Chapter 3: Health, Illness, and Disparities

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Unit I: Foundation of Nursing Practice Chapter 3: Health, Illness, and Disparities
Alexandra Bozan
Quiz by Alexandra Bozan, updated more than 1 year ago
Alexandra Bozan
Created by Alexandra Bozan almost 7 years ago
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Resource summary

Question 1

Question
A nurse assesses patients in a physician's office who are experiencing different levels of health and illness. Which statement best define the concepts of health and illness?
Answer
  • Health and illness are the same for all people
  • Health and illness are individually defined by each person
  • People with acute illnesses are actually healthy
  • People with chronic illnesses have poor health beliefs
  • Health is more than the absence of illness
  • Illness is the response of a person to a disease

Question 2

Question
The student nurse learns that illnesses are classified as either acute or chronic. Which are examples of chronic illnesses?
Answer
  • Diabetes mellitus
  • Bronchial pnemonia
  • Rheumatoid arthritis
  • Cystic fibrosis
  • Fractured hip
  • Otitis media

Question 3

Question
Despite a national focus on health promotion, nurses working with patients in inner-city clinics continue to see disparities in health care for vulnerable populations. Which patients would be considered vulnerable populations?
Answer
  • A White male diagnosed with HIV
  • An African American teenager who is 6 months pregnant
  • A hispanic male who has type II diabetes
  • A low-income family living in rural America
  • A middle-class teacher living in a large city
  • A White baby who was born with cerebral palsy

Question 4

Question
A nurse has volunteered to give influenza immunizations at a local clinic. What level of care is the nurse demonstrating?
Answer
  • Tertiary
  • Secondary
  • Primary
  • Promotive

Question 5

Question
A nurse's neighbor tells the nurse, "I have a high temperature, feel awful, and I am not going to work". What stage of illness behavior is the neighbor exhibiting?
Answer
  • Experiencing symptoms
  • Assuming the sick role
  • Assuming the dependent role
  • Achieving recovery and rehabilitation

Question 6

Question
Which clinic patient is most likely to have annual breast examinations and mammograms based on the physical human dimension?
Answer
  • Jane, whose her best friend had a benign breast lump removed
  • Sarah, who lives in a low-income neighborhood
  • Tricia, who has a family history of breast cancer
  • Nancy, whose family encourages regular physical examinations

Question 7

Question
Health promotion activities may occur on a primary, secondary, or tertiary level. Which activities are considered tertiary health promotion?
Answer
  • A nurse runs an immunization clinic in the inner city
  • A nurse teaches a patient with an amputation how to care for the residual limb
  • A nurse provides range-of-motion exercises for a paralyzed patient
  • A nurse teaches parents of toddlers how to childproof their homes
  • A school nurse provides screening for scoliosis for the students
  • A nurse teaches new parents how to choose and use an infant car seat

Question 8

Question
The agent-host-environment model of health and illness is based on what concept?
Answer
  • Risk factors
  • Demographic variables
  • Behaviors to promote health
  • Stages of illness

Question 9

Question
When providing health promotion classes, a nurse uses concepts from models of health. What do both the health illness continuum and the high-level wellness models demonstrate?
Answer
  • Illness as a fixed point in time
  • The importance of family
  • Wellness as a passive state
  • Health as a constantly changing state

Question 10

Question
A nurse follows accepted guidelines for a healthy lifestyle. How can this promote health in others?
Answer
  • By being a role model for healthy behaviors
  • By not requiring sick days from work
  • By never exposing others to any type of illness
  • By spending less money on food

Question 11

Question
[blank_start]Health[blank_end] [blank_start]promotion[blank_end] is the behavior of a person who is motivated by a personal desire to increase well-being and health potential. In contrast, illness/disease prevention, also called [blank_start]health[blank_end] [blank_start]protection[blank_end], is behavior motivated by a desire to avoid or detect disease or to maintain functioning within the constraints of an illness or disability.
Answer
  • Health
  • promotion
  • health
  • protection

Question 12

Question
[blank_start]Health[blank_end] [blank_start]promotion[blank_end] activities are traditionally described as occurring on primary, secondary, and tertiary levels.
Answer
  • Health
  • promotion

