Test Generator Questions, Chapter 11, Health, Wellness, and Integrative Healthcare

Format: Multiple Choice

Chapter: 11

Client Needs: Health Promotion and Maintenance

Cognitive Level: Apply

Integrated Process: Nursing Process

Learning Objective: 2

Page and Header: Illness Prevention, p. 165.

1. A client has had a total knee replacement and is receiving care that includes learning to walk with a walker. The nurse is engaged in which aspect of illness prevention?

A) Primary prevention

B) Secondary prevention

C) Tertiary prevention

D) Residual prevention

2. A nurse is educating women on the need for calcium to prevent bone loss. The nurse is engaged in which aspect of illness prevention?

A) Primary prevention

B) Secondary prevention

C) Tertiary prevention

D) Residual prevention

3. What is a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity?

A) Health

B) Wellness

C) Holism

D) Host

4. What is a dynamic state in which a person constantly adapts to changes in the internal and external environment?

A) Health

B) Wellness

C) Holism

D) Infirmity

5. What is a dynamic balance among the physical, psychological, social, and spiritual aspects of a person's life?

A) Health

B) Wellness

C) Holism

D) Promotion

6. When admitting an adolescent to the hospital, the nurse anticipates that the client will respond to questions about health beliefs based primarily on which aspect?

A) Age and developmental stage

B) Gender and medical history

C) Peer influence and education

D) Health promotion activities

7. A client states, "I must be in poor health because I am a senior citizen. That's what my neighbor who is older than I am says" This statement is based on which factor?

A) Age

B) Gender

C) Peer influence

D) Illness factors

8. The recognition of health as an ongoing process toward a person's highest potential of functioning is defined as:

A) illness.

B) agent–host–environment.

C) health belief model.

D) high-level wellness.

9. Traditional medicine's view of health is typically explained by which health model?

A) High-level wellness

B) Health belief model

C) Wellness–illness continuum

D) Holistic health model

10. The concept of holism is based on the which belief?

A) Individuals can be seen in an atomistic fashion.

B) Health is achieved through medical care.

C) Health is achieved by treatment from physicians.

D) Individuals cannot be seen apart from the environment.

11. A client enjoys high-calorie carbohydrates but understands that they raise blood sugar sharply and ultimately cause a feeling of butterflies in the stomach as the blood sugar decreases. This is considered:

A) health promotion.

B) illness prevention.

C) holism.

D) self-awareness.

12. The body's attempt to restore balance through self-regulatory mechanisms is termed:

A) homeostasis.

B) equilibration.

C) self-conception.

D) biofeedback.

13. A nurse assists the client in the development of a healthy lifestyle. The adoption of these lifestyle changes in the client's life is considered:

A) adaptation.

B) self-care.

C) self-esteem.

D) health management.

14. In which aspect of illness prevention is the nurse engaged in when the nurse educates a group of mothers of school age children on self-breast examinations?

A) Educational prevention

B) Primary prevention

C) Secondary prevention

D) Tertiary prevention

15. A woman 80 years of age has had a cerebrovascular accident. She has flaccidity of her right side with aphasia. For this client, which activity constitutes tertiary prevention?

A) Assessment of her blood pressure

B) Daily bleeding and clotting times

C) Gait training and speech therapy

D) Education on the symptoms of a CVA

16. Which action by the nurse demonstrates being an effective change agent for wellness?

A) Skip breakfast to reduce calories.

B) Drink caffeinated beverages.

C) Lead a sedentary lifestyle.

D) Consume a diet low in fat.

17. What type of healthcare practice was first challenged by clients who wanted to be treated as whole persons, not just as a disease?

A) Homeopathic care

B) Holistic care

C) Altruistic medicine

D) Allopathic medicine

18. The mind and body are connected in the provision of care. This statement describes:

A) homeopathic care.

B) holistic care.

C) altruistic care.

D) allopathic care.

19. What term is defined as "those practices that do not form part of the dominant system for managing health and disease"?

A) Alternative medicine

B) Complementary health

C) Homeopathic medicine

D) Holistic healthcare

20. A client suffers from chronic pain. The nurse suggests the client have monthly massages. This is an example of:

A) adjuvant medicine.

B) palliative medicine.

C) alternative medicine.

D) allopathic medicine.

21. Which of the following forms of medicine combines health promotion, establishment of a partnership with the client and practitioner, and captures an evolving model of healthcare?

A) Integrative healthcare and medicine

B) Homeopathic healthcare and medicine

C) Holistic healthcare and medicine

D) Palliative healthcare and medicine

22. When obtaining information for a database, which area represents a nurse commitment and interest as reflected by CAM (integrative medicine)?

A) "Which types of foods do you consume in 24 hours?"

B) "Do you take any vitamins or minerals, and if so, what?"

C) "Which prescription medications do you take daily?"

D) "Which diseases do you suffer from and what are your allergies?"

23. Which question or statement to a client conveys acceptance?

A) "You know supplements can be harmful. Do you take any supplements?"

B) "Have you ever discussed taking vitamins and supplements with your doctor?"

C) "Will you please share with me the prescription medicines and vitamins you take?"

D) "What helpful herbal supplements are you taking?"

24. A client is very anxious before an invasive procedure. Which CAM therapy would be most helpful to assist in decreasing anxiety?

A) Meditation

B) Chinese medicine

C) Acupuncture

D) Herbs

25. A client is in the last stage of labor. During each contraction, she is focusing on her husband's voice and a picture brought from home. She is demonstrating which type of meditation?

A) Concentrative

B) Receptive

C) Reflective

D) Expressive

26. A client is asking the nurse to explain acupuncture. Which response by the nurse would be appropriate?

A) Acupuncture is only done in Eastern countries.

B) Acupuncture is a dangerous option for the treatment of disease.

C) Acupuncture is beneficial to creating a mood of distraction.

D) Acupuncture is used to correct disharmony.

27. A nurse is implementing therapeutic touch. This therapy reflects the beliefs of which theorist?

A) Dorothea Orem

B) Martha Rogers

C) Jean Watson

D) Dolores Krieger

28. When practicing therapeutic touch, the practitioner begins by performing which action first?

A) Calling to rebalance the soul

B) Bringing the practitioner's attention to an inward, peaceful consciousness

C) Embracing the client for energy

D) Moving the hands 2 to 6 inches away from the client's skin surface

29. The practitioner of therapeutic touch is listening with the:

A) ears.

B) mind.

C) soul.

D) hands.

30. The nurse is caring for a terminally ill client and asks the client's permission to incorporate therapeutic touch into the care provided. The nurse is attempting to achieve which goal?

A) Prolong life.

B) Control the dying process.

C) Bring strength.

D) Produce relaxation.

31. A client inquires about the use of herbal therapy. Which statement by the nurse is most accurate?

A) "All herbs are equal in purity, so purchase the cheapest brand."

B) "Herbs can have side effects and can interact with prescription medications."

C) "Be sure to pay attention to the packaging's therapeutic and prevention information."

D) "It is best if you select a licensed herbalist as a practitioner."

32. A woman over the age of 40 years has an annual mammogram. This represents which aspect of illness prevention?

A) Primary prevention

B) Secondary prevention

C) Tertiary prevention

D) Medical prevention