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Chapter 1: Healthy Lifestyles
- In early civilization, the cause of illness was attributed to:
Natural and supernatural forces
- The first understanding of disease processes occurred in (the):
19th century
- Despite all of the improvements and advancements in health care, several infectious diseases have recently resurfaced, including:
Tuberculosis
- Healthy People 2020 identifies two major goals—eliminating health disparities and:
Increasing the quality and years of healthy living
- An external force that can affect one’s health is (the):
Culture
- Health promotion is:
a. Goal oriented
- Mrs. Jackson brings her 6-month-old infant to the clinic for immunization. This action demonstrates which of the following levels of disease prevention?
a. Primary
- A future national goal for health care is the:
Elimination of disparities in health care
- Inadequate nutrition contributes to diseases such as:
Cancer
- In health promotion, the most important nursing role is:
Teaching safe health practices
- A healthy person generally:
Is in harmony
- In a health model, the nurse, as a collaborator, is responsible for:
Sharing and exchanging information with other health professionals
- Jennifer Joseph, a 60-year-old client, has been instructed by the public health nurse to begin a program of exercise. You can further explain to Mrs. Joseph that the benefits of exercise are:
An increase in blood supply to muscles and nerves
- Holistic health:
d. Considers one’s mental well-being
- Which of the following is an example of health restoration?
Rehabilitation after surgery to replace a knee joint
- A major objective of health promotion is:
Attaining one’s level of optimal health
- The most important goal in health restoration is:
Compensating for losses
- Which of the following forces has no impact on changing one’s health behavior?
Inherited traits
- The stressor most commonly associated with adolescence is:
The search for identity
- Based on the Social Readjustment Rating Scale, the most stressful event for an adult is:
Divorce
Improving the quality of care
- The organization that coordinates global health care issues, such as outbreaks of infection, is:
World Health Organization
- The most important goal the nurse must meet today in the delivery of health care is: Assisting the individual level of health
- The student nurse is providing follow-up teaching to a group of clients on how to maintain a healthy diet. The student nurse must first understand that which of the following factors can affect the selection of a healthy diet? (Select all that apply.) Cultural preferences Client’s knowledge level Economic status Access to foods
- The plan of care states that an increase in food intake is needed to rebuild and repair cells. The nurse would increase the client’s intake of: Fish
- The MyPlate guidelines help the individual: a. Understand that food intake must match energy output
- Which of the following describe(s) a type of determinant behavior? (Select all that apply.) Poor diet Unsafe sex Smoking and drug use
- During a postconference, there is an open discussion on the health-promoting goals of Healthy People 2020. When the nurse instructor summarizes the key points, she is correct if she states (select all that apply): Elimination of health care disparities Access to preventive health services
- The nurse is participating in a health promotion workshop at the community church. She must include which of the following topics? (Select all that apply.) Stress management Regular exercise
- Healthy ways of adapting to stress include:
Humor
- The parent of a 6-year-old who is having problems in school shares with the school nurse that she took her child to the pediatrician, and he said he is suffering from PTSD. She tells the nurse she does not understand because she has only heard of PTSD in association with soldiers after combat. The nurse would best reply:
PTSD can occur if your son has had a traumatic experience
- A mother is questioning her 2-year-old child’s emotional development. Identify emotions that are normal in this age group (select all that apply):
Frustration Pleasure
Chapter 2. Communication – Test Questions With Answers and Rationales
- Communication is the:
Exchange of information and ideas
- Part of the communication process is:
Feedback
- The person who interprets the message is called the:
Receiver
- A form of verbal communication is:
Words
- A professional appearance by the health care worker can communicate:
Pride
- Which of the following behaviors by your patient indicates a willingness to communicate?
Face toward you
- Which of the following describes nonverbal behavior? Gestures Tone of voice
“Describe when you began feeling this way.”
- John, age 54, is admitted for day surgery and is anxious and tense during the procedure. How would you respond? a. “Calm down. You will be fine.” b. “You will only need light anesthesia.” c. “You’re not dying. Why are you thinking this way?” d. “You seem to be concerned about the surgery.”
- After completing morning care for Sarah, an 83-year-old patient in the nursing home, she states, “You are the only one who takes the time to care for me.” Your best response would be: You feel others don’t take the time?”
- Which of the following questions is open-ended and would best help a person describe his or her pain?
“Describe what your pain is like.”
- The caregiver notices that one of her patients is in her room crying. The caregiver’s best response is:
“It may help to talk about what is upsetting you.
- Your patient is usually very verbal. Today, you note that she is withdrawn and quiet. The best caregiver action is to:
Spend time with her and continue to observe her behavior.
