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Chamberlain University health and wellness proctored exam
Total Questions : 60
Showing 10 questions, Sign in for moreA nurse is evaluating the impact of cranberry supplements on a client with frequent urinary tract infections (UTIs). Which observation suggests the therapy is working?
The nurse is using the Health Belief Model to encourage a client to receive the flu vaccine. Which client statement reflects the concept of perceived severity?
A nurse is planning care for a client with pneumonia. Which action should the nurse take during the planning step of the nursing process?
Why are the goals of Healthy People 2030 considered measurable and evidence-based? Select all that apply.
A nurse manager presents on compassion fatigue at a hospital orientation for new graduate nurses. Which recommendation(s) identified by a graduate nurse demonstrate effective learning has occurred? Select all that apply.
The nurse is reviewing common nursing actions related to health promotion and disease management. For each prevention activity, click to select whether the activity reflects primary, secondary or tertiary level of prevention.
Explanation
This question evaluates the nurse’s understanding of the three levels of prevention used in health promotion and disease management. Primary prevention focuses on preventing disease or injury before it occurs through health education, immunization, and risk reduction strategies. Secondary prevention involves early detection and prompt treatment of existing conditions through screening and monitoring. Tertiary prevention focuses on reducing complications, restoring function, and improving quality of life after a disease or injury has already occurred.
• Monitor blood glucose in client with diabetes mellitus: Monitoring blood glucose levels in a client with diabetes is considered secondary prevention because it focuses on early detection and management of abnormal glucose levels before serious complications develop. Regular glucose monitoring helps identify hyperglycemia or hypoglycemia and allows timely adjustment of medications, diet, and lifestyle interventions. Although diabetes is already diagnosed, monitoring prevents progression to complications such as neuropathy, nephropathy, retinopathy, and cardiovascular disease.
• Promote hand hygiene to prevent infections: Hand hygiene is an example of primary prevention because it aims to prevent infection before it occurs. Proper handwashing reduces transmission of microorganisms and decreases the risk of communicable diseases in healthcare settings and the community. This intervention promotes health by eliminating exposure to pathogens before illness develops.
• Offer physical therapy to a post-operative client: Physical therapy following surgery represents tertiary prevention because it focuses on rehabilitation and restoring function after an injury or medical procedure has already occurred. Therapy helps improve mobility, strength, independence, and quality of life while reducing complications such as muscle weakness, contractures, and loss of function. The goal is not to prevent the original condition but to minimize disability associated with it.
• Conduct vision screenings for elementary school students: Vision screenings are a form of secondary prevention because they identify health problems early before significant impairment develops. Detecting conditions such as refractive errors, amblyopia, or other visual abnormalities allows prompt referral and treatment. Early intervention can prevent progression and reduce long-term effects on learning, development, and quality of life.
• Provide education to teens about the risks of drug use: Educating adolescents about the risks of drug use is primary prevention because it aims to prevent substance misuse before it begins. Health education increases awareness of harmful behaviors, promotes informed decision-making, and encourages healthy lifestyle choices. By addressing risk factors before substance use occurs, nurses help reduce the likelihood of addiction, injury, and related health consequences.
What is the goal of the maintenance phase for a client in the transtheoretical model of change?
A nurse is caring for a client with chronic back pain who expresses interest in trying acupuncture. Which action should the nurse take?
The nurse is reviewing common nursing actions related to health promotion and disease management. For each prevention activity, click to select whether the activity reflects primary, secondary or tertiary level of prevention.
Explanation
This question evaluates the nurse’s understanding of the three levels of prevention used in health promotion and disease management. Primary prevention focuses on preventing disease or injury before it occurs through health education, immunization, and risk reduction strategies. Secondary prevention involves early detection and prompt treatment of existing conditions through screening and monitoring. Tertiary prevention focuses on reducing complications, restoring function, and improving quality of life after a disease or injury has already occurred.
• Monitor blood glucose in client with diabetes mellitus: Monitoring blood glucose levels in a client with diabetes is considered secondary prevention because it focuses on early detection and management of abnormal glucose levels before serious complications develop. Regular glucose monitoring helps identify hyperglycemia or hypoglycemia and allows timely adjustment of medications, diet, and lifestyle interventions. Although diabetes is already diagnosed, monitoring prevents progression to complications such as neuropathy, nephropathy, retinopathy, and cardiovascular disease.
• Promote hand hygiene to prevent infections: Hand hygiene is an example of primary prevention because it aims to prevent infection before it occurs. Proper handwashing reduces transmission of microorganisms and decreases the risk of communicable diseases in healthcare settings and the community. This intervention promotes health by eliminating exposure to pathogens before illness develops.
• Offer physical therapy to a post-operative client: Physical therapy following surgery represents tertiary prevention because it focuses on rehabilitation and restoring function after an injury or medical procedure has already occurred. Therapy helps improve mobility, strength, independence, and quality of life while reducing complications such as muscle weakness, contractures, and loss of function. The goal is not to prevent the original condition but to minimize disability associated with it.
• Conduct vision screenings for elementary school students: Vision screenings are a form of secondary prevention because they identify health problems early before significant impairment develops. Detecting conditions such as refractive errors, amblyopia, or other visual abnormalities allows prompt referral and treatment. Early intervention can prevent progression and reduce long-term effects on learning, development, and quality of life.
• Provide education to teens about the risks of drug use: Educating adolescents about the risks of drug use is primary prevention because it aims to prevent substance misuse before it begins. Health education increases awareness of harmful behaviors, promotes informed decision-making, and encourages healthy lifestyle choices. By addressing risk factors before substance use occurs, nurses help reduce the likelihood of addiction, injury, and related health consequences.
A nurse is working with clients at a community center. For each client scenario, click to specify whether the client is meeting physiological, safety and security, love and belonging, or self-esteem needs.
Explanation
This question focuses on applying Maslow’s hierarchy of needs to determine which level of need is being addressed in different client situations. Maslow’s hierarchy prioritizes human needs from basic survival requirements to higher psychological needs. Physiological needs involve essential requirements for life, such as warmth, food, and oxygen. Safety needs involve protection, stability, and access to resources, while love and belonging involve social relationships and connection. Self-esteem needs relate to confidence, achievement, independence, and feelings of personal worth.
• Client expresses pride in a healthy lifestyle: Expressing pride in personal health behaviors reflects achievement, confidence, and a positive self-image, which correspond to self-esteem needs in Maslow’s hierarchy. The client recognizes personal accomplishments and derives satisfaction from maintaining healthy behaviors. Self-esteem involves feelings of competence, independence, recognition, and personal value. This scenario reflects psychological growth and self-worth.
• Client is shivering and requests a blanket: The client’s request for a blanket addresses the basic physiological need for maintaining body temperature. Warmth is a fundamental survival requirement and must be met before higher-level needs can be addressed. Shivering is a physiological response indicating the body is attempting to generate heat and prevent hypothermia. Providing warmth directly supports the client’s immediate physical stability.
• Client is interested in joining a community gardening club: Joining a community gardening club reflects the desire for social connection, participation, and relationships with others. Love and belonging needs involve friendships, acceptance, group membership, and interpersonal relationships. The client is seeking interaction and inclusion within a community environment rather than addressing a physical or safety concern. This scenario represents the social component of Maslow’s hierarchy.
Client wants help applying for Medicaid: Assistance with applying for Medicaid addresses the client’s need for healthcare access and financial security. Safety and security needs include protection from threats, stable resources, healthcare access, and the ability to maintain overall well-being. Obtaining health insurance can reduce uncertainty related to medical expenses and promote long-term stability. Therefore, this reflects a safety and security need.
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