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Health & Wellness proctored exam NR222

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Total Questions : 60

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Question 1:

Which of the following best describes the nurse's role in health promotion?

Answer and Explanation

A
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Question 2:

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,

Answer and Explanation

Explanation

Client Scenario

Physiological

Safety and Security

Love and belonging

Self-esteem

Client is interested in joining a community gardening club

✓

Client expresses pride in a healthy lifestyle

✓

Client wants help applying for Medicaid

✓

Client is shivering and requests a blanket

✓

This question is based on Maslow’s Hierarchy of Needs, which organizes human needs into levels ranging from basic physiological survival needs to higher-level psychological needs such as self-esteem and belonging. Physiological needs must be met first, followed by safety and security needs, then love and belonging, and finally self-esteem and self-actualization. Nurses use this framework to prioritize care and understand patient motivations in both clinical and community settings.

Rationale:

• Client is interested in joining a community gardening club - Love and belonging: This reflects the need for social interaction, connection, and a sense of community. Participation in group activities such as gardening clubs fulfills emotional needs related to relationships and belonging. It supports social integration and reduces isolation. This is classified under love and belonging needs in Maslow’s hierarchy.

• Client expresses pride in a healthy lifestyle - Self-esteem: Pride in health behaviors reflects self-esteem needs, which involve confidence, self-worth, and personal achievement. The client is demonstrating satisfaction with their ability to maintain or improve health. This indicates internal validation and positive self-evaluation. Self-esteem needs focus on recognition and respect for oneself.

• Client wants help applying for Medicaid - Safety and security: Assistance with Medicaid relates to financial stability and access to healthcare resources. Safety and security needs include financial security, health protection, and access to essential services. Applying for Medicaid helps ensure the client can obtain medical care and maintain stability. This falls under protection from economic and health-related insecurity.

• Client is shivering and requests a blanket – Physiological: Shivering indicates a need for temperature regulation, which is a basic physiological requirement. Physiological needs include oxygenation, hydration, nutrition, elimination, and thermoregulation. Providing a blanket addresses immediate body temperature control and comfort. These needs are the highest priority in Maslow’s hierarchy because they are essential for survival.


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Question 3:

A nurse is evaluating the effectiveness of a health promotion program for uninsured clients with chronic respiratory conditions. Which outcome indicates that the program has been successful?

Answer and Explanation

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Question 4:

Which example reflects a secondary level of prevention?

Answer and Explanation

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Question 5:

The nurse is caring for a client who is feeling anxious and depressed after losing their job and home. Which stress and adaptation outcome should the nurse identify for this situation?

Answer and Explanation

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Question 6:

Match the health promotion activity with the level of prevention.

Answer and Explanation

Explanation

This question focuses on the four levels of prevention in public and community health nursing: primordial, primary, secondary, and tertiary prevention. These levels describe how healthcare interventions are used to prevent disease, detect it early, treat existing conditions, or reduce complications. Primordial prevention targets the removal of risk factors at a population level, primary prevention prevents disease before it occurs, secondary prevention involves early detection and treatment, and tertiary prevention focuses on reducing complications of established disease.

Rationale:

• Secondary Prevention – An adolescent is taking antihypertensive medications to lower high blood pressure: Secondary prevention focuses on early detection and prompt treatment of existing disease to prevent progression. The adolescent already has hypertension, and antihypertensive medications are being used to control and prevent complications such as stroke, kidney disease, or heart failure. This represents treatment of a diagnosed condition to limit further harm. Therefore, it fits the definition of secondary prevention.

• Primary Prevention – A child receives the required immunizations for starting elementary school: Primary prevention aims to prevent disease before it occurs by reducing risk factors or enhancing immunity. Immunizations protect children from infectious diseases before exposure occurs. This intervention strengthens the immune system and prevents illness development. Therefore, vaccination is a classic example of primary prevention.

• Tertiary Prevention – A child is undergoing radiation therapy to shrink the size of a tumor: Tertiary prevention focuses on managing established disease and reducing complications or disability. Radiation therapy is used to treat an existing cancer and limit its progression or recurrence. It aims to improve quality of life and survival outcomes.

• Primordial Prevention – A town supports future community health by planting organic vegetables: Primordial prevention targets the prevention of risk factor development at the population level. Supporting healthy environments, such as promoting organic vegetable gardening, helps reduce exposure to unhealthy dietary patterns and environmental risks. It focuses on maintaining health before risk factors even emerge.


A
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Question 7:

Which of the following is a biologically based complementary therapy?

Answer and Explanation

A
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Question 8:

A nurse is educating a client about using progressive relaxation to manage their symptoms. Which information should the nurse include in the teaching? Select all that apply.

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Question 9:

Complete the following sentence by choosing from the list of options. Pender's health promotion model is directed at increasing a person's level of

by focusing on individual characteristics and  and behavioral .

Answer and Explanation

Explanation

Pender’s Health Promotion Model is a nursing theory that explains how individuals are motivated to improve health behaviors. The model emphasizes the role of personal factors, prior experiences, and behavior-specific cognitions in shaping health decisions. It is commonly used to guide nursing interventions that promote healthy lifestyle changes rather than simply treating disease. The framework focuses on enhancing overall health and quality of life through individualized behavioral support.

Rationale:

• Well-being: Pender’s Health Promotion Model is fundamentally aimed at improving an individual’s overall well-being rather than simply preventing illness. Well-being reflects physical, emotional, and social health enhancement through positive behavioral change. The model shifts focus from disease treatment to health promotion and lifestyle optimization.

• Experiences: Individual characteristics and prior experiences play a central role in shaping health behaviors in Pender’s model. Past experiences influence motivation, perceived barriers, and perceived benefits of engaging in healthy behaviors. These experiences help determine how a person responds to health education and interventions.

• Outcomes: Behavioral outcomes in Pender’s model refer to the results of health-promoting actions, such as improved fitness, reduced risk factors, or better quality of life. These outcomes are the measurable effects of adopting healthier behaviors. The model emphasizes that behavior change leads to positive health results over time.


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Question 10:

A nurse is caring for a client with hypertension. Which activity by the nurse best reflects the implementation phase of the nursing process?

Answer and Explanation

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