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ATI_Nurse's Touch: Wellness and Self- Care Practice Assessment_ UIW
Terms in this set (63)
How many hours should a school-aged child sleep
between 10-11 hours of sleep
How many hours does a healthy adult need to sleep
between 7-9 but it varies between 6-10. On average about 8 hours of sleep.
How many hours of sleep does a 3-5 year old need?
between 11-13 hours of sleep
is a manifest of compassion fatigue, not career burnout. It is taking personal blame for not being able to fix or resolving a problem.
career burnout is manifested by
having difficulty coping with work related stress.
A way to avoid career burnout is by creating boundaries between your home life and work life
Primary prevention for breast cancer
teaching strategies to reduce the risk factors for breast cancer
Secondary prevention for breast cancer
reviewing the technique for breast self-examinations
Tertiary prevention for breast cancer
identifying local support groups
A nurse is cautioning an adult client who plays competitive sports about the uses of epoetin alfa (Epogen) to increases the body's oxygenation ability. What is an adverse outcome of using enhancing
cerebrovascular accident and myocardial infraction
the measurement of the size and proportions of the human body.
A nurse is developing a program on healthy nutrition. Which of the following should the nurse include as a factors that contribute to dietary habits. (Select all the apply.)
-Advertising- influences thoughts and feelings about certain foods
-personality- traits such as being adventurous or timid
-socioeconomic status- impacts, how much, and how often an individual eats
-health status - affects tastes, tolerance, and ability to eat certain foods
A nurse in a providers office is talking with an older adult client who is beginning to lose bone density about exercises she can do to help prevent further bone-density loss. Which activity should the nurse recommend?
Stair climbing- it is a weight-bearing exercise and will help maintain bone density
A nurse is caring for a group of clients. For which of the following infections is an alcohol-based hand rub contraindicated?
Alcohol- based hand rubs do not protect against the spores spread by C-diff.
is a microscopic parasite that causes the diarrheal illness known as giardiasis. Giardia (also known as Giardia intestinalis, Giardia lamblia, or Giardia duodenalis) is found on surfaces or in soil, food, or water that has been contaminated with feces (poop) from infected humans or animals.
is a bacterium that causes inflammation of the colon, known as colitis.
Watery diarrhea (at least three bowel movements per day for two or more days)
Loss of appetite
Abdominal pain or tenderness
is a contagious virus that can cause gastroenteritis (inflammation of the stomach and intestines). Symptoms include: severe watery diarrhea, often with vomiting, fever, and abdominal pain.
A nurse is stressed and considering a career change since receiving an annual performance evaluation that he feels focused only on his weaknessess. By recognizing the impact of her negative emotions and deciding to have a more positive outlook, the nurses is demonstrating?
teaches people first to gain awareness of their negative, unrealistic thoughts and attitudes and then to stop and reflect on the reality of those thoughts. They then challenge themselves to use positive emotions in choosing a more rational response to the stressor.
Learning through the observation of others
a nurse in a provider's office is talking with a client who reports daytime sleepiness. which of the following factors should alert the nurse to possible interference with the client's biological rhythms?
Rotating between day and night shifts at work
A nurse is discussing activities that facilitate self-expression with the parent of a child who has experienced a traumatic event. Which activities should the nurse recommend?
A nurses is preparing a health promotion program for a group of adolescents. Which of the following topics is appropriate to include?
The need for daily physical activity
a nurse is reinforcing teaching about risk factors for cardiovascular disease with a client. Which of the following should the nurse include in the teaching?
Location of excess body fat is a reliable indicator of risk
A nurse manager on a medical- surgical unit is involving staff in providing input for decisions about how the unit functions. This manager exemplifies which of the following leadership styles?
Autocratic leadership, also known as authoritarian leadership, is a leadership style characterized by individual control over all decisions and little input from group members. Autocratic leaders typically make choices based on their ideas and judgments and rarely accept advice from followers. Limits creativity and motivation from group.
Democratic leadership, also known as participative leadership or shared leadership, is a type of leadership style in which members of the group take a more participative role in the decision-making process.
Laissez-faire leadership, also known as delegative leadership, is a type of leadership style in which leaders are hands-off and allow group members to make the decisions.
Usually there is no goal, guidance, or direction.
A nurse is giving a presentation to a group of nursing students about the autonomic nervous system's response to stress. The nurse should explain that sympathetic arousal from a stressor causes which of the following physiological reactions?
Bronchodilation of the airway (during sympathetic arousal from a stressor, bronchodilation occurs to increase lung capacity and ventilation)
blood vessels to the skin constrict to help reduce bleeding in the event of an injury AND heart rate and BP increase to provide more blood to the muscle AND bronchodilation occurs to increase lung capacity and ventilation
During sympathetic arousal from a stressor
A nurse is teaching a client who is trying to lose weight about reading food labels to help with portion control strategies. The nurse should explain that "Servings per container" means,
the number of servings in the entire package (serving per container is the number of servings in the entire package the manufacture uses to distribute the product.)
A nurse is talking with a patient who has a strong family history of cardiovascular disease. Which of the following lifestyle measures should the nurse recommend to help reduce the risk of cardiovascular disease?