Question 13

Question
[blank_start]Health Belief Model[blank_end]: focuses on what people perceive or believe to be true about themselves in relation to their health: 1) perceived susceptibility to a disease 2) perceived seriousness of a disease and 3) perceived benefits of action [blank_start]Health Promotion Model[blank_end]: illustrates how people interact with their environment as they pursue health [blank_start]Health Illness Continuum[blank_end]: views health as a constantly changing, with high-level wellness and death at opposite ends of a graduated scale, or continuum [blank_start]Agent-Host-Environment Model[blank_end]: views the interaction between an external agent, a susceptible host, and the environment as causes of disease in a person. limited when dealing with noninfectious diseases
Answer
  • Health Belief Model
  • Health Promotion Model
  • Health Illness Continuum
  • Agent-Host-Environment Model

Question 14

Question
The nurse practitioner is discussing health promotion with a group of senior nursing students. What would be the best example of secondary health promotion?
Answer
  • Weight loss program
  • Immunization
  • Workplace health and safety seminar
  • Family counseling

Question 15

Question
A nurse has chosen to characterize a new initiative as "wellness promotion" rather than "health promotion". Which of the following statements best describes the difference between the concept of wellness and health?
Answer
  • Wellness is dependent on the resolution of acute and chronic illnesses, whereas health can exist at any stage or condition
  • Wellness is determined by age-related expectations, whereas health is an achievable state, at any point in the lifespan
  • Health is a state that can be promoted and protected by nursing practice, while wellness is solely dependent on the client
  • Wellness is an active state, whereas health is a more passive state, dependent on the absence of disease

Question 16

Question
The nursing class has just learned that Healthy People 2020 focuses on health disparities. National trends in efforts to prevent these disparities focus on which of the following groups?
Answer
  • Vulnerable populations
  • Those living in poverty
  • Older adults
  • Women
  • People w/disabilities
  • Men

Question 17

Question
Which of the following is an example of the sociocultural dimension influencing a person's health-illness status?
Answer
  • A single mother of two applies for food stamps in order to feed her family
  • A family living in a city with high air pollution
  • A teenager who is worried about his scars
  • A father who is a practicing Jehova's Witness refusing a blood transfusion for his son

Question 18

Question
Which of the following is an example of tertiary health promotion?
Answer
  • Water treatment
  • Rehabilitation
  • Family counseling
  • Pap test

Question 19

Question
While providing client care, a nurse determines that a client adheres to the health belief model. Which of the following would the nurse need to assess as a factor possibly affecting the client's response to illness?
Answer
  • Stress management
  • Personality characteristics
  • Environmental sensitivity
  • Nutritional awareness

Question 20

Question
A woman over the age of 40 years has an annual mammogram. What level of prevention does this represent?
Answer
  • Tertiary prevention
  • Secondary prevention
  • Medical prevention
  • Primary prevention

Question 21

Question
A client makes a decision to quit smoking and joins a smoking cessation class. This is an example of which of Dunn's processes that help a person know who and what he or she is?
Answer
  • Being
  • Befitting
  • Becoming
  • Belonging

Question 22

Question
Which model is most useful in examining the cause of disease in an individual, based on external factors?
Answer
  • The Health-Illness Continuum
  • The Health Belief Model
  • The High-Level Wellness Model
  • The Agent-Host-Environment Model

Question 23

Question
What is a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity?
Answer
  • Health
  • Holism
  • Host
  • Wellness

Question 24

Question
Your community outreach class is giving a presentation on seat belts and child safety seats at a local firehouse every weekend in October. What levels of health promotion is this an example of?
Answer
  • All three levels
  • Primary
  • Secondary
  • Tertiary

Question 25

Question
What level of prevention is noted when the nurse educates a group of mothers of school-age children on self breast examination?
Answer
  • Primary
  • Tertiary
  • Educational
  • Secondary

Question 26

Question
Which of the following is an example of a characteristic of Stage 2 of illness?
Answer
  • A person tells his family that he is sick and allows them to take care of him
  • A person begins rehabilitation following a stroke that left him paralyzed on one side
  • A person visits a physician to receive treatments for symptoms of an infection
  • A person experiences a headache and sore throat and takes an aspirin
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