Deck 7: Health, wellness, and Illness

Question 1

Which of the following is defined as "an alteration in body functions resulting in a reduction of capacities or a shortening of the normal life span"?

A)Illness
B)Disease
C)Acute illness
D)Chronic illness

Answer 1

Disease

Question 2

Brenda,a 48-year-old stay-at-home mother of three teenaged children,has been hospitalized and is scheduled for surgery.Which effect will her hospitalization most likely have on her family?

A)Loss of privacy for the family
B)Decrease in income for the family
C)Alteration of family members' roles and tasks
D)Loss of autonomy for the children

Answer 2

Alteration of family members' roles and tasks

Question 3

Mrs.Beltzer,80,has diabetes,but her blood sugars are within an acceptable range.At a foot care education session at a local pharmacy,she tells the nurse educator " I am not ill." Which of the following statements best reflects Mrs.Beltzer's understanding of health and illness?

A)Diabetes is an illness,and she is in denial of this fact.
B)She understands the use of health promotion to prevent illness.
C)She understands that one can have a disease and not feel ill.
D)She has good knowledge of the etiology of diabetes.

Answer 3

She understands that one can have a disease and not feel ill.

Question 4

A local pharmacy offers free foot care education sessions for people with diabetes.What level of prevention does this reflect?

A)Tertiary
B)Secondary
C)Primary
D)Neutral point

Question 5

What was determined about the relationships of healthy older adults (age > 65 years)participating in moderate to vigorous aerobic physical activity?

A)A moderate to vigorous activity level is excessive for this age group.
B)Aerobic activity puts too much stress on aging knee and hip joints.
C)Cognitive function is improved with high levels of physical activity.
D)More injuries occurred with this level of activity in this age group.

Question 6

Under the role performance model,which of the following persons would be considered healthy?

A)A nurse in renal failure who continues to work on a dialysis unit
B)A concert pianist who cancels his performances to recover from surgery to his hands
C)A jockey who repairs harnesses after a riding accident ended his career
D)A farmer who retires because of respiratory disorders resulting from his use of pesticides

Question 7

Using the agent-host-environment model of health and illness,which of the following persons would be most prone to illness?

A)Mr.Riccardo,a 22-year-old auto mechanic in Regina with a mild respiratory disorder
B)Ms.Mancini,a 50-year-old bartender in Toronto whose father is an alcoholic
C)Mr.Wren,a 45-year-old air traffic controller in Montreal whose father is hypertensive
D)Patrick,an 18-year-old runner in St.John's whose mother has diabetes

Question 8

To what does the metaphor upstream view of health refer?

A)Making healthy choices in childhood in determining adult health
B)Looking beyond the immediate event when studying health
C)Maintaining people's health by way of episodic nursing care
D)Providing culturally safe care to Canadian immigrants

Question 9

A group of nursing students propose a blood-pressure screening day at a local shopping mall.Which level of prevention does this represent?

A)Primary prevention
B)Secondary prevention
C)Tertiary prevention
D)Prevention by health promotion

Question 10

Mauri,a 59-year-old recent immigrant to Canada,noticed a lump in her breast,but delayed seeing a physician because in her country it is considered immoral to disrobe in front of strangers.Which of the following determinants of health appears to be the primary factor in Mauri's behaviour?

A)Gender
B)Culture
C)Education and literacy
D)Income and social status

Question 11

At the termination of an examination,a physician remarked to the client,Mr.Rowlands,55,that he exhibited no signs or symptoms of disease or illness.Mr.Rowlands would be considered healthy by which model of health?

A)Adaptive
B)Clinical
C)Role performance
D)Eudaimonistic

Question 12

Andrew is a nursing student caring for a 46-year-old Filipino woman who has essential hypertension.He has been asked to create a teaching tool for a determinant of health that is under a client's conscious control.Which of the following would be an example of this?

A)Producing a video on cultural responses to certain antihypertensive medications
B)Designing a pamphlet on making healthy meal choices for people with hypertension
C)Creating a list of possible side effects of common antihypertensive medications
D)Selecting readings comparing female to male incidence of stroke due to hypertension

Question 13

Mr.Yeboah,28,has lost a leg as the result of a motor vehicle accident.He is tearful as he confides in the nurse his concerns about wearing a prosthetic leg for sports,and is struggling with a perceived loss of autonomy.What would be a therapeutic approach by the nurse?

