NUR 163 Exam 1 Questions with Correct
Answers Latest Update
Health - Answer-A complex phenomenon that involves physical, mental, and spiritual
aspects
Wellness - Answer-A way of life oriented toward optimal health and well-being.
Nourishment - Answer-Life and wellness require nourishment. Nourishment comes in
the form of food, exercise, sleep, relationships, meaningful work, the environment, and
memories.
A person with an illness rarely describes the illness in terms of their diagnosis. Instead,
they describe the illness as: - Answer-The way it makes them feel. (Pain, sadness, loss,
fatigue, overwhelmed)
Normalcy - Answer-One aspect of persevering in illness and life disruption is
maintaining as much normalcy as possible. Normalcy helps clients cope with illness.
People who are suffering experience: - Answer-Loneliness. Part of aloneness can be
related to the actual physical separation, part of it from a sense of the world going on
without them, and part of it from a sense of no one really being in their world.
What factors can influence a person's response to disruptions? - Answer-Age
Family patterns
Culture
Hardiness
Support
Access to healthcare resources
The stage and nature of the illness and the intensity, duration, and multiplicity of the
disruption.
What is a large and growing healthcare concern, especially among older adults? -
Answer-Chronic illness
Name the top three risks for functional decline. - Answer-1. Cognitive impairment
2. Depression
3. Disease burden
What are some ways we can ease patients' disruptions as a result of admission,
transfers, and discharge from a healthcare setting? - Answer-Discharge planning,
communication, coordination, and teaching.
,How does the World Health Organization define health? - Answer->The World Health
Organization (WHO) initially defined health as "a state of complete physical, mental and
social well-being and not merely the absence of disease or infirmity" (WHO, 1948).
>In 1986 WHO redefined health as "a resource for everyday life, not the objective of
living. Health is a positive concept emphasizing social and personal resources, as well
as physical capacities".
How does Traditional Chinese medicine define health? - Answer-A balance between yin
and yang.
How does Ayurveda describe health? - Answer-Describes health as the trinity of body,
mind, and spiritual awareness.
How did Florence Nightingale (1859) define health? - Answer-She believed that health
was the prevention of disease through the use of fresh air, pure water, efficient
drainage, cleanliness, and light.
How did nursing theorist Jean Watson (1979) describe health? - Answer-She believed
that health implies at least three elements: (1) a high level of overall physical, mental,
and social functioning; (2) a general adaptive-maintenance level of daily functioning;
and (3) the absence of illness (or the presence of efforts that lead to its absence).
Explain how full-spectrum nurses define health and illness. - Answer-Nurses understand
health and illness as individual experiences, emerging from each patient's unique
responses.
Identify factors that disrupt health. - Answer-Factors that disrupt health include physical
disease, injury, mental illness, pain, loss, impending death, competing demands, the
unknown, imbalance, and isolation.
Define hardiness. - Answer-Hardiness has been described as developing a very strong
positive force to live—and enjoying the fight. It also involves willingness to draw on
resources from within oneself or from others to break out of old patterns of living when
life situations change. Hardy people seek information and take initiative in dealing with
life situations. They have an "I can deal with this" attitude.
Explain how you can promote patient trust during admissions, transfers, and
discharges. - Answer-Patient trust can be promoted by supporting patients through
transitions such as admission, transfer, and discharge from the institution—in helping
them adjust to the new environment. Trust is built on the relationship you begin building
with your first patient contact. You need to have plans in place and have supplies and
equipment already prepared for each of these transitions. Patient and family teaching
are essential. Greet the client and introduce yourself; keep the patient informed about
what to expect and what is expected of him or her. Establish a relationship with the
client. Take time to get to know your client. Try to set a tone of caring, respect, and
,understanding. Coordinate and communicate with other department and community
services to obtain the care your client needs.
Health Belief - Answer-Characterized by the relationship between what a person
believes and how a person acts
Host-agent environment - Answer-A causative model seeking a source or cause of
illness
Holistic - Answer-The unique interaction of an individual's mind, body, and spirit within
the universe
Acute Illness - Answer-Develops quickly and lasts a limited amount of time.
Chronic Illness - Answer-Often develop gradually and can last a person's lifetime.
Primary Prevention - Answer-The implementation of programs aimed to reduce illness
by preventing occurrence.
Secondary prevention - Answer-Aimed at reducing the incidence of illness through early
identification and treatment of illness.
Tertiary prevention - Answer-The reduction of the residual effects of illness after the
development of the illness.
It is after visiting hours when the minister from John's church stops by to visit him. By
allowing the minister to visit, the nurse demonstrates recognition of the influence of
_________ on the healing process. - Answer-Spirituality
What is the primary reason pediatric units encourage families to stay with young
patients? - Answer-Increase involvement of the family in the plan of care
What is the goal of analyzing client assessment data about nutrition, exercise, leisure
activities, spirituality, and home environment? - Answer-Provide the information needed
to describe related causal factors
A 28-year-old client underwent surgery for testicular cancer. Which factor might
increase the client's recovery time? - Answer-History of tobacco use
(Increases recovery time from illness, injury, and surgery)
When do people typically begin to increase awareness of the compelling reality of
death? - Answer-Middle age
Which health conditions would be considered acute illness? - Answer-Appendicitis
, What is the most important reason for a nurse to remain calm, greet the patient by
name, and introduce herself to a new patient, even when the nurse is upset by
something else that has happened? - Answer-These actions help to establish a trusting
relationship.
A nurse is admitting a 75-year-old patient to the nursing unit, accompanied by his son.
Using a life span approach to care, which of the following is essential for the nurse to
do? - Answer-Ask the patient whether he has had any falls in the past year.
The nurse is responsible for setting up special equipment (e.g., oxygen, suction). Aside
from that, which of the following procedures can the nurse delegate in its entirety to
nursing assistive personnel (NAP)? - Answer-Preparing a room for a newly admitted
patient
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? - Answer-Florence Nightingale
Which of the following is known to be a healthy strategy for coping with stress? -
Answer-Performing meaningful work
Which family would most likely be helpful in encouraging the client to experience a high
level of wellness? A family who: - Answer-Teaches negotiation skills and independence
When developing goals, which guideline should the nurse keep in mind? Goals should
be: - Answer-Realistic so that progress is recognized by the patient
Which one of the following important nursing actions is a hospitalized patient likely to
experience on an emotional level and remember long after this hospitalization has
ended? - Answer-Providing a healing presence by listening and being attentive
Which statement best describes the health-illness continuum? - Answer-Health and
illness are along a continuum that cannot be divided.
What are the DRIs? - Answer-DRIs are "dietary reference intakes" established by the
National Academy of Sciences in a collaborative effort of the United States and Canada
to promote the consumption of healthful nutrient levels by all Americans.
What is the body's most usable energy source? - Answer-Carbohydrates, especially
glucose, provide the most usable energy.
Which nutrient's primary function is growth and repair of tissue? - Answer-The primary
function of dietary protein is the growth and repair of body tissues. Secondarily, proteins
attract water in the bloodstream and contribute to regulating fluid balance in the body.
