NUR 304 Exam 4 - Answer reduce incidence of disease. prevent sic...

NUR 304 Exam 4

• primary prevention

Answer reduce incidence of disease. prevent sickness/disease ex

vaccines, education

• secondary prevention

Answer preventing spread of disease after infection occurs

• tertiary prevention

Answer minimizing the effects of long term disease or disability and occurs after a defect or disability is permanent

• health promotion

Answer focuses on helping individuals maintain or enhance their present health. Motivates people to engage in healthy activities such as exercise and good nutrition

• health education

Answer providing information on topics suchs as physical awareness, stress management, and self- responsibility to enable individuals

to to improve their health

• illness prevention

Answer immunizations, BP screenings, activities to protect people from risks to health 1 / 4

• A patient discharged a week ago following a stroke is currently participating in

rehabilitation sessions provided by nurses, physical therapists, and regis- tered dietitians in an outpatient setting. In what level of prevention is the patient participating?

• primary prevention
• secondary prevention
• tertiary prevention

• transtheoretical prevention

Answer tertiary prevention

• Based on the Transtheoretical Model of Change, what is the most appropriate response to a

patient who states

"Me, stop smoking? I've been smoking since I was 16!"

• "That's fine. Some people who smoke live a long life."

-"OK. I want you to decrease the number of cigarettes you smoke by one each day, and I'll see you in a month." -"What do you think is the greatest reason why stopping smoking would be challenging for you?"

-"I'd like you to attend a smoking-cessation class this week and use nicotine replacements patchesas directed."

Answer "What do you think is the greatest reason why stopping smoking would be challenging for you?"

• A nurse working on a medical patient care unit states, "I am having trouble sleeping, and I

eat nonstop when I get home. All I can think of when I get to work is how I can't wait for my shift to be over. I wish I felt happy again." What are the best responses from the nurse manager?(select all that apply)

• "I'm sure this is just a phase you are going through. hang in there.You'll feel better soon."

• "I know several nurses who feel this way every now and then.Tell me about the patients you

have cared for recently. Did you find it difficult to care for them?"

• "You can take diphenyldramine over the counter to help you sleep at night"
• "Describe for me what you do with your time when you are not working." 2 / 4

• "The hospital just started a group where nurses get together to talk about their feelings.

Would you like for me to e-mail the schedule to you?

Answer

• "I know several nurses who feel this way every now and then.Tell me about the patients you

have cared for recently. Did you find it difficult to care for them?"

• "Describe for me what you do with your time when you are not working.
• "The hospital just started a group where nurses get together to talk about their

• A patient has been laid off from his construction job and has many unpaid bills. He is going

through a divorce from his marriage of 15 years and has been praying daily to help him through this difficult time. He does not have a primary health care provider because he has never really been sick, and his parents never took him to a physician when he was a child. Which external variables influence the patient's health practices? (Select all that apply.)

• Difficulty paying his bills
• Praying daily
• Age of patient (46 years)
• Stress from the divorce and the loss of a job
• Family practice of not routinely seeing a health care provider

Answer

• difficulty paying his bills

• stress from the divorce and the loss of a job

• A nurse is conducting a home visit with a new mom and her three children. While in the

home the nurse weighs each family member and reviews their 3- day food diary. She checks the mom's blood pressure and encourages the mom to take the children for a 30-minute walk every day. The nurse is addressing which level of need, according to Maslow's Hierarchy of Needs?

• Physiological
• Safety and security
• Love and belonging
• Self-actualization

Answer

• physiological

• When taking care of patients, a nurse routinely asks whether they take any vitamins or herbal

medications, encourages family members to bring in music that the patients like to help the 3 / 4

patients relax, and frequently prays with her patients if that is important to them. The nurse is practicing which model?

• Holistic
• Health belief
• Transtheoretical
• Health promotion

Answer

• holistic

• Using the Transtheoretical Model of Change, order the steps that a patient goes through to

make a lifestyle change related to physical activity.

• The individual recognizes that he is out of shape when his daughter asks him to walk with

her after school.

• Eight months after beginning walking, the individual participates with his wife in a local 5K

race.

• The individual becomes angry when the physician tells him that he needs to increase his

activity to lose 30 pounds.

• The individual walks 2 to 3 miles, 5 nights a week, with his wife.
• The individual visits the local running store to purchase walking shoes and obtain advice on

a walking plan.

Answer

3, 1, 5, 4, 2

• Which of the following are symptoms of secondary traumatic stress and burnout that

commonly affect nurses? (Select all that apply.)

• Regular participation in a book club
• Lack of interest in exercise
• Difficulty falling asleep
• Lack of desire to go to work
• Anxiety while working

Answer

2, 3, 4, 5

• As part of a faith community nursing program in her church, a nurse is developing a
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