Chapter 11. Experiencing Health & Illness

Chapter 11. Experiencing Health & Illness

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A client’s risk of breast cancer is dramatically increased because both her sister and her mother have had breast cancer. Which of the multidimensional aspects of health does this scenario illustrate?

ANS:  B

Nurses respond to the physical, emotional, mental, and spiritual dimensions of health. Biological factors include genetic makeup, gender, age, and developmental stage. The risk of breast cancer increases dramatically in women who have a family history of a mother, sister, or daughter with breast cancer. Recently, a genetic marker for this type of breast cancer was discovered. This is an example of biological factors. Personal relationships are more psychosocial in nature; for example, family relationships can facilitate coping. Lifestyle choices involve such health behaviors as choosing not to use tobacco and other substances. Environmental factors involve, for example, environmental pollutants, or the psychosocial environment (a quiet versus a noisy hospital room).

Difficulty: Moderate

Client Need: Safe and Effective Care

Cognitive Level: Application

PTS:   1

2. Using the concept of the wellness–illness continuum, a nursing care plan for a chronically ill patient would outline steps to:

ANS:  B

The health–illness continuum defines health and illness as a graduated spectrum that cannot be divided into parts. A person’s position on the continuum is constantly changing according to physiological changes, lifestyle choices, and the results of various choices. Encouraging positive health characteristics within the limits of the specific illness will promote maintenance of a personal state of health for the individual patient.

Difficulty: Moderate

Nursing Process: Planning

Client Need: HPM

Cognitive Level: Comprehension

PTS:   1

3. To establish a trusting relationship with a client, the nurse will focus on:

ANS:  C

Take time to get to know your patient by setting a tone of caring, respect, and understanding. Establishing trust in your first contact with patients can go a long way toward relieving anxiety and preserving the energy needed for healing. Information gathered about the patient will include present illness and past history. Merely performing procedures, administering medications, or providing solutions to the patient does not allow you to support the patient transition from health to illness.

Difficulty: Moderate

Client Need: Safe and Effective Care

Cognitive Level: Knowledge

PTS:   1

4. The client is a 76-year-old man who is experiencing chronic illness. He has a genetic-linked anemia. He says he does not eat a balanced diet, as he prefers sweets to meat and vegetables. Which of the following dimensions of health can the nurse most likely influence by teaching and counseling him?

ANS:  C

The nurse is most likely to influence the patient’s eating habits because those are the dimensions over which he has the most control and, therefore, has the most potential for changing. Although people consider biological factors when they describe themselves as well or ill, they are not entirely within our control. Biological factors include age and developmental stage, genetic makeup, and gender.

Difficulty: Easy

Nursing Process: Planning

Client Need: HPM

Cognitive Level: Application

PTS:   1