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nursing 122 Exam 1 Questions and Answers | Latest Update

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  • Nursing 122

The nurse is participating at a health fair at the local mall giving influenza vaccines to senior citizens. What level of prevention is the nurse practicing? A) Primary prevention B) Secondary prevention C) Tertiary prevention D) Quaternary prevention Primary prevention is aimed at health p...

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  • September 27, 2024
  • 70
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nursing 122
  • Nursing 122
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nursing 122 Exam 1 Questions and
Answers | Latest Update
The nurse is participating at a health fair at the local mall giving influenza vaccines to senior

citizens. What level of prevention is the nurse practicing?


A) Primary prevention


B) Secondary prevention


C) Tertiary prevention


D) Quaternary prevention


✓ Primary prevention is aimed at health promotion and includes health -

education programs, immunizations, and physical and nutritional fitness

activities. It can be provided to an individual and includes activities that

focus on maintaining or improving the general health of individuals,

families, and communities. It also includes specific protection such as

immunization for influenza.




A patient experienced a myocardial infarction 4 weeks ago and is currently participating in

the daily cardiac rehabilitation sessions at the local fitness center. In what level of prevention

is the patient participating?


A) Primary prevention


B) Secondary prevention


C) Tertiary prevention

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D) Quaternary prevention


✓ Tertiary prevention involves minimizing the effects of long -term disease

or disability by interventions directed at preventing complications and

deterioration following the myocardial infarction. Tertiary -prevention

activities are directed at rehabilitation rather than diagnosis and

treatment. Care at this level aims to help patients achieve as high a level

of functioning as possible, despite the limitations caused by illness or

impairment. This level of care is called pr eventive care because it

involves preventing further disability or reduced functioning.




Based on the transtheoretical model of change, what is the most appropriate response to a

patient who states: "Me, exercise? I haven't done that since junior high gym class, and I hated

it then!"


A) "That's fine. Exercise is bad for you anyway."


B) "OK. I want you to walk 3 miles 4 times a week, and I'll see you in 1 month."


C) "I understand. Can you think of one reason why being more active would be helpful for

you?"


D) "I'd like you to ride your bike 3 times this week and eat at least four fruits and vegetables

every day."


✓ The patient's response indicates that the patient is in the

precontemplation stage and does not intend to change his behavior in the

next 6 months. In this stage the patient is not interested in information


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about the behavior and may be defensive when confronted with it. Asking

an open-ended question may stimulate the patient to identify a reason to

begin a behavior change. Nurses are challenged t o motivate and facilitate

change in health behavior when working with individuals.




A patient comes to the local health clinic and states: "I've noticed how many people are out

walking in my neighborhood. Is walking good for you?" What is the best response to help

the patient through the stages of change for exercise?


A) "Walking is OK. I really think running is better."


B) "Yes, walking is great exercise. Do you think you could go for a 5-minute walk next

week?"


C) "Yes, I want you to begin walking. Walk for 30 minutes every day and start to eat more

fruits and vegetables."


D) "They probably aren't walking fast enough or far enough. You need to spend at least 45

minutes if you are going to do any good."


✓ The patient's response indicates that the patient is in the contemplative

state, possibly intending to make a behavior change within the next 6

months. The nurse's statement reinforces the behavior and provides a

specific goal for the patient to begin a walking plan.




A male patient has been laid off from his construction job and has many unpaid bills. He is

going through a divorce from his marriage of 15 years and has been seeing his pastor to help

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him through this difficult time. He does not have a primary health care provider because he

has never really been sick and his parents never took him to the physician when he was a

child. Which external variables influence the patient's health practices? (Select all that apply.)


A) Difficulty paying his bills


B) Seeing his pastor as a means of support


C) Family practice of not routinely seeing a health care provider


D) Stress from the divorce and the loss of a job


✓ External factors impacting health practices include family beliefs and

economic impact. How patients' families use health care services

generally affects their health practices. Their perceptions of the serious

nature of diseases and their history of preventive care behaviors (or lack

of them) influence how patients will think about health. Economic

variables may affect a patient's level of health by increasing the risk for

disease and influencing how or at what point the patient enters the health

care system.




The nurse is conducting a home visit with an older adult couple. She assesses that the

lighting in the home is poor and there are throw rugs throughout the home and a low

footstool in the living room. She discusses removing the rugs and footstool and improving

the lighting with the couple. The nurse is addressing which level of need according to

Maslow?


A) Physiological


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