Chapter 11. Experiencing Health & Illness

Chapter 11. Experiencing Health & Illness

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____    1.         In an effort to promote health, the home health nurse opens the client’s bedroom windows to let in fresh air and sunlight, washes her hands often, and teaches the patient and family about the importance of hygiene and cleanliness. This most closely illustrates the ideas of which of the following people?

1)

Jean Watson

2)

Jurgen Moltmann

3)

Florence Nightingale

4)

Robert Louis Stevenson

ANS:   3

Florence Nightingale believed that health was prevention of disease through the use of fresh air, pure water, efficient drainage, cleanliness, and light. Jean Watson believes that health has three elements: a high level of overall physical, mental, and social functioning; a general adaptive-maintenance level of daily functioning; and the absence of illness (or the presence of efforts that lead to its absence). Jurgen Moltmann believes that true health is the strength to live, the strength to suffer, and the strength to die. He also stated that health is not a condition of the body; it is the power of the soul to cope with the varying condition of that body. Robert Louis Stevenson wrote that health is not a matter of holding good cards; it is playing a poor hand well.

PTS:    1          DIF:    Easy    REF: p. 222

KEY:   Nursing process: N/A | Client need: HPM | Cognitive level: Recall

____    2.         Which of the following is known to be a healthy strategy for coping with stress?

1)

Performing meaningful work

2)

Consuming simple carbohydrates

3)

Drinking three glasses of red wine each day

4)

Weight training

ANS:   1

Many individuals find that meaningful work is a healthy way to cope with stressors. Consuming simple carbohydrates is not a healthy way to cope with stress. Drinking more than one glass of red wine each day is considered unhealthy. Weight training has been shown to increase bone density and reduce the risk of osteoporosis and heart disease but not necessarily to reduce stress.

PTS:    1          DIF:    Moderate         REF:    p. 225

KEY:   Nursing process: N/A | Client need: PSI | Cognitive level: Application

____    3.         Which family would most likely be helpful in encouraging the client to experience a high level of wellness? A family who

1)

Controls feelings to avoid conflict

2)

Teaches negotiation skills and independence

3)

Encourages risk taking and adventure

4)

Views themselves as helpless victims

ANS:   2

Families who promote independence and teach good negotiation skills enable family members to experience a high level of wellness by thinking for themselves. In contrast, families who tend to squelch personal feelings to avoid conflict may not allow a high level of wellness. Families who emphasize caution in new situations are more beneficial than those who encourage risk-taking. Families who view themselves as capable and successful are more advantageous than those who view themselves as helpless victims.

PTS:    1          DIF:    Easy    REF:    p. 225

KEY:   Nursing process: N/A | Client need: PSI | Cognitive level: Recall

____    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?

1)

Age-related changes

2)

Genetic anemia

3)

Eating habits

4)

Gender-related issues

ANS:   3

The nurse is most likely to influence the patient’s eating habits because those are the dimension 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 sex.

PTS:    1          DIF:    Easy    REF:    p. 224

KEY:   Nursing process: Planning | Client need: HPM | Cognitive level: Application