NR 222 Health and Wellness- EXAM 1 at Chamberlain University
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Free NR 222 Health and Wellness- EXAM 1 at Chamberlain University Questions
Which statement is true about Medicaid?
- A. Medicaid is only available to those that do not qualify for Medicare.
- B. Medicaid is a federal program that provides health insurance for people aged 65 or older.
- C. Medicaid is a program that provides health coverage to low-income individuals and families.
- D. Medicaid eligibility and benefits are the same across every state.
Explanation
C. Medicaid is a program that provides health coverage to low-income individuals and families
Medicaid is a joint federal and state program designed to provide health insurance to qualifying low-income individuals, children, pregnant women, people with disabilities, and some older adults. Although the federal government sets broad guidelines, states administer and tailor the program, making it a key safety net for vulnerable populations.
A nurse is planning care for a client using the holistic health model. Which action best demonstrates this model?
- A. Provide the client with printed dietary guidelines to manage their diabetes.
- B. Administer medication to help manage a client's pain.
- C. Schedule a follow-up with the client's healthcare provider.
- D. Encourage attendance to a support group for emotional and social needs.
Explanation
D. Encourage attendance to a support group for emotional and social needs
The holistic health model views the client as a whole person—mind, body, and spirit. It recognizes that emotional well-being, coping ability, social support, and spiritual health are just as important as physical health. Encouraging the client to join a support group addresses emotional and social needs, reflecting the holistic approach that healing and wellness involve psychological and interpersonal factors, not just physical care.
A parish nurse is helping a client who has been dealing with domestic violence (DV) at home. Considering Maslow's hierarchy of needs, which action should the nurse prioritize?
- A. Secure an apartment in a confidential location.
- B. Contract with an attorney for legal advice.
- C. Enroll the client in a support group for DV survivors.
- D. Purchase clothing items from the local thrift store.
Explanation
A. Secure an apartment in a confidential location
Maslow’s hierarchy of needs places physiological and safety needs at the foundation. For a DV survivor, the highest priority is immediate safety and protection from harm. Securing confidential housing removes the client from danger, stabilizes their environment, and establishes a foundation for all higher-level needs. Without physical safety, the client cannot effectively benefit from emotional support, legal assistance, or social resources.
A nurse encourages their clients to improve their health through lifestyle changes, thus achieving higher levels of well-being and self-actualization. Which health model is the nurse most likely utilizing?
- A. Clinical model
- B. Holistic health model
- C. Health belief model
- D. Health promotion model
Explanation
D. Health promotion model
The Health Promotion Model focuses on helping individuals move toward higher levels of well-being, self-actualization, and optimal functioning through lifestyle modification and healthy behaviors. This model emphasizes empowerment, motivation, and personal choice as clients adopt activities that enhance health beyond simply avoiding illness. Encouraging lifestyle changes such as exercise, nutrition, stress reduction, and mindfulness reflects the core principles of this model.
A nurse is caring for a client who is beginning a fitness program to improve health. Which is the best statement for the nurse to make?
- A. "You should engage in muscle-strengthening activities at least 6 days a week."
- B. "You should alternate moderate-intensity and vigorous activity for 50 minutes each day."
- C. "You should perform 250 minutes of vigorous activity each week."
- D. "You should exercise at a moderate intensity for 150 minutes each week."
Explanation
D. "You should exercise at a moderate intensity for 150 minutes each week."
This recommendation aligns with the U.S. Department of Health and Human Services Physical Activity Guidelines for adults. Beginners benefit from engaging in 150 minutes per week of moderate-intensity aerobic activity, such as brisk walking or cycling, because it is safe, achievable, and supports cardiovascular health. This guideline is evidence-based and widely used for promoting health and disease prevention.
An older client with a history of lung disease is admitted to the hospital with shortness of breath and a productive cough. The client states, “I’ve been so nervous. I haven’t eaten all day.” What need should the nurse prioritize?
- A. Lack of oxygen
- B. Lack of nutrition
- C. Lack of support
- D. Lack of rest
Explanation
A. Lack of oxygen
According to Maslow’s hierarchy of needs, oxygenation is the highest physiological priority because it is essential for immediate survival. This client has shortness of breath and a productive cough with a known history of lung disease, which indicates impaired gas exchange. Before addressing nutrition, support, or rest, the nurse must ensure adequate oxygenation by assessing respiratory status, administering oxygen, and stabilizing breathing.
Which factor(s) contribute to food insecurity in low-income families? Select all that apply.
- A. Lack of affordable housing
- B. High medical costs
- C. Stable employment
- D. Chronic health problems
- E. Food allergies
Explanation
A. Lack of affordable housing
Housing is often the largest monthly expense for low-income families. When rent consumes most of the household income, less money remains for food. High housing costs force families to choose between paying rent and purchasing groceries, directly contributing to food insecurity and unstable access to nutritious meals.
B. High medical costs
Unexpected or ongoing medical expenses reduce the disposable income available for food. Families managing chronic illness, hospital bills, or high prescription costs often must redirect funds toward health needs. This financial strain makes it harder to afford consistent, healthy meals and increases the likelihood of compromised nutrition.
D. Chronic health problems
Chronic conditions can limit work hours, reduce earning capacity, and increase medical expenses. These combined pressures make it difficult to maintain adequate food budgets. Poor health also increases nutritional needs, making food insecurity even more harmful for individuals coping with long-term illness.
A public health team is evaluating several proposals to reduce future cardiovascular disease in a low-income neighborhood. Which proposal demonstrates a secondary prevention approach?
- A. Offering free cholesterol screenings at local clinics.
- B. Partnering with schools to provide healthy meals.
- C. Launching a campaign to reduce sodium intake in adults.
- D. Installing walking and biking trails in the neighborhood.
Explanation
A. Offering free cholesterol screenings at local clinics
Secondary prevention focuses on early detection and prompt intervention to identify disease in its earliest stages before complications occur. Cholesterol screenings detect elevated lipid levels that increase the risk for cardiovascular disease. Identifying at-risk individuals early allows for timely treatment, lifestyle counseling, and monitoring before heart disease develops, making screenings a classic example of secondary prevention.
A nurse provides education to a client who reports difficulty falling asleep and frequent awakenings during the night. Which client statement indicates that learning was effective?
- A. "I will remain in bed if I cannot sleep."
- B. "I will drink chamomile tea before bed."
- C. "I should exercise in the evenings."
- D. "I should take a long nap during the day."
Explanation
Chamomile tea is a mild, natural sleep aid that can help promote relaxation and improve sleep onset. It supports good sleep hygiene because it calms the nervous system without stimulants or disrupting nighttime rest. Using calming pre-bed routines helps reinforce healthy sleep patterns and makes it easier to fall asleep. This response demonstrates understanding of behaviors that improve sleep quality.
A nurse is preparing a presentation on health and illness. Which example best demonstrates illness?
- A. A client known to have problems with recalling events
- B. A client with laboratory results indicating elevated potassium
- C. A client with seasonal allergies controlled with medication
- D. A client currently reporting severe abdominal pain
Explanation
D. A client currently reporting severe abdominal pain
Illness is the subjective experience of feeling unwell. It reflects how a person perceives and responds to physical or emotional discomfort. Severe abdominal pain is a clear, active, subjective experience of illness because the client feels and reports distress. Even without a diagnosis, the client’s perceived suffering represents illness in nursing concepts.
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