Match the following assumptions with the model it represents:
A. WHO model
B. Clinical Model
C. Dunn
D. Travis
1._______ Health is more than the absence of
disease
2. ________ Health is the absence of signs and symptoms of disease
3. ________ Wellness is the achievement of an individual's potential
for wellness
4. ________ Illness-wellness can be assessed by using illness-wellness
continuum
5. Which of the following activities describes the nurse's role on the
secondary prevention level?
A. promoting laws regarding waste disposal
B. Informing parents of available immunizations
C. Teaching a patient how to walk with crutches safely up the
stairs
D. Teaching the client that she should examine her breasts monthly
for signs of cancer.
6. John is a 16 month old child. Describe appropriate teaching
interventions for the parents to meet the child's safety needs.
7. Name four nutritional concerns of adolescence and give the rationale
for each.
8. Discuss four nutritional concerns for the older adult and the rationale
for each.
9. Mary W. age 65, states that she takes 2 tablespoons of lecithin,
1,200 mg of organic vitamin E and a cup of rose hips tea each day to "keep
her arteries cleared out and prevent arthritis".
A. What eating behavior is being manifested by Mary?
10. Mr. Martinez, age 35, is admitted to your floor in the hospital.
His lunch tray contains broiled fish, asparagus, baked potato, jello and
milk. It is an attractive tray. He does not touch the food.
As he speaks no English and the nurse speaks no Spanish, there is a communication
gap.
A. What may be the cause of his rejection of his tray?
(List as many possibilities
that you can think of)
11. In caring for clients from a different ethnic group, it is
most important that the nurse:
a. Adopt some of the practices of the group
b. Be from the same ethnic background
c. Be accepting of the group's health practices
d. Teach health practices from the nurse's own culture
12. Culture is best defined as:
a. World view and traditions transmitted by a group generation
to generation
b. Classification of people according to shared biologic
characteristics
c. Religious or racial characteristics of a group that
set it apart from the larger society
d. Assumption of attitudes, values, and beliefs of the
dominant society
13. Mrs. C., age 82, tells the nurse she immigrated to the U.S.
from China in 1936. She speaks fluent English but has lived in a
Chinese neighborhood since she arrived in the U.S. The nurse recognizes
which of the following:
A. she will have special needs because she may be
a Buddhist.
B. she should be questioned with regard to health
practices she uses that may be different from those of the American culture
C. She will have no special considerations because she has lived
here so long
D. The care the family provides for her will be more important
than the care the nurse
provides.
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ANSWERS
1. A
2. B
3. C
4. D
5. D
6. Intervention- Bed/crib rails in up position. Check drapery
cords
Prevent falls and choking on cord
7. The nutrient needs and energy requirements are very high in
adolescence. Eating habits of the adolescent are generally
poor, especially the girls. Meals are skipped, particularly breakfast,
since more time is spent on appearance rather than eating. Body weight,
skin and hair problems, either real or imagined take precedence over adolescent's
food choices.
Anemia
Iron requirements are high because blood volume
increases with rapid growth.
Calcium
Calcium requirements are high during rapid
growth and are often not met if the adolescent does not drink
milk.
8. Nutrient deficiencies
The elderly are often deficient in protein, iron,
calcium, and vitamins A and C. This increases the incidence of iron deficiency
anemia and osteoporosis, decreases resistance to infections and lowers
overall health status
Osteoporosis
This disorder remains a major health problem
among the elderly, especially women past the age of sixty. Symptoms
can be minimized with an adequate diet and regular exercise. Extra
calcium is believed to be helpful as well.
Atherosclerosis
Coronary hear disease is the leading cause
of death in the US. Diet is one of the risk factors involved in the
development of the plaque which narrows the lining of the arteries and
blocks the blood flow,
9. Biological food symbolism. Food faddism- the belief that certain
foods bring special health benefits- is very important.
10. Possible causes include anxiety, fear, unfamiliar setting,
strange people presenting the food, but the major cause is probably that
these foods are not culturally acceptable to him.
11.C
12.A
13.B
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