- The caregiver says, “I’m not sure of the answer to your question.” This response indicates that the caregiver is: a. Evasive b. Uninformed c. Genuine d. Nontherapeutic
- Touching a client suddenly without warning may be interpreted as: a. Affectionate b. Invasive c. Empathic d. Comforting
- Telling a client that you know exactly what the client is going through is an example of: a. False reassurance b. Giving advice c. Stereotyping
d. Agreeing
- When a health care worker changes a. Foster support of the client b. Reduce the health care worker’s anxiety c. Add emphasis to the message d. Build trust
- Which of the following influence(s) how a message is interpreted when a nurse is communicating with a patient? (Select all that apply.) a. Age b. Feelings c. Gender d. Attitude e. Past experience
- Which of the following comments would be nontherapeutic? (Select all that apply.) a. “You should stop smoking.” b. “Why are you always complaining?” c. “I think you are making the right decision.” d. “How are you feeling about this?” e. “Let’s talk about happier times.”
- A nurse promotes effective communication with patients by using principles of: a. Empathy b. Submissiveness c. Power d. Control
- A nurse is utilizing the best techniques of therapeutic communication with a patient experiencing a stressful event when she: a. Asks her to explain why she is behaving like that b. Sits with the client in quiet support c. Asks her to be quiet and thoughtful d. Isolates the patient from others
- A nurse has achieved the highest level of practice in the art of therapeutic communication when he (select all that apply): a. Supports the client’s coping skills b. Explores his feelings c. Asks family members to keep the patient calm d. Shares his feelings with the patient e. Feels his goals and needs are met
a. Anger b. Shock c. Ambivalence d. Euphoria
- Two common bonds that hold a family together are: a. Persuasion and fortitude b. Attachment and commitment c. Aggression and firmness d. Love and hate
- Which of the following is a stage of family development? a. Denial b. Withdrawal c. Negativism d. Reproduction
- Four-year-old Sam is the second child of Jim and Pat Gates. How may Sam’s place in the family affect his development? a. Sam will believe he has unlimited power over his other siblings b. Sam will feel a need to compete with his other siblings c. Sam will more easily mimic the behavior of adults around him d. Sam will believe he must have the attention of both parents and all siblings
- In a laissez-faire–type family pattern, 9-year-old Jane would: a. Be used to her parents making all the decisions b. Be able to participate in decision-making c. Have complete freedom in making all decisions d. Have all decisions reviewed and modified
- A function basic to all families is the need to: a. Direct members b. Punish members c. Judge members d. Protect members
- An example of a break in family structure is: a. Divorce b. Remarriage c. Illness d. Unemployment
- Reproduction provides the family with a means of: a. Readiness b. Division c. Structure d. Survival
- Melvin Carey, a 22-year-old nurse, is employed in the intensive care unit. When interacting with patients’ families, he must be which of the following? a. Sympathetic b. Aggressive c. Unyielding d. Nonjudgmental
- Millicent, age 30, is being discharged from the hospital after being treated for depression. The nurse has encouraged the family to spend time together because this will lead to: a. Awareness b. Cohesiveness c. Disengagement d. Fulfillment
- Jeremy, age 4, lives with his mother, father, and 6-month-old sister. This living arrangement describes the: a. Blended family b. Nuclear family c. Reconstituted family d. Cohabitative family
- One of the major advantages of the extended family is: a. There is always close attachment between all members b. All financial concerns are eliminated c. Roles and resources are shared d. All members generally enjoy better health
- To resolve a family conflict, members must be able to: a. Have open communication b. Confront each member c. Avoid further interaction d. Isolate each member
- The “empty nest” is best described as the: a. Time parents begin to age b. Arrival of the firstborn in the family c. Time grown children leave home d. Time the first child begins school Answer: c
- A dysfunctional family is one that is: a. Unable to meet the family’s needs b. Able to foster the growth and development of its members c. Unable to enhance the intelligence of its members d. Able to improve its members’ ability to socialize
- An elderly male client is admitted to the nursing home accompanied by his wife and son. The best way for the nurse to engage the family in the admission process is by: a. Telling them not to worry; the patient will be well cared for b. Asking them to share the patient’s home routine c. Directing your communication to the wife and son d. Asking the patient if he has any complaints about his room
- Susan describes her family pattern as authoritative. You understand this to mean that family members: a. Can make suggestions during decision-making b. Decide which college she will attend c. Make all decisions for each other d. Help decide which out with
- Josephine, age 28, is admitted to the hospital after a motor vehicle accident that occurred while her 6-year-old twins were in the car. She tells you she is recently divorced and asks you to call her mother to see if she picked up her children. You return to tell her that her children are with her mother and are fine. When she responds, “They are better off with my mother anyway because I can’t get anything right,” the best response by the nurse is: a. “You feel you are not a good mother.” b. “You should be glad they are alive.” c. “You seem like a good mother to me.” d. “I have seen many mothers in your situation who wouldn’t care where their children are.”