A)Tell Mr.Yeboah that his main issue is going to be with self-esteem,not autonomy
B)Support his plans regarding upcoming lifestyle change with the prosthetic
C)Remind Mr.Yeboah of all of the successful paralympic athletes in the news
D)Reassure him that many other young people have adapted successfully to this type of injury

Question 14

In an Aboriginal medicine wheel,to what does the term medicine refer?

A)Renewal,introspections,and experiences in one's life
B)Guiding decisions and actions toward balance and harmony
C)Traditional use of roots,bark,and seeds to cure illnesses
D)Spiritual energy and healing or enlightened experience

Question 15

A nurse educator is explaining the concept of health and parallels this with interruption of body systems and symptoms of disease or injury.This educator is interpreting health according to which model?

A)Illness-wellness continuum
B)Eudaimonistic
C)Adaptive
D)Clinical

Question 16

Mr.Huynh,67,has chronic arthritis,and has been pain-free for the past four weeks.What is the term describing his pain-free period?

A)Adherence
B)Chronicity
C)Exacerbation
D)Remission

Question 17

According to the eudaimonistic model of health,when is a client considered healthy?

A)When he realizes his full potential
B)As long as he is able to continue working
C)When there is an absence of illness or injury
D)As long as he is able to adapt to stressors

Question 18

A nurse educator takes students into the school system and provides developmental testing for kindergarten through third grade.Which level of prevention is being provided?

A)Primary
B)Community
C)Tertiary
D)Secondary

Question 19

What has the greatest impact on the health of Canadians according to the Public Health Agency of Canada?

A)Individuals' interaction with their environment
B)Sufficient exercise and healthy diet
C)One's lifestyle choices and behaviours
D)Marital status and childhood development

Question 20

Mrs.Fayed,75,is about to be discharged from hospital.Which of the following factors should alert a nurse to possible problems with treatment adherence?

A)The client is on multiple medications.
B)The client has been aware of the medical issue for a year.
C)The prescribed therapy is costly and of unknown duration.
D)The client's culture is supportive of Western medicine.

Question 21

What is the minimum amount of physical activity recommended by the Public Health Agency of Canada for healthy adults?

A)150 minutes of moderate-to-vigorous-intensity aerobic physical activity per day
B)30 minutes of moderate-to-vigorous-intensity activity per day
C)60 minutes of moderate-to-vigorous-intensity activity per week
D)150 minutes of moderate-to-vigorous-intensity aerobic physical activity per week

Question 22

"Developing self-awareness or self-responsibility to reach an ultimate goal of optimal health and happiness" defines which of the following terms?

A)Self-actualization
B)Personality
C)Security
D)Wellness

Question 23

What are the two endpoints on Travis's Illness-Wellness Continuum?

A)Growth; Disability
B)Growth; Optimal health.
C)Disease prevention; Health promotion
D)High-level wellness; Premature death

Question 24

What is the purpose of the Aboriginal Medicine Wheel?

A)Predicting health according to weather
B)Describing a holistic view of health and wellness
C)Restoring oneself to an optimal level of functioning
D)Interconnecting agent,host,and environment

Question 25

What term describes "a highly personal state in which the person's physical,emotional,intellectual,social,developmental,or spiritual functioning is thought to be diminished"?

A)Consciousness
B)Illness
C)Awareness
D)Disease

Question 26

After his return from a Florida vacation,Mr.Olander,69,had a cancerous lesion removed from his nose,and tells the nurse that he will always use sunscreen in the future.Which modifying factor from Rosenstock's and Becker's Health Belief Model would explain this change in thinking?

A)Structural variables
B)Demographic variables
C)Cues to action
D)Perceived benefits to action

Question 27

Marcel,17,who has asthma,refuses to take his inhalers to school with him because he is concerned about being viewed as ill.According to Rosenstock's and Becker's health belief model (HBM),what modifying factor does this illustrate?

A)A sociopsychological variable
B)A demographic variable
C)A structural variable
D)A cue to action

Question 28

What was the focus of the Lalonde Report of 1974?

A)Achieving health care for all
B)Environmental health factors
C)Building healthy public policy
D)Developing the Canadian medicare system