Questions on health and wellness:-

1-There are different ways to look on health and illness. When formulating a definition of
“health,” a person should consider that health, within its current definition, is:
A-The absence of disease.
B- function of the physiological state.
C- A state of well being involving the whole person.
D-The ability to pursue activities of daily living.
2. Which one of the following is one of the main, overreaching goals for Healthy People
A-Reduction of health care costs.
B-Elimination of health disparities.
C-investigation of substance abuse.
D-Determination of acceptable morbidity rates.
3. A nurse is using a holistic approach with a client. To incorporate all of the factors that
may influence the client, the nurse should respond to the client as follows:
A-“I would like you to perform this exercise once a day.”
B-“Your physician has left orders for you to follow.”
C-“The laboratory tests reveal the need to reduce your daily percentage of fat grams.”
D-“Adapting your diet and activity will lower your blood glucose levels.”
4. The client states, “Heart disease runs in our family. My blood pressure has been high.”
The nurse determines that this is an example of the client’s:
A-Risk factors.
B-Active strategy.
C- health behaviour.
D- beliefs.
5. When assessing the external variables that influence a client’s health beliefs and
practices, the nurse must consider his:
A-Religious practices.
B- to the heart disease.
C-Educational background.
D-Income status.
7. The client is a paraplegic and is in the hospital for an electrolyte imbalance. Based on
the levels of prevention, the client is receiving care at the:
A-Primary prevention level.
B-Secondary prevention level.
C-Tertiary prevention level.
D-Health promotion level.
8. The nurse incorporates the levels of prevention as a basis for the types of client needs
that are evident and the nursing care that is provided. Which of the following activities of
the nurse is an example of tertiary level preventive care giving?
A-Teaching a client how to irrigate a new colostomy.
B-Providing a class on hygiene for an elementary school class.
C-Informing a client that immunizations for her infant are available through the health
department.
D-Arranging for a hospice nurse to visit with the family of a client with cancer.
9. In the Health Belief Model, the nurse recognizes that the focus is placed on the:
A-Basic human needs for survival.
B-Functioning of the individual in all dimensions.
C-Relation of perceptions and compliance with therapy.
D-nature of clients and their interaction with the environment.
10. The client received a kidney transplant and is now unable to work. She is worried
about her husband’s stress level because of her illness and the need for him to take over
her daily activities in the home. The client is in the process of adapting to a change in:
A-Body image.
B- behaviour.
C- Family dynamics.
D-Self-concept.
11. Which of the following models of health and illness defines health as a positive, dynamic state of
being in which the developmental and behavioural potential of an individual is realized to the fullest
extent.

A- world health organization (WHO).

B- Florence Nightingale.

C- the holistic health model in nursing.

D- American nurse association.

12- Acute illness and chronic illness are two general classifications of illness. Acute illness refers to an
illness that:

A- Is longer than 6 months and can also affect functioning in any dimension.
B- Has a short duration and is severe.
C- Causes an irreversible condition.
D- Is synonymous with disease.
13. When illness does occur, different attitudes about illness cause people to react in different ways.
Medical sociologists call the reaction to illness:

A- illness prevention.

B- Illness behaviour.

C- Health promotion.

E-Health belief.

The world health organization defines health by which of the following statements?

A- “State of complete physical, mental, and social well-being, not merely the absence of disease or
infirmity”.
B- “A state of being that people define in relation to their own values, personality, and lifestyle”.
C- “Mental, social, and spiritual well-being”.
D- “All people free of disease”.

15. A client comes into the clinic for a complete physical examination. The nurse obtains a health history
and determines the client is at risk for heart disease. Which of the following would lead the nurse to
believe this?

A- Father died of heart attack at age 40.

B- the client lives near a chemical plant.

C- the client is 24 years old.

D- Client works as a carpet salesman.

16. All of the following are considered internal variables that influence a clients health beliefs and
practices except:

A- perception of functioning.

B- Emotional factors.

C- Developmental.

