Chapter 16: Health and Wellness

Chapter 16: Health and Wellness

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The World Health Organization defines health as

ANS:  C

The World Health Organization offers a definition for health: “a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.” Nurses are responsible for helping patients reach their optimal levels of physiologic and mental health, but they also must provide health care in a system that requires cost containment and fiscal responsibility.

DIF:    Remembering                                 REF:   p. 220             OBJ:   16.1

TOP:   Assessment    MSC:  NCLEX Client Needs Category: Health Promotion and Maintenance

NOT:  Concepts: Health Promotion

2. Several models exist that describe the relationship between health and wellness. The model used to understand the interrelationship between elements of basic requirements for survival and the desires that drive personal growth and development and is represented as a pyramid is:

ANS:  A

Maslow’s hierarchy of needs describes the relationships between the basic requirements for survival and the desires that drive personal growth and development. The model is most often presented as a pyramid consisting of five levels. The lowest level is related to physiologic needs, and the uppermost level is associated with self-actualization needs, specifically those related to purpose and identity. The Health Belief Model was developed by psychologists Hochbaum, Rosenstock, and Kegels. It explores how patients’ attitudes and beliefs predict health behavior. The Health Promotion Model, developed by Pender and colleagues, defines health as a positive, dynamic state of well-being rather than the absence of disease in the physiologic state. Holistic health models in nursing care are based on the philosophy that a synergistic relationship exists between the body and the environment. Holistic care is an approach to applying healing therapies. Holistic models focus on the interrelatedness of body and mind.

DIF:    Remembering                                 REF:   pp. 221-222    OBJ:   16.2

TOP:   Assessment    MSC:  NCLEX Client Needs Category: Health Promotion and Maintenance

NOT:  Concepts: Health Promotion

3. The nurse is developing a plan of care for a patient with a hip fracture. In order to prioritize the patient’s care, the nurse should use:

ANS:  C

Maslow’s hierarchy of needs describes the relationships between the basic requirements for survival and the desires that drive personal growth and development. The model is most often presented as a pyramid consisting of five levels. The lowest level is related to physiologic needs, and the uppermost level is associated with self-actualization needs, specifically those related to purpose and identity. The Health Belief Model was developed by psychologists Hochbaum, Rosenstock, and Kegels. It explores how patients’ attitudes and beliefs predict health behavior. The Health Promotion Model, developed by Pender and colleagues, defines health as a positive, dynamic state of well-being rather than the absence of disease in the physiologic state. Holistic Health Models in nursing care are based on the philosophy that a synergistic relationship exists between the body and the environment. Holistic care is an approach to applying healing therapies. Holistic models focus on the interrelatedness of body and mind.

DIF:    Applying        REF:   pp. 221-222    OBJ:   16.2               TOP:   Implementation

MSC:  NCLEX Client Needs Category: Health Promotion and Maintenance

NOT:  Concepts: Health Promotion

4. The nurse is preparing a patient teaching plan and is seeking a way to determine the patient’s readiness and motivation to act regarding lifestyle changes to best manage diabetes mellitus. Which model would be useful for this nurse?

ANS:  D

The Health Belief Model was developed by psychologists Hochbaum, Rosenstock, and Kegels. It explores how patients’ attitudes and beliefs predict health behavior. Maslow’s hierarchy of needs describes the relationships between the basic requirements for survival and the desires that drive personal growth and development. The model is most often presented as a pyramid consisting of five levels. The lowest level is related to physiologic needs, and the uppermost level is associated with self-actualization needs, specifically those related to purpose and identity. Holistic Health Models in nursing care are based on the philosophy that a synergistic relationship exists between the body and the environment. Holistic care is an approach to applying healing therapies. Holistic models focus on the interrelatedness of body and mind. The Health Promotion Model, developed by Pender and colleagues, defines health as a positive, dynamic state of well-being rather than the absence of disease in the physiologic state.

DIF:    Understanding                                 REF:   pp. 221-222    OBJ:   16.2

TOP:   Evaluation      MSC:  NCLEX Client Needs Category: Health Promotion and Maintenance

NOT:  Concepts: Health Promotion