Concepts of Health and Illness
Test Preparation
Course Introduction
This course explores fundamental concepts of health and illness from biological, psychological, social, and cultural perspectives. Students will examine how societies define and experience health and disease, analyze the determinants that influence health outcomes, and consider the dynamic interactions between individuals and their environments. Key topics include models of health, disease causation, the impact of social and economic factors, health disparities, and the subjective experience of illness. Through interdisciplinary frameworks, the course encourages critical reflection on how health and illness are understood and addressed in various contexts.
Recommended Textbook
Nursing A Concept Based Approach to Learning Volume I 2nd Edition by Pearson Education
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21 Chapters
1184 Verified Questions
1184 Flashcards
Source URL: https://quizplus.com/study-set/1758
Page 2
Chapter 1: Acidbase Balance
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64 Verified Questions
64 Flashcards
Source URL: https://quizplus.com/quiz/35006
Sample Questions
Q1) During an assessment,the nurse becomes concerned that a client is at risk for developing metabolic alkalosis.What did the nurse assess that caused this concern?
A) Daily ingestion of a banana with breakfast
B) Daily weight consistent
C) Daily use of sodium bicarbonate for gastric upset
D) Daily use of prescribed NSAIDs for arthritic pain
Answer: C
Q2) The nurse identifies the diagnosis Risk for Injury as appropriate for a client with metabolic acidosis.Which strategies should the nurse use to support this diagnosis?
Select all that apply.
A) Apply wrist restraints and secure to the bed frame.
B) Discuss chemical restraint use with the healthcare provider.
C) Keep the bed in the lowest position.
D) Keep bed side rails raised.
E) Place a clock and calendar at the bedside.
Answer: C,D,E
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3
Chapter 2: Cellular Regulation
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114 Verified Questions
114 Flashcards
Source URL: https://quizplus.com/quiz/35007
Sample Questions
Q1) The nurse instructs a group of community members about ways to reduce the development of cancer.Which participant statements indicate that teaching has been effective? Select all that apply.
A) "I should eat at least 2 servings of fruits or vegetables each day."
B) "Sunscreen should be applied before spending time outdoors."
C) "I need to cut down on my smoking."
D) "I need to get my home tested for radon."
E) "I need to keep my children away from smokers."
Answer: B,D,E
Q2) A client is admitted to the emergency department in a sickle cell crisis.The nurse assesses the client and documents the following clinical findings: temperature 102°F,O<sub>2</sub> saturation of 89%,and complaints of severe abdominal pain.Based on the assessment findings,which intervention is the greatest priority?
A) Apply oxygen per nasal cannula at 3 L/minute.
B) Assess and document peripheral pulses.
C) Administer morphine sulfate 10 mg IM.
D) Administer Tylenol 650 mg by mouth.
Answer: A
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Page 4
Chapter 3: Comfort
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/35008
Sample Questions
Q1) A client with clinical depression asks the nurse for suggestions on how to improve the quality of sleep.After reviewing the client's history,which suggestion by the nurse is the most appropriate? Select all that apply.
A) Avoid the use of alcohol late in the evening.
B) Consume a cup of tea before bed to relax.
C) Adjust the temperature in the room to a comfortable level.
D) Change the time of aerobic exercise to 1 hour prior to sleep.
E) Avoid smoking before bedtime.
Answer: A,C,E
Q2) The nurse is teaching a class on the perception of pain.What will the nurse teach as being the second step in processing pain stimuli?
A) Thalamus
B) Reticular system
C) Limbic system
D) Cerebral cortex
Answer: D
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Chapter 4: Digestion
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse is providing care to a client diagnosed with celiac disease who experiences frequent diarrhea.Based on this data,the nurse anticipates the client may also experience which associated problems? Select all that apply.
A) Skin breakdown
B) Fluid and electrolyte imbalance
C) Hair loss
D) Lifestyle issues
E) Sexual dysfunction
Q2) A client is scheduled for a diagnostic test to determine digestion status.Which test does not require fasting or other preparation?
A) Barium swallow
B) Amylase
C) Endoscopy
D) Lipid panel
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Chapter 5: Elimination
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64 Verified Questions
64 Flashcards
Source URL: https://quizplus.com/quiz/35010
Sample Questions
Q1) The nurse is providing care to a client who is diagnosed with mild benign prostatic hyperplasia (BPH)who is experiencing urinary retention.Which goal is the most appropriate for this client?
A) The client will increase fluid intake to at least 2-3 liters daily.
B) The client lists over-the-counter medications to be avoided.
C) The client will voice an understanding of the importance of the use of antiembolic stockings and compression devices.
