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Chapter 11. Experiencing Health & Illness

Terms in this set (20)

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?
Florence Nightingale
A client has been hospitalized for 6 weeks. All of the following interventions are good ones, but which intervention is specifically focused on helping the patient cope with the emotional responses to prolonged hospitalization?
Designating a corner of the patient's room to display personal mementos
Which of the following is known to be a healthy strategy for coping with stress?
Performing meaningful work
Which family would most likely be helpful in encouraging the client to experience a high level of wellness? A family who
Teaches negotiation skills and independence
The client is a 76-year-old man who is experiencing chronic illness. He has a genetic-linked anemia. He says he does not eat a balanced diet, as he prefers sweets to meat and vegetables. Which of the following dimensions of health can the nurse most likely influence by teaching and counseling him?
Eating habits
What type of loss is most common among patients who are hospitalized for complex health conditions?
Dignity
A 62-year-old patient is admitted to the hospital with hypertension. Which question by the nurse is most important when performing the initial assessment interview?
What is the greatest concern you are dealing with today?"
When developing goals, which guideline should the nurse keep in mind? Goals should be:
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?
Providing a healing presence by listening and being attentive
Which of the following helps the body release growth hormone (growth hormone assists in tissue regeneration, synthesis of bone, and formation of red blood cells)?
Restful sleep
Which statement best describes the health/illness continuum?
Health and illness are along a continuum that cannot be divided.
Which of the following is particularly valuable in helping a patient with a terminal illness maintain a sense of self?
Spirituality
A client with a history of schizophrenia is diagnosed with a urinary tract infection. What is probably the most significant barrier this patient faces?
Stigma associated with mental illness
A 76-year-old patient is admitted with an acute myocardial infarction (heart attack). The doctor tells the patient that an angioplasty is necessary. The patient agrees and signs the informed consent. This patient is experiencing which stage of illness behavior?
Dependence on others
Many health providers define illness as pathology; however, people experience, rather than define, illness. Which of the following is how most people experience illness?
A change in the way they feel or a disruption in their typical life
Dunn believes that an individual's state of health should be evaluated in the context of the person's environment. This approach illustrates that
Physical environment, family, and social support may help or hinder the health status of an individual
Some people readily become ill when under stress. Others are able to deal with tremendous stress and remain physically and mentally healthy. This disparity is affected by a person's level of hardiness. How can you apply this knowledge to your nursing care?
You can assess for hardiness in patients; you can encourage hardy patients to learn about their illness as a means for them to be more comfortable.
When preparing a room to receive a newly admitted patient, which of the following should the nursing assistive personnel (NAP) do?.
Fold the top bed linens back to "open" the bed.
When transferring a patient from a hospital to a long-term care facility, which of the following is most helpful in facilitating the patient's planning and emotional adjustment?
Notify the patient and family as much in advance of the transfer as possible.
A 36-year-old mother of three small children has had nausea, vomiting, and extreme fatigue for the past 2 days. She calls her mother and tells her she is ill and asks if her mother can care for the children. Which stage of illness behavior is she experiencing? Choose all that apply.
Sick-role behavior
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