.

Which of the following nursing activities is an example of

tertiary level caregiving?
1. Teaching a client how to irrigate a new colostomy
2. Providing a class on hygiene for an elementary school class
3. Informing a client that her infant can be immunized at the
health department
4. Arranging for a hospice nurse to visit with the family of a
client with lung cancer
Arranging for a hospice nurse to visit with the family of a client
with lung cancer

9. Which one of the following client assessment findings

indicates a lifestyle risk factor to the nurse?
1. Obesity
2. Sunbathing
3. Overcrowded housing
4. Industrial-based occupation
Sunbathing

10. In the Health Belief Model, the nurse recognizes that the
focus is placed on the:
1. Basic human needs for survival
2. Functioning of the individual in all dimensions
3. Relationship of perceptions and compliance with therapy
4. Multidimensional nature of clients and their interaction with
the environment
Relationship of perceptions and compliance with therapy

11. The client who recently received a kidney transplant is

worried about her husband since he has taken over the physical
tasks of running their home. The client is in the process of
adapting to a change in:
1. Body image
2. Self-concept
3. Illness behavior
4. Family dynamics
Family dynamics

12. Client assessment provides the nurse with necessary

information for the development of an effective plan of care.
When determining the influence of an internal variable on the
client's health status, the nurse will specifically look for:
1. Anxiety level present
2. Family remedies used
3. Location and type of occupation
4. Available health insurance coverage

Anxiety level present

13. A nurse understands that illness behavior means:

1. Each distinct illness will cause the client to behave in a
specific manner
2. Nursing care provides interventions that are behavior
oriented
3. The client's behaviors will have a direct impact on his illness
4. When ill, a client's perception of illness will result in unique
behaviors
When ill, a client's perception of illness will result in unique
behaviors

14. A client tells the nurse that his illness is a result of his
failure to "live a good life." The nurse recognizes this statement
as an example of the client's:
1. Risk factor
2. Health belief
3. Illness behavior
4. Negative health behavior
Health belief

15. Which of the following client statements best relates to the

third component of the Health Belief Model?
1. "My blood cholesterol is only a little high."
2. "No one in my family is susceptible to the flu."
3. "I'll just avoid the food that causes the problem."
4. "By losing weight my blood pressure may come down."
"By losing weight my blood pressure may come down."

16. The goal of Pender's Health Promotion theory is best

reflected in which of the following nursing interventions?
1. Suggesting the client experience a variety of exercise routines
before settling on the one to adapt
2. Arranging for a client to attend a support group for
individuals who also have severe burn scars
3. Playing soft, classical music when a client diagnosed with
Alzheimer's becomes physically agitated
4. Providing a client with a history of stress-induced
respiratory problems with detailed explanations regarding her
care
Suggesting the client experience a variety of exercise routines
before settling on the one to adapt

17. The nurse knows that the greatest internal factor to

consider when educating an adult client concerning health
promotion activities is the client's:
1. Emotional wellness
2. Developmental stage
3. Professed spirituality
4. Intellectual background
Intellectual background

18. The nurse is caring for a terminally ill client who recently
immigrated to the United States. To provide quality end-of-life
care, the nurse must initially:
1. Make every effort to involve the client and his family in the
end-of-life care
2. Understand the client's personal and cultural views
regarding death and dying
3. Arrange for end-of-life care to be provided by personnel
familiar with the client's culture
4. Share the client's concerns regarding the dying process with
his interdisciplinary care team
Understand the client's personal and cultural views regarding
death and dying