D) The client will use a T-binder or scrotal support properly.
Q2) A client is diagnosed with benign prostatic hyperplasia (BPH).Which topics are appropriate for the nurse to include in the teaching session related to the client's condition? Select all that apply.
A) Prostate function and location
B) BPH diet
C) Surgical approaches to treatment
D) Pharmacologic approaches to treatment
E) Permanent urinary catheterization
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Chapter 6: Fluids and Electrolytes
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) The nurse identifies the diagnosis Risk for Impaired Skin Integrity as applicable for a client with heart failure.Which assessment finding supports the use of this diagnosis for the client?
A) Shortness of breath with ambulation
B) Productive cough
C) + 3 pitting edema both feet
D) Heart rate 104 and regular
Q2) A nurse evaluating the therapeutic effect of the drug sodium polystyrene sulfonate (Kayexalate)for a client diagnosed with chronic renal failure.Which therapeutic effect from the medication does the nurse anticipate?
A) Increased serum sodium
B) Increased stool excretion
C) Decreased urine specific gravity
D) Decreased serum potassium
Q3) A child weighing 33 lbs.who is diagnosed with dehydration is prescribed to receive 50 mL/kg of oral fluids for the next 4 hours.How many total mL of fluid should the nurse provide to the client? Calculate to the nearest whole number.
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Chapter 7: Health, wellness, illness, and Injury
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A nurse is promoting participation in The Great American Smokeout for clients who are participating in a smoking cessation class.The nurse knows this event may motivate many individuals to stop smoking by promoting self-efficacy.At the conclusion of the class,which statement leads the nurse to expect a positive outcome for this particular client?
A) "I am afraid of getting lung cancer like my father."
B) "I think this time will be different."
C) "I am going to do the best that I can, so that I won't get lung cancer."
D) "I know that this time I will quit smoking permanently."
Q2) A nurse is assessing a client to determine level of wellness.The client practices yoga for relaxation several times a week,follows a nutritionally sound diet,and has a supportive,sound relationship with a spouse and several children.Based on this data,which does this client exemplify?
A) An emergent high level of wellness in an unfavorable environment.
B) A high level of wellness in a favorable environment.
C) Protected poor health in a favorable environment.
D) An emergent high level of wellness in a favorable environment.
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Chapter 8: Immunity
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53 Verified Questions
53 Flashcards
Source URL: https://quizplus.com/quiz/35013
Sample Questions
Q1) The nurse is collecting a health history for a client being seen in an outpatient clinic who complains of joint pain and swelling that have lasted for about 2 months.The client is diagnosed with rheumatoid arthritis (RA).When planning care for this client,which statement supports the nursing diagnosis of Activity Intolerance?
A) "I seem to get tired early in the day and require a nap."
B) "My joints are stiffest at night before I go to sleep."
C) "I find it difficult to move when I first get up in the morning."
D) "I take ibuprofen for the pain as needed."
Q2) A client recently diagnosed with rheumatoid arthritis (RA)asks the nurse if the disease is caused by ethnicity.Which response by the nurse is the most appropriate?
A) "RA affects those of German descent most often."
B) "RA is most prevalent in Caucasian females."
C) "RA is most prevalent in men under the age of 20 years."
D) "RA affects all races at the same rate."
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Chapter 9: Infection
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75 Verified Questions
75 Flashcards
Source URL: https://quizplus.com/quiz/35014
Sample Questions
Q1) The nurse is assessing a client with acute malaise and muscle aches.Which questions should the nurse ask to determine whether the client is experiencing influenza? Select all that apply.
A) "Have you had a flu shot this year?"
B) "Is your cough productive?"
C) "Have you been exposed to anyone with the flu?"
D) "Are you having any trouble urinating?"
E) "Do you have dizziness?"
Q2) The charge nurse for a medical-surgical unit is notified that a client with tuberculosis (TB)is being transported to the unit.Which actions for infection prevention are the most appropriate in this circumstance? Select all that apply.
A) Stock the client's supply cart at the beginning of each shift.
B) Wear a mask and gown when caring for the client.
C) Have the client wear a mask when coming from admissions.
D) Perform hand hygiene only after leaving the room.
E) Test all staff members for TB immediately
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Chapter 10: Inflammation
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54 Verified Questions
54 Flashcards
Source URL: https://quizplus.com/quiz/35015
Sample Questions
Q1) A client who is 4 days post-cholecystectomy has T-tube drainage totaling 600 mL in 24 hours.Which actions by the nurse are appropriate based on this data? Select all that apply.
A) Notify the healthcare provider.
B) Place the client in a supine position.
C) Assess drainage characteristics.
