When assessing the external variables that influence a clients health beliefs and practices the nurse must consider?

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Terms in this set (25)

1. When formulating a definition of "health," the nurse should consider that health, within its current definition, is:
1. The absence of disease
2. A function of the physiological state
3. The ability to pursue activities of daily living
4. A state of well-being involving the whole person

A state of well-being involving the whole person

2. Which one of the following is the main, overarching goal for Healthy People 2010?
1. Reduction of health care costs
2. Elimination of health disparities
3. Investigation of substance abuse
4. Determination of acceptable morbidity rates

Elimination of health disparities

3. A nurse is using a holistic approach when caring for a client. To incorporate all of the factors that may influence the client, which of the following nursing responses is most therapeutic?
1. "I would like you to perform this exercise once a day."
2. "Your physician has left orders that you are to follow."
3. "The laboratory tests reveal the need to reduce your daily percentage of fat intake."
4. "Adapting to a low-fat diet and increasing your activity will help lower your blood glucose levels."

"Adapting to a low-fat diet and increasing your activity will help lower your blood glucose levels."

4. The client states, "Heart disease runs in our family. My blood pressure has always been high." The nurse determines that this is an example of the client's:
1. Risk factors
2. Active strategy
3. Health beliefs
4. Negative health behavior

Risk factors

5. A client is discharged following a heart attack. In using the Stages of Health Behavior Change as a guide, the nurse recognizes that the client is most likely to begin to accept information on diet changes and an exercise program during which stage?
1. Action
2. Preparation
3. Maintenance
4. Contemplation

Contemplation

6. When assessing the external variables that influence a client's health beliefs and practices, the nurse must consider his:
1. Income status
2. Religious practices
3. Educational background
4. Reaction to the heart disease

Income status

7. A paraplegic client is admitted for an electrolyte imbalance. Based on the levels of prevention, the client is receiving care at the level of:
1. Health promotion
2. Primary prevention
3. Tertiary prevention
4. Secondary prevention

Secondary prevention

8. Which of the following nursing activities is an example of tertiary level caregiving?
1. Teaching a client how to irrigate a new colostomy
2. Providing a class on hygiene for an elementary school class
3. Informing a client that her infant can be immunized at the health department
4. Arranging for a hospice nurse to visit with the family of a client with lung cancer

Arranging for a hospice nurse to visit with the family of a client with lung cancer

9. Which one of the following client assessment findings indicates a lifestyle risk factor to the nurse?
1. Obesity
2. Sunbathing
3. Overcrowded housing
4. Industrial-based occupation

Sunbathing

10. In the Health Belief Model, the nurse recognizes that the focus is placed on the:
1. Basic human needs for survival
2. Functioning of the individual in all dimensions
3. Relationship of perceptions and compliance with therapy
4. Multidimensional nature of clients and their interaction with the environment

Relationship of perceptions and compliance with therapy

11. The client who recently received a kidney transplant is worried about her husband since he has taken over the physical tasks of running their home. The client is in the process of adapting to a change in:
1. Body image
2. Self-concept
3. Illness behavior
4. Family dynamics

Family dynamics

12. Client assessment provides the nurse with necessary information for the development of an effective plan of care. When determining the influence of an internal variable on the client's health status, the nurse will specifically look for:
1. Anxiety level present
2. Family remedies used
3. Location and type of occupation
4. Available health insurance coverage

Anxiety level present

13. A nurse understands that illness behavior means:
1. Each distinct illness will cause the client to behave in a specific manner
2. Nursing care provides interventions that are behavior oriented
3. The client's behaviors will have a direct impact on his illness
4. When ill, a client's perception of illness will result in unique behaviors

When ill, a client's perception of illness will result in unique behaviors

14. A client tells the nurse that his illness is a result of his failure to "live a good life." The nurse recognizes this statement as an example of the client's:
1. Risk factor
2. Health belief
3. Illness behavior
4. Negative health behavior

Health belief

15. Which of the following client statements best relates to the third component of the Health Belief Model?
1. "My blood cholesterol is only a little high."
2. "No one in my family is susceptible to the flu."
3. "I'll just avoid the food that causes the problem."
4. "By losing weight my blood pressure may come down."

"By losing weight my blood pressure may come down."