Increase intake of omega-3 fatty acid (Omega-3 fatty acid reduces the risk of atherosclerosis, cardiac dysrhythmias, myocardial infarction hypertension, and sudden cardiac death. They lower triglycerides and BP, and decrease platelet aggregation and inflammation)
attracts water and turns to gel during digestion. This slows digestion. Soluble fiber is found in oat bran, barley, nuts, seeds, beans, lentils, peas, and some fruits and vegetables. It is also found in psyllium, a common fiber supplement. Some types of soluble fiber may help lower risk of heart disease.
is found in foods such as wheat bran, vegetables, and whole grains. It adds bulk to the stool and appears to help food pass more quickly through the stomach and intestines.
Omega 3 fatty acid
Research shows that omega-3 fatty acids reduce inflammation and may help lower risk of chronic diseases such as heart disease, cancer, and arthritis. Omega-3 fatty acids are highly concentrated in the brain and appear to be important for cognitive (brain memory and performance) and behavioral function
Omega-3 fatty acids are found in fish, such as salmon, tuna, and halibut, other seafoods including algae and krill, some plants, and nut oils
A nurses is caring for a client who has acute mania. Using Maslow's hierarchy of needs, the nurses should first address which of the following client findings?
engages in constant physical activity
A nurse is teaching a wellness support group about healthy eating. Which of the following statement by a member of the group indicates a need for further teachings
"I should eat a diet that will decrease my high-density lipoprotein level" (the client's diet should decrease low- density lipoprotiens and increase high- level lipoprotiens. This statement indicates the further need for teaching)
Basal metabolic rate
the rate at which the body uses energy while at rest to keep vital functions going, such as breathing and keeping warm.
A nurse manager is discussing general adaptation syndrome. What is the order of the stages in which biological response to stress occurs
(during the first stage the body's ability to respond to stress is lowered. During the second response the body develops mechanism to manage stress. The third response, exhaustion, the body adapts to continued stress by depleting its resources. The fourth response to stress is illness, which happen after the body has depleted its resources)
A nurse is planning to conduct a class on weight loss and will include information on appetite suppressants containing stimulants such as ephedra. Which of the following should the nurse include as a potential health risk of such appetite suppressants?
A nurse is caring for hospice clients and is experiencing compassion fatigue. Which of the following is a manifestation of compassion fatigue?
Mistrust is a sign of
A nurse is discussing disease prevention activities with an adult female client. Which statement made by the client indicates a need for further teaching
"I will continue breast self exams monthly until I reach menopause" ( females should continue self-exams after menopause)
BMI: Extreme Obesity
Daily calcium intake for women 19 and older
1,000 mg of calcium daily
A nurse is discussing healthy sleep habits with a client who has new diagnosis of sleep apnea. Which statement by the client indicates a need for further teaching?
"I should use oxygen while i sleep" (oxygen is not indicated for clients who have sleep apnea. However, treatment options include a CPAP device. This statement requires additional teaching)
Sleep apnea is a common disorder that causes your breathing to stop or get very shallow. Breathing pauses can last from a few seconds to minutes. They may occur 30 times or more an hour.
People who have sleep apnea have a higher risk for stroke
often report morning headaches
A nurse is instructing a group of clients to relieve anxiety by controlling the body with the mind using specific phrases. Which technique is the nurse practicing?
autogenic training (the use of autosuggestion to reprogram the mind to override the stress response and calm the body)
is the use of mental images to change behavior or promote healing and relaxation
is practiced by a counselor suggestion specific imagery to invoke a spontaneous flow of thoughts that originate from the unconscious mind.
A nurse in a provider's office is caring for a group of clients. Which group of clients is the zoster immunization recommended?
a 60-year old client (recommended regardless of whether they've had a prior episode of herpes zoster)
A client asks a nurse in a provider's office about various well-known weight-loss programs. In discussing low-calorie diet programs, the nurse should point out that the clients report which of the following when using this type of plan?
Frequent hunger (of the popular types of weight-loss programs, the ones that focus only on reducing the number calories consumed generally produce relatively minimal weight loss)
A nurse in a clinic is caring for an older adult client who has pneumonia and refuses admission to the hospital. Using Maslow's hierarchy of needs, which of the following is the priority action by the nurse?
determine respiratory status
A nurse is discussing tai chi with a group of clients. Which of the following statements made by one of the clients indicates a need for further teaching?
"I should use quick circular motions while participating in tai chi"
A school nurse is explaining to the student athetes about the dangers of using androgenic anabolic steroids to build muscle strength. Which of the following is an adverse outcome of using these products?
Cancer ( the use of androgenic anabolic steroids can have long term adverse outcomes, including cancer, liver disease, and infertility)
Seizures and myocardial infraction is an adverse outcome of the use of
stimulants, such as ephedra and caffeine, to enhance athletic performance
Which statement made by an obese client about a healthy diet plan would indicate the need for further teaching?
"I will skip scheduled meals if I do not feel hungry"
Several staff nurses are having a conflict about the unit's "taking turns" float policy. The nurse manager convenes a meeting and tells the nurses to respect each other's opinions during the meeting. What strategy is the nurse manager using during conflict negotiation process?
presenting ground rules (explaining it up front that there should be mutual respect and that, in dealing with the situation, all parties should keep an open mind)
What statement about health promotion states that the client understood the nurses teachings?
"the goal of health promotion efforts is to improve well-being"
A nurse is discussing disease prevention with a newly licensed nurse. Which statement made by the new nurse indicates the need for further teaching?
"tertiary prevention aims to identify an illness early and begin treatment"
A nurse is counseling a client who is female, 5ft 5 in tall and has an active lifestyle. How many calories should the client consume in a day?
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