D) Clamp the tube q 2 hours for 30 minutes.
E) Encourage an increased fluid intake.
Q2) A client is being scheduled for diagnostic tests to determine the presence of ulcerative colitis.For which diagnostic tests should the nurse plan to provide teaching? Select all that apply.
A) Barium enema
B) Intravenous pyelogram
C) Colonoscopy
D) Upper endoscopy
E) Barium swallow
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12
Chapter 11: Intracranial Regulation
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/35016
Sample Questions
Q1) The nurse makes a visit to the home of an adolescent recently discharged from the hospital for a seizure disorder.Which observations indicate that outcomes for care have been achieved? Select all that apply.
A) The client is not driving.
B) The client has not had a seizure for 1 month.
C) The client is participating in the school basketball team.
D) The client has bruises on both arms from seizure activity.
E) The client has several episodes of constipation each week.
Q2) A client with a head injury is demonstrating signs of increased intracranial pressure (IICP).Which classifications of medications should the nurse prepare to administer to this client? Select all that apply.
A) Loop diuretics
B) Antibiotics
C) Anticonvulsants
D) Histamine H<sub>2</sub> antagonists
E) Antipyretics
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13
Chapter 12: Metabolism
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/35017
Sample Questions
Q1) The nurse is providing care to a client who is receiving treatment for diabetic ketoacidosis (DKA)who is experiencing an acid-base imbalance.Which is the reason for the associated altered metabolism that the client is experiencing?
A) Insulin deficiency
B) Hypothyroidism
C) Ascites
D) Hyperparathyroidism
Q2) A client with liver cirrhosis begins to drain bright red blood through the nasogastric tube.Which should the nurse prepare to administer to this client?
A) Vitamin K
B) Ferrous sulfate
C) Platelets
D) Folic acid
Q3) A nurse is caring for a client who weighs 209 pounds and is 1.67 meters tall.The nurse calculates the body mass index (BMI)of this client as ________.Round the answer to the nearest whole number.
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14
Chapter 13: Mobility
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88 Verified Questions
88 Flashcards
Source URL: https://quizplus.com/quiz/35018
Sample Questions
Q1) The nurse is planning care for a client admitted with a high thoracic spinal cord injury.Which interventions would be appropriate for the nursing diagnosis of Alteration in Perfusion? Select all that apply.
A) Discuss future care needs when discharged.
B) Increase fluids to 3,000 mL per day.
C) Turn and reposition every 2 hours.
D) Assess for a full bladder.
E) Assess blood pressure every 2-3 minutes.
Q2) A client admitted 3 days prior with an injury to the thoracic area of the spinal cord tells the nurse,"I'm getting worse.It's harder to breathe." Based on this data,which does the nurse suspect?
A) The client has atelectasis.
B) The extent of injury cannot yet be determined.
C) The client is improving.
D) The client is developing pneumonia.
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15
Chapter 14: Nutrition
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/35019
Sample Questions
Q1) The community health nurse reviews data collected during interviews with community members during a health fair and decides to create an approach to improve iron intake.On which community members is the nurse focusing with this plan? Select all that apply.
A) Males in the 35-50 age range
B) Vegan community members
C) Children
D) Older community members
E) Adolescents
Q2) The nurse is preparing educational materials for a client with hypertension.Which dietary changes should the nurse focus when preparing this material? Select all that apply.
A) Avoiding all sodium in the diet
B) Explaining the effects of sodium on blood pressure
C) Teaching how to read nutritional labels
D) Recognizing foods that are low in sodium
E) Using the DASH eating plan
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Chapter 15: Oxygenation
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76 Verified Questions
76 Flashcards
Source URL: https://quizplus.com/quiz/35020
Sample Questions
Q1) Which assessment finding supports the nurse's suspicion that a client is experiencing chronic obstructive pulmonary disease (COPD)?
A) Dysrhythmias
B) Cyanotic nail beds
C) Clubbing of the fingers
D) Cough in the morning producing clear sputum
Q2) The mother of an 8-month-old baby who has developed respiratory syncytial virus (RSV)/bronchiolitis wants to know which factors contribute to the risk of contracting RSV.Which response by the nurse is appropriate?
A) "There is a higher risk in children who are being breastfed."
B) "There is no way to avoid the illness."
C) "There is a higher risk in children who are exposed to secondary cigarette smoke."
D) "It is seen more frequently in children who do not attend daycare."
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Chapter 16: Perfusion
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154 Verified Questions
154 Flashcards
Source URL: https://quizplus.com/quiz/35021
Sample Questions
Q1) During a blood pressure screening,an older adult client tells the nurse about chest fluttering while doing yard work.The client reports no other symptoms and the frequency is intermittent.Which conclusion by the nurse is the most appropriate based on the data provided?
