Holistic approach in nursing, determinants of health ,effects of illness
Time: 15:00
What is the core principle of holistic nursing?
[a] Focusing solely on the patient's diagnosed physical ailment.
[b] Recognizing and treating the patient as an integrated whole, including mind, body, and spirit.
[c] Prioritizing alternative therapies over conventional medical treatments.
[d] Administering prescribed medications as the primary and only intervention.
Which of the following is considered a social determinant of health?
[a] A patient's genetic predisposition to cancer.
[b] A patient's choice to engage in daily exercise.
[c] A patient's level of education and access to stable employment.
[d] A patient's measured heart rate and blood pressure.
A patient newly diagnosed with a chronic illness has to stop working, leading to a loss of income. This is a direct example of which effect of illness?
[a] The emotional effect.
[b] The physical effect.
[c] The financial effect.
[d] The spiritual effect.
A nurse teaching a patient deep-breathing exercises to manage pre-operative anxiety is practicing which aspect of care?
[a] Task-oriented care.
[b] Medically-focused care.
[c] Holistic care.
[d] Delegated care.
The term "health disparity" refers to:
[a] The personal health choices made by an individual.
[b] A particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage.
[c] A rare genetic disorder affecting a small portion of the population.
[d] The difference in cost between two different medical treatments.
When a patient with a serious illness experiences role changes within their family (e.g., a parent can no longer be the primary caregiver), this illustrates the illness's impact on:
[a] The patient's physical status only.
[b] The patient's relationship with their physician.
[c] Family dynamics and social roles.
[d] The national economy.
Which nursing theorist is renowned for her philosophy of transpersonal caring, a central concept in holistic nursing?
[a] Florence Nightingale
[b] Virginia Henderson
[c] Dorothea Orem
[d] Jean Watson
Living in a neighborhood with high levels of air pollution and no safe parks for recreation is an example of which determinant of health?
[a] Physical environment.
[b] Biology and genetics.
[c] Individual behavior.
[d] Health services.
The concept of the "sick role" in sociology suggests that a sick person is:
[a] Expected to continue their normal social roles without interruption.
[b] Exempt from normal social roles and is not held responsible for their condition.
[c] Always responsible for causing their own illness.
[d] Obligated to seek alternative therapies instead of medical help.
A holistic nursing assessment should include questions about a patient's support system, values, and cultural background because these factors:
[a] Are required for insurance billing purposes.
[b] Are secondary to the patient's physical symptoms.
[c] Significantly influence the patient's experience of illness and their coping mechanisms.
[d] Are only relevant for psychiatric patients.
Which of the following is an example of a non-modifiable determinant of health?
[a] Diet and nutrition.
[b] Age and genetic history.
[c] Smoking status.
[d] Level of physical activity.
A teenager diagnosed with severe acne withdraws from social activities due to self-consciousness. This is primarily an example of the illness affecting their:
[a] Financial status.
[b] Social and emotional well-being.
[c] Physical mobility.
[d] Cognitive ability.
Integrative health care, a component of the holistic approach, is best described as:
[a] The rejection of all conventional medical treatments.
[b] The combination of conventional medicine with evidence-based complementary therapies.
[c] The exclusive use of natural remedies like herbs and oils.
[d] A system where patients treat themselves without professional guidance.
Health literacy is a critical determinant of health because it directly impacts a patient's ability to:
[a] Afford expensive health insurance plans.
[b] Change their genetic risk factors for disease.
[c] Understand health information, navigate the healthcare system, and make appropriate health decisions.
[d] Find transportation to and from medical appointments.
When a chronic illness and its treatments disrupt a person's ability to engage in valued life activities and relationships, this is known as:
[a] Remission.
[b] Acute phase.
[c] Illness intrusiveness.
[d] A psychosomatic response.
In holistic nursing, the nurse-patient relationship is best characterized as a:
[a] Hierarchical structure where the nurse holds all authority.
[b] Therapeutic partnership where the patient is an active participant in their own healing.
[c] Detached, professional interaction focused only on completing tasks.
[d] A social friendship that extends beyond the clinical setting.
The "social gradient" in health demonstrates that:
[a] People in cities are always healthier than people in the country.
[b] Genetics are the most powerful determinant of health.
[c] Health status generally improves with higher socioeconomic status.
[d] All individuals have an equal opportunity to be healthy.
A period during which the symptoms of a chronic illness lessen or disappear is called:
[a] An exacerbation.
[b] A remission.
[c] An acute crisis.
[d] A terminal stage.
Nurse self-care is a vital tenet of holistic practice because:
[a] It is mandated by federal labor laws.
[b] It ensures the nurse can work longer hours without extra pay.
[c] A nurse who is well-cared for can be a better instrument of healing for others.
[d] It is the patient's responsibility to care for the nurse.
Lack of access to primary care providers in a rural area is an example of which category of health determinant?
[a] Socioeconomic Factors.
[b] Health Services.
[c] Individual Behaviors.
[d] Physical Environment.
The term "illness trajectory" describes the:
[a] Specific microorganism that causes an infection.
[b] The physiological, personal, and social course of a disease over time.
[c] The total financial cost of managing a disease.
[d] The path of a medication through the human body.
A holistic approach to a patient with heart disease would involve:
[a] Only monitoring their cardiac rhythms and blood pressure.
[b] Prescribing the appropriate cardiac medications and nothing else.
[c] Discussing diet, stress management, family support, and medication adherence.
[d] Focusing exclusively on the patient's emotional state.
Which of the following represents the "Individual Behavior" determinant of health?
[a] A family history of hypertension.
[b] The availability of fresh produce in a local market.
[c] A person's choice to smoke cigarettes daily.
[d] The quality of the local school system.
Caregiver burden is a potential effect of illness that impacts:
[a] Only the person who is ill.
[b] The family members or friends who are providing care.
[c] The healthcare professionals.
[d] The insurance company.
According to the WHO, the conditions in which people are born, grow, work, live, and age are known as:
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