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Chapter 02: Concepts of Health, Illness, Stress, and Health Promotion

DeWit's Fundamental Concepts and Skills for Nursing, 5th Edition By Patricia A. Williams

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Chapter 02: Concepts of Health, Illness, Stress, and Health Promotion

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. The nurse is aware that any description of health would include the concept that:
a. health is the absence of illness, and illness is the presence of chronic disease.
b. culture, education, and socioeconomic status influence one’s definition of health or illness.
c. illness is a biological malfunction, and health is biological soundness.
d. lifestyle factors are the major determinants of health or illness.

 

 

ANS:  B

The concept of health is influenced by culture, education, and socioeconomic factors.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 15               OBJ:   Theory #1

TOP:   Views of Health and Illness             KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Detection of Disease

 

  1. The nurse takes into consideration that the patient with an admitting diagnosis of Type 2 diabetes mellitus and influenza is described as having:
a. two chronic illnesses.
b. two acute illnesses.
c. one chronic and one acute illness.
d. one acute and one infectious illness.

 

 

ANS:  C

Chronic illnesses can be controlled but not cured, and are long-lasting. Acute illnesses develop suddenly and resolve in a short time. Type 2 diabetes mellitus would be considered chronic, whereas influenza would be considered acute.

 

DIF:    Cognitive Level: Application           REF:   p. 15               OBJ:   Theory #1

TOP:   Classification of Illnesses                KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Detection of Disease

 

  1. The nurse explains that an idiopathic disease is one that:
a. is caused by inherited characteristics.
b. develops suddenly, related to new viruses.
c. results from injury during labor or delivery.
d. has an unknown cause.

 

 

ANS:  D

Idiopathic disease is defined as disease whose cause is unknown.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 15               OBJ:   Theory #1

TOP:   Classification of Illnesses                KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Detection of Disease

 

  1. The nurse assesses a terminal illness in:
a. a 76-year-old admitted to a nursing home with Alzheimer disease who is pacing and asking to go home.
b. a 43-year-old with Lou Gehrig’s disease who is refusing food and fluid.
c. a 2-year-old child who burned her esophagus by drinking drain cleaner and who is being fed by a tube.
d. a 52-year-old diagnosed with lung cancer who had part of one lung removed and has a closed chest drainage device in place.

 

 

ANS:  B

A terminal illness is defined as one in which a person will live only a few months, weeks, or days. A person who refuses food and hydration will generally not live more than a few days.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 15               OBJ:   Theory #1

TOP:   Stages of Illness                              KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

  1. The nurse clarifies to a patient who now has an abscess following a ruptured appendix that the abscess is considered to be:
a. a secondary illness.
b. a life-threatening complication.
c. an expected event following any surgery.
d. a disorder easily treated with antibiotics.

 

 

ANS:  A

A secondary illness is an illness that arises from a primary disorder.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 15               OBJ:   Theory #1

TOP:   Views of Health and Illness             KEY:  Nursing Process Step: Intervention

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

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