A) Exercise intolerance
B) Nonspecific cardiac changes with aging
C) Underlying illness that requires a medical evaluation
D) Hypothyroidism
Q2) An older adult client is diagnosed with a left cerebral hemorrhage.To meet the needs of the client and family,the nurse will provide teaching in which areas? Select all that apply.
A) Time adjustment to complete activities
B) How to use a sign board
C) Nutrition support
D) Transfer techniques
E) Information about impulse control
Q3) A client's stroke volume (SV)is 85mL/beat and the heart rate (HR)is 71 beats per minute.What is the client's cardiac output (CO)rounded to the nearest whole number?
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Chapter 17: Perioperative Care
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8 Verified Questions
8 Flashcards
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Sample Questions
Q1) The postoperative care nurse reviews the documentation from the intraoperative phase and determines that several areas are missing.Which areas did the nurse identify as being missing from the intraoperative documentation? Select all that apply.
A) Pain assessment
B) Start and stop times of anesthesia
C) Medication review
D) Antibiotic infusion times
E) Start and stop times of the procedure
Q2) The nurse is discussing the various people whom the client will see when in the operating room suite.Which individuals should the nurse emphasize when discussing this aspect of the surgical process with the client? Select all that apply.
A) Surgeon
B) Postoperative nurse
C) Circulating nurse
D) Anesthesiologist
E) Social worker
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Chapter 18: Sensory Perception
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63 Verified Questions
63 Flashcards
Source URL: https://quizplus.com/quiz/35023
Sample Questions
Q1) The nurse is preparing discharge instructions for a client with macular degeneration and type 1 diabetes mellitus.What should the nurse include in this client's teaching plan?
A) Information on assisted-living facilities
B) Information on the need to have routine eye examinations every 5 years
C) Referral to home care to ensure safety with administering insulin at home
D) Information on Medic-Alert bracelets
Q2) The nurse is planning care for an older adult client diagnosed with age-related macular degeneration (AMD).Which prescriptions does the nurse anticipate for this client? Select all that apply.
A) Laser surgery
B) Eye patches
C) Antioxidants
D) Eye drops
E) Zinc
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Chapter 19: Sexuality
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/35024
Sample Questions
Q1) The nurse is instructing a client about the medication sildenafil (Viagra).Which client statement indicates teaching has been effective?
A) "Viagra should be taken with food."
B) "I can take Viagra anywhere from 1 to 6 hours before sex."
C) "I can take only one pill in a 24-hour period."
D) "Grapefruit juice will decrease the effects of Viagra."
Q2) A menopausal client is concerned that intercourse with her spouse has become increasingly painful.What should the nurse explain about the changes in this client's body after menopause?
A) Cervical mucus is thicker.
B) Estrogen levels increase.
C) Sexual desire diminishes.
D) Vaginal lubrication decreases.
Q3) A female client asks what causes the symptoms of menopause.On which hormonal function should the nurse focus when responding to this client's question?
A) Increased estrogen levels
B) Increased progesterone levels
C) Estrone as the major hormone
D) Increased luteinizing hormone levels
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Page 21
Chapter 20: Thermoregulation
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/35025
Sample Questions
Q1) The nurse needs to assess the body temperature of a client who has just smoked a cigarette and consumed hot coffee.Which temperature assessment method should the nurse use?
A) Axillary
B) Temporal artery
C) Tympanic
D) Rectal
Q2) A client is admitted to the emergency department with a body temperature of 103°F.It is a hot and humid day,and the client works in a factory with no air conditioning.Which actions by the nurse are appropriate when providing care to this client? Select all that apply.
A) Use warm blankets.
B) Restrict fluids.
C) Apply cool washcloths to the face and neck.
D) Assess vital signs.
E) Remove or loosen clothing around the neck and chest.
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Chapter 21: Tissue Integrity
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) An older adult client is admitted to the medical-surgical unit for a hip fracture.During postoperative recovery,the nurse notices a stage I pressure ulcer forming on the client's sacrum.Which action by the nurse is appropriate to reduce the progression of this ulceration?
A) Maintain the head of the bed at 30° angle, with client positioned on the right or left side.
B) Apply a heat lamp to the area to increase circulation.
C) Apply a dry dressing to the pressure ulcer.
D) Maintain the head of the bed at 45° angle.
Q2) A client tells the nurse that flakes of skin come loose with every shampoo.Based on this data,which secondary skin lesion does the nurse suspect the client is experiencing?
A) Nodule
B) Macule
C) Scale
D) Crust
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