D- Socioeconomic factors.

17. All of the following are examples of active strategies of health promotion except:

A- weight reduction.

B- smoking cessation.

C- fluoridation of drinking water.

D- exercise training.

18. Which activity shows a nurse engaged in primary prevention?

A- A home health care nurse visits a patient’s home to charge a wound dressing.
B- A nurse is assessing risk factors of a patient in the emergency department admitted with chest pain.

C- A school health nurse provides a program to the first-year students on healthy eating.

D- A nurse schedules a patient who had a myocardial infarction for cardiac rehabilitation sessions
weekly.

19. The nurse in a diabetic clinic conducts monthly seminars for diabetic clients. During this seminars,
the importance of taking insulin as directed to prevent diabetic complications is emphasized. This is
considered which level of preventive care?

A- primary prevention.

B- Secondary prevention.

C- Tertiary prevention.

D- Illness prevention.

20- Primary prevention aimed at health promotion includes:

A- Rehabilitation and prevention of complications

B- Screening techniques and treating if early stages of disease.
C- Health education programs, immunization, and physical and nutritional fitness activities.
D- Care for a diabetic client using insulin.

21- Internal and external variables can influence how a person thinks and acts. Internal variables
include:

A- Temperature, blood pressure, and respirations.

B- Anxiety, fever, respirations, blood pressure, temperature.
C- Developmental stage, intellectual background, perception of functioning, and emotional and
spiritual factors.
D- Bladders, heart, liver, and gallbladder functioning.

22- Health promotion activities can include:

A- Exercise and good nutrition.

B- B- smoking and drinking excessive alcohol.
C- Unsafe sex.

D- exposure to air pollutants.

23- A nurse teaches the importance of folic acid to a group of pregnant women. This is considered which
level of preventive care?

A- Primary prevention.
B- Secondary prevention.
C- Tertiary prevention.
D- Illness prevention.
24- Clients maintain health or enhance their present health by routine exercise and proper nutrition.
This known as ...

A- Wellness education.
B- Illness.
C- Health promotion.
D- External variables.

25- ............. is defined as a mental self-image of strengths and weaknesses in all aspects of personality.

A- Body image.
B- Self-concept.
C- Emotional change.
D- Family roles.

26. This level of prevention would be directed at minimizing complications of disease.

A-Primary prevention.

B-secondary prevention.

C-tertiary prevention

D-illness prevention.

27- ........ Are described as a person’s ideas, convictions, and attitudes about health and illness.

A- Health beliefs.
B- Moral beliefs.
C- Holistic views.
D- Negative health behaviour.

28. The health belief model addresses the relationship between a person’s belief and behaviours, Thus:

A-a person who smokes does not practice the model.

B-a person who does not take necessary medications does not practice the model.

C-it provides a way of understanding and predicting how clients will behave in relation to their health
and how they will comply with health care therapies.

D-this model provides a basis for caring for clients of all ages.

29. A person’s beliefs about health are shaped in part by the person’s

A-confidence in a healthcare provider.

B-knowledge of disease progression.

C-knowledge, lack of knowledge or incorrect information about illness.

D- confidence in the healthcare system.

30. Nurses using the holistic nurse model:

A-utilize only complementary interventions.

B-recognize the natural healing abilities of the body and incorporate complementary and alternative
interventions.

C- consider only the mind and the body in providing care.

D-consider only the spiritual aspect in providing care.

31- while teaching a class on health status, the nurse educator reviews internal variables that affect
health status. Which internal variables are appropriate for the nurse to include in the class?

A-gender.

B- Diet.

C- exercise ragman.

D-Developmental level

E-age

F- A,D,E

32. A nurse is teaching a couples class at a local community centre about building positive relationships.
Today’s session is on learning skills to be open-minded and respectful to those with opposing opinions.
Based on this data, on which component of health and wellness is the nurse focusing this session?

A- physical.

B- social.

C- environment.

D-emotional.

