resulting from a long history of smoking.At a family counseling session a nurse helps the family to understand that this diagnosis is classified as a(n):

Accepted Answer

A)   acute illness.
B)   tertiary prevention.
C)   chronic illness.
D)   internal variable.

Question 8

A nurse is caring for a patient who smokes two packs a day.The nurse knows that the patient is in the contemplation stage regarding smoking cessation.What is the nurse's best response to help the patient move into the preparation stage?

Accepted Answer

A)   "You need to stop smoking as soon as possible."
B)   "Smoking will kill you if you don't stop."
C)   "The negative effects of smoking can be reversed."
D)   "Tobacco use killed 435,000 people in 2000."

Question 9

A registered nurse is working in a community clinic that provides services for chronically ill patients.Which condition would be considered chronic?

Accepted Answer

A)   Appendicitis
B)   Pneumonia
C)   Flu
D)   Diabetes

Question 10

Which information by a patient indicates teaching by the nurse was successful for the best definition of health?

Accepted Answer

A)   State of complete well-being
B)   Absence of disease
C)   Vital signs within normal range
D)   Maintenance of a normal weight

Question 11

Upon taking a history of a patient,the nurse learns the patient smokes a pack of cigarettes per day.How should the nurse interpret this finding?

Accepted Answer

A)   This is an example of a health belief.
B)   This is an example of health promotion.
C)   This is an example of a negative health behavior.
D)   This is an example of a basic physiological human need.

Question 12

A nurse allows a patient to place pictures of the family in the room.Which need is being met?

Accepted Answer

A)   Basic needs
B)   Physiological needs
C)   Self-actualization
D)   Love and belongingness

Question 13

The spouse of a patient with terminal cancer is refusing pain medication for the patient because of previous experiences with soldiers who became addicted to pain medication.A nurse will need to focus on which internal variable when approaching this situation?

Accepted Answer

A)   Developmental stage
B)   Family practices
C)   Intellectual background
D)   Spiritual factors

Question 14

A patient states,"I will avoid social situations where people are drinking alcohol so I am not tempted to start drinking again." The nurse assesses the patient to be in which stage of change?

Accepted Answer

A)   Contemplation
B)   Precontemplation
C)   Maintenance
D)   Engagement

Question 15

A pregnant mother of two children has been experiencing severe morning sickness and fatigue.Friends and family members have been providing her family with meals,and her husband has been taking responsibility for the housework.This is an example of which type of behavior?

Accepted Answer

A)   Illness
B)   Wellness
C)   Social
D)   Antisocial

Question 16

A nurse is teaching the staff about the stages of change.Which information should the nurse include in the teaching session?

Accepted Answer

A)   Precontemplation, contemplation, preparation, action, maintenance
B)   Contemplation, preparation, action, maintenance, postmaintenance
C)   Contemplation, procrastination, preparation, action, maintenance
D)   Precontemplation, contemplation, preparation, action, engagement

Question 17

A nurse is preparing to help patients with health promotion,wellness education,and illness prevention activities.Which action should the nurse take first?

Accepted Answer

A)   Explore available support groups.
B)   Identify risk factors.
C)   Provide patient teaching.
D)   Implement risk factor modification.

Question 18

A nurse should emphasize health promotion,wellness strategies,and illness prevention activities as important forms of health care.Which is considered a health promotion strategy?

Accepted Answer

A)   Routine exercise
B)   Stress management class
C)   Influenza immunization
D)   Tetanus booster

Question 19

A smoker has confided to the nurse that he or she feels like a failure because he or she began smoking again after not having had a cigarette for more than a week.What is the nurse's best response?

Accepted Answer

A)   "Let's discuss what triggered you to start smoking again so you can avoid it in the future."
B)   "You understand that smoking is the number one cause of death in the United States, correct?"
C)   "Did you know that your insurance premiums will increase if you continue to smoke?"
D)   "My mother died last year of lung cancer."

Question 20

Using the health promotion model while rendering care enables a nurse to do which of the following? (Select all that apply.)

Accepted Answer

A)   Help the patient pursue health.
B)   Detect the presence of illness.
C)   Promote health behaviors in a patient.
D)   Assess a family's response to illness.
E)   Plan interventions to achieve self-actualization.

Exam 2: Health and Wellness