Nokea
Which factor would the nurse identify as most important in determining health status?
- A. Gender
- B. Ethnicity
- C. Social class
- D. Interfamilial relationships
Correct Answer: C
Rationale: The single most important factor for determining health status is social class and, within a social class, the research suggests that the major factor influencing health is level of education. This factor supersedes the importance of ethnicity, gender, or interfamilial relationships.
You may also like to solve these questions
What would the nurse tell the patient about dysplastic cells in the bronchi?
- A. This is a benign process that occurs as lung tissue regenerates.
- B. Dysplastic cells have a high potential to become malignant.
- C. This process involves a rapid increase in number of cells.
- D. Dysplasia may cause uncontrolled growth of scar tissue.
Correct Answer: B
Rationale: Dysplasia is bizarre cell growth resulting in cells that differ in size, shape, or arrangement from other cells of the same tissue type. Dysplastic cells have a tendency to become malignant; dysplasia is seen commonly in epithelial cells in the bronchi of people who smoke. This may not be a harmless condition and dysplasia does not cause scar tissue. Hyperplasia is an increase in the number of new cells.
What would occur during adulthood in the GAS?
- A. Stressful events occur and resistance or adaption occurs.
- B. Successful avoidance of stressful life events leaves the body vulnerable.
- C. The accumulation of lifes stressors causes resistance to fall.
- D. Vulnerability leads to eventual death.
Correct Answer: A
Rationale: Selye compared the general adaptation syndrome with the life process. During childhood, too few encounters with stress occur to promote the development of adaptive functioning, and children are vulnerable. During adulthood, a number of stressful events occur, and people develop resistance or adaptation. During the later years, the accumulation of lifes stressors and wear and tear on the organism again decrease peoples ability to adapt, so resistance falls, and, eventually, death occurs.
How should you best respond if it is found that the patients health patterns are not achieving their goals?
- A. Seek ways to promote balance in the patient.
- B. Refer the patient to social work.
- C. Identify alternative models of health care.
- D. Provide insight into the patients physiological failings.
Correct Answer: A
Rationale: The nurse has a significant role and responsibility in identifying the health patterns of the patient receiving care. If those patterns are not achieving physiologic, psychological, and social balance, the nurse is obligated, with the assistance and agreement of the patient, to seek ways to promote balance. The nurse is not obligated to refer to social work, identify alternative forms of care, or provide insight into the physiologic failings of the system if the patients health patterns are not achieving their goals.
You know the most probable cause of this patients symptoms is what?
- A. Local inflammatory response
- B. Systemic shock response
- C. Local infectious response
- D. Systemic inflammatory response
Correct Answer: D
Rationale: The inflammatory response is often confined to the site, causing only local signs and symptoms. However, systemic responses can also occur. During this process, general, nonspecific symptoms develop, including malaise, loss of appetite, aching, and weakness. The fact that the patient is experiencing systemic effects such as lethargy, malaise, aching, weakness, and loss of appetite suggests that inflammation is not limited to one specific site.
What would the nurse recognize as the longest-acting phase of the womans physiologic response to stress and its cause?
- A. Sympathetic-adrenal-medullary response caused by persistent stress
- B. Hypothalamic-pituitary response caused by acute stress
- C. Sympathetic-adrenal-medullary response caused by acute stress
- D. Hypothalamic-pituitary response caused by persistent stress
Correct Answer: D
Rationale: The longest-acting phase of the physiologic response, which is more likely to occur in persistent stress, involves the hypothalamic-pituitary pathway, not the sympathetic-adrenal-medullary pathway.