33. The nurse is providing teaching related to health promotion for a group of older adults. Several
individuals describe their current health status. Which client is most in need of additional information
related to health information?

A-a client who states that her daughter takes her to all of her medical appointments.

B-a client who states that she was recently diagnosed with Parkinson disease.

C-a client who states that she walks five times a week at the community centre to help prevent
osteoporosis.

D-a client who states that her husband has been suffering from hypertension for 12 years

34. When taking care of patients, the nurse routinely asks them if they take any vitamins or herbal
medications, encourages family members to being in music that patient likes to help the patient relax,
and frequently prays with her patients if that is important to them. The nurse is practicing which model?

A- Holistic
 B- Health belief

C- Transtheoretical

D-Health promotion

35. The nurse is participating at a health fair at the local mall giving influenza vaccines to senior citizens.
What level of prevention is the nurse practicing?

A- primary prevention

B- secondary prevention

C- tertiary prevention

D-quaternary prevention

36. The nurse conducts teaching for a client recently diagnosed with type 2 diabetes mellitus. At the
conclusion of the session, which client statement indicates that teaching has been effective?

A-“I will take medication for a week for this acute illness”.

B-“I will have to take insulin for this disease every day for the rest of my life”.

C-“This chronic disease will become worse and lead to death”.

D-“I will have to make dietary changes to manage this chronic disease”.

37. A patient had surgery for total knee replacement a week ago and is currently participating in daily
physical rehabilitation sessions at the surgeon’s office. In what level of prevention is the patient
participating?

A- primary prevention

B- secondary prevention

C- tertiary prevention

D-quaternary prevention

38. For many clients, health promotion requires nursing assessment and implementation of changes in

A- culture

B- lifestyle

C- spiritual beliefs

D-socioeconomic status

E- all of the above

39. For a client with chronic obstructive pulmonary disease (COPD), the nurse may provide health
promotion teaching about what other major health concepts?
A-safety

B-elimination

C-immunity

D-development

40. A community health nurse is educating a group of clients on the difference between illness and
disease, which statements are appropriate for the nurse to include in the educational session? Select all
that apply.

A- “An individual can have disease and not feel ill”.

B-“Illness is synonymous with disease”.

C-“Illness is an alternation in body function, where disease is highly objective”.

D-“An individual can feel ill without disease”.

E-“Illness and disease are never related to one another”.

41. A male patient has been laid off from his construction job and has many unpaid bills. He is going
through a divorce from his marriage of 15 years and has been seeing his pastor to help him through this
difficult time. He does not have a primary health care provider because he has never really been sick and
his patents never took him to the physician when he was child. Which external variables influence the
patients health practices?

A- difficulty paying his bills.

B- seeing his pastor as a means of support.

C- age of patient (46 years).

D-stress from the divorce and the loss of a job.

E- practice of not routinely seeing a health care provider.

42. A nurse is presenting a program to workers in a factory covering safety topics, including the
wearing of hearing protectors when workers are in the factory. Which level of prevention is the
nurse practicing?

A- primary prevention

B- secondary prevention

C- tertiary prevention

D-quaternary prevention
 The answers

1-C. 2-B. 3-D.

4-A. 5-D. 7-B.

8-D. 9-C. 10-C.

11-D. 12-B. 13-B.

14-A. 15-A. 16-D.

17-C. 18-C. 19-B.

20-C. 21-C. 22-A.

23-A. 24-C. 25-B.

26-C. 27-A. 28-C.

29-C. 30-B. 31-F.

32-B. 33-B. 34-A.

35-A. 36-D. 37-C.

38-E. 39-A. 40-A and D.

41-A and E. 42-A.

Collected and written by Nahed Hamada

‫الحمد هلل الذي هدانا لهذا وما كنا لنهتدي لوال ان هدانا هللا‬
.‫ال تنسوني من الدعاء‬

Hope if that helped you ,you mention me when you pray to Allah.

.)‫(سينطق عنك علمك في مالء ويكتب عنك يوما إن كتمت‬