16. The goal of Pender's Health Promotion theory is best reflected in which of the following nursing interventions?
1. Suggesting the client experience a variety of exercise routines before settling on the one to adapt
2. Arranging for a client to attend a support group for individuals who also have severe burn scars
3. Playing soft, classical music when a client diagnosed with Alzheimer's becomes physically agitated
4. Providing a client with a history of stress-induced respiratory problems with detailed explanations regarding her care

Suggesting the client experience a variety of exercise routines before settling on the one to adapt

17. The nurse knows that the greatest internal factor to consider when educating an adult client concerning health promotion activities is the client's:
1. Emotional wellness
2. Developmental stage
3. Professed spirituality
4. Intellectual background

Intellectual background

18. The nurse is caring for a terminally ill client who recently immigrated to the United States. To provide quality end-of-life care, the nurse must initially:
1. Make every effort to involve the client and his family in the end-of-life care
2. Understand the client's personal and cultural views regarding death and dying
3. Arrange for end-of-life care to be provided by personnel familiar with the client's culture
4. Share the client's concerns regarding the dying process with his interdisciplinary care team

Understand the client's personal and cultural views regarding death and dying

19. Which of the following nursing interventions is the best example of a primary care prevention strategy regarding the flu?
1. Staffing a flu immunization clinic at a senior citizen's center
2. Providing flu prevention literature for distribution to visitors
3. Reminding client care personnel of the importance of the flu shot
4. Getting a drug manufacturer to donate flu vaccine for the homeless

Getting a drug manufacturer to donate flu vaccine for the homeless

20. The nurse can best discuss the impact of a known risk factor on a client's health by stating:
1. "It doesn't mean you'll get the disease just that the odds are greater for you."
2. "Now you know that the possibility is there, you can take steps to prevent it."
3. "The risk factor can be managed by making a change in your lifestyle."
4. "You're lucky because you have the benefit of being able to do something about it."

"It doesn't mean you'll get the disease just that the odds are greater for you."

21. When caring for a client with a spouse and two adolescent children, the nurse knows that the family unit must first:
1. Be viewed as a client
2. Change traditional roles
3. Provide support for the ailing mother
4. Seek help to fulfill day-to-day needs

Be viewed as a client

22. The nurse observes signs of depression in a client who has been hospitalized for several weeks because of injuries sustained in an automobile accident. The client confirms his fears of never, "Being able to work and support my family as I did before." The nurse's initial intervention is to:
1. Offer to arrange for him to speak with the facility's chaplain
2. Assure the client that physical therapy will help him tremendously
3. Revise his care plan to include interventions to assist him with coping
4. Tell his health care provider of his need for antidepressant medication

Revise his care plan to include interventions to assist him with coping

23. While discussing discharge plans for a client who recently experienced a stroke that resulted in right-sided weakness and communication problems, the daughter shares with the nurse that she has concerns regarding her role as caregiver. The most therapeutic response by the nurse is to:
1. Agree that her concerns are well-founded
2. Suggest that she consider home health aides
3. Offer to arrange for her to see the facility's grief counselor
4. Provide her with information about a caregiver support group

Offer to arrange for her to see the facility's grief counselor

1. Which of the following would be considered positive health behaviors for a 40-year-old client? (Select all that apply.)
1. Eating a low-fat, low-salt diet
2. Getting 6 to 8 hours of sleep nightly
3. Spending quality time with his children
4. Limiting his smoking to 3 cigarettes daily
5. Having his blood pressure checked regularly
6. Walking for 30 minutes several times a week

1. Eating a low-fat, low-salt diet
2. Getting 6 to 8 hours of sleep nightly
5. Having his blood pressure checked regularly
6. Walking for 30 minutes several times a week

2. Which of the following client behaviors are examples of active strategies of health promotion? (Select all that apply.)
1. Losing 10 pounds
2. Walking 1 mile each evening
3. Drinking vitamin D fortified milk
4. Driving a car equipped with airbags
5. Having regular blood pressure checks
6. Having a company-required hearing exam

1. Losing 10 pounds
2. Walking 1 mile each evening
5. Having regular blood pressure checks

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When assessing the external variables that influence a client's health beliefs and practices the nurse must consider this?

What is an external variable that influences health health beliefs and practices?

Which factor is considered an external variable influencing illness and illness behavior?

Which of the following are internal variables that influence health beliefs and practices?