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COMMUNITY HEALTH NURSING NCLEX QUESTIONS
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COMMUNITY HEALTH NURSING NCLEX QUESTIONS
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COMMUNITY HEALTH NURSING NCLEX QUESTIONSThe nurse is preparing a smoking cessation class and is amazed at how many people
still smoke even with the information on lung cancer so readily available. She believes
that her class will convert many smokers to nonsmokers once they get all the latest
information. The nurse is a believer in which of the following health care models?
a. Health Belief Model
b. Health Promotion Model
c. Basic Human Needs Model
d. Holistic Health Model - Answers -ANS: A
The Health Belief Model addresses the relationship between a person's beliefs and
behaviors. The Health Promotion Model is more complex than the Health Belief Model
in that it notes that each person has unique personal characteristics and experiences
that affect subsequent actions. The Basic Human Needs Model is based on the theory
that all people share basic human needs, and the extent to which basic needs are met
is a major factor in determining a person's level of health. The Holistic Health Model
recognizes the natural healing abilities of the body and incorporates complementary and
alternative interventions such as music therapy. Education is important but is not the
sole determinant of change.
The health care model that utilizes Maslow's hierarchy as its base is the _____ Model.
a. Health Belief
b. Health Promotion
c. Basic Human Needs
d. Holistic Health - Answers -ANS: C
The Basic Human Needs Model believes that the extent to which basic needs are met is
a major factor in determining a person's level of health. Maslow's hierarchy of needs is a
model that nurses use to understand the interrelationships of basic human needs. The
Health Belief Model addresses the relationship between a person's beliefs and
behaviors. The Health Promotion Model notes that each person has unique personal
characteristics and experiences that affect subsequent actions. The Holistic Health
Model recognizes the natural healing abilities of the body and incorporates
complementary and alternative interventions such as music therapy.
The patient is describing moderate incisional pain that was not relieved by the last dose
of hydromorphone (Dilaudid) given 90 minutes earlier. The patient is not due for another
dose of medication for another 2 1/2 hours. The nurse repositions the patient, asks what
type of music she likes, and puts on the music channel on the television, setting it to
play that type of music. The nurse is attempting to utilize which health care model?
a. Health Belief Model
b. Health Promotion Model
c. Basic Human Needs Model
d. Holistic Health Model - Answers -ANS: D
The Holistic Health Model recognizes the natural healing abilities of the body and
incorporates complementary and alternative interventions such as music therapy. The
Health Belief Model addresses the relationship between a person's beliefs and
, behaviors. The Health Promotion Model notes that each person has unique personal
characteristics and experiences that affect subsequent actions. The Basic Human
Needs Model believes that the extent to which basic needs are met is a major factor in
determining a person's level of health. Maslow's hierarchy of needs is a model that
nurses use to understand the interrelationships of basic human needs.
Many variables influence a patient's health beliefs and practices. Internal and external
variables influence how a person thinks and acts. An example of an internal variable
would be
a. Perception of functioning.
b. Family practices.
c. Socioeconomic factors.
d. Cultural background. - Answers -ANS: A
Internal variables include a person's developmental stage, intellectual background,
perception of functioning, and emotional and spiritual factors. External variables
influencing a person's health beliefs and practices include family practices,
socioeconomic factors, and cultural background.
The nurse is admitting a patient with uncontrolled diabetes mellitus. It is the fourth time
the patient is being admitted in the last 6 months for high blood sugars. During the
admission process, the nurse asks the patient about her employment status and
displays a nonjudgmental attitude. Why does the nurse do this?
a. Noncompliant patients thrive on the disapproval of authority figures.
b. External variables have little effect on compliance.
c. A person's compliance is affected by economic status.
d. Employment status is an internal variable that impacts compliance. - Answers -ANS:
C
A person's compliance with treatment is affected by economic status. A person tends to
give a higher priority to food and shelter than to costly drugs or treatments. A person
generally seeks approval and support from social networks, and this desire for approval
affects health beliefs and practices. Internal and external variables influence how a
person thinks and acts toward health care. Employment status is an external variable,
not an internal variable.
The nurse is caring for a patient who has been trying to quit smoking. She has been
smoke free for 2 weeks but had two cigarettes last night and at least two this morning.
What should the nurse anticipate?
a. The patient does not want to and never will quit smoking.
b. The patient will return to the contemplation or precontemplation phase.
c. The patient will need to adopt a new lifestyle for change to be effective.
d. The patient must pick up her attempt right where she left off. - Answers -ANS: B
When relapse occurs, the person will return to the contemplation or precontemplation
stage before attempting the change again. The patient cannot pick up her attempt
where she left off.
It is believed that change involves movement through a series of stages. These stages
range from no intention to change (precontemplation), to making small changes
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