Kozier Ch 17 Health, Wellness And Illness - Fundamentals Of Nursing (Elisa)

Front 1

22. What are 6 characteristics of Health

Back 1

-Presence or absence of disease
-Complete physical, mental, social well-being
-Ability to maintain normal roles
-Developmental and behavioral potential is realized to fullest extent possible
-Striving toward optimal functioning
-Individual perception
P. 299 (Slide 22)

Front 2

23. What is Wellness

Back 2

- state of well-being
P. 300 (Slide 23)

Front 3

5 basic aspects of Wellness

Back 3

-Self-responsibility
-An ultimate goal
-A dynamic, growing process
-Daily decision-making (nutrition, stress management, physical fitness, preventive health care, and emotional health)
-Whole being of the individual
P.300 (Slide 23)

Front 4

What are the 7 components of wellness?

Back 4

-Physical
-Social
-Emotional
-Intellectual
-Spiritual
-Occupational
-Environmental
(Fig 17-2 P. 300)

Front 5

24. What is Physical wellness?

Back 5

-Carry out daily tasks
-Achieve fitness
-Maintain nutrition
-Avoid abusing substances
-Practice positive lifestyle habits
P.300 (Slide 24)

Front 6

What is Social wellness?

Back 6

-Interact successfully
-Develop and maintain intimacy
-Develop respect and tolerance for others
P.301 (Slide 24)

Front 7

25. What is Emotional wellness?

Back 7

-Ability to manage stress
-Ability to express emotion
P.301 (Slide 25)

Front 8

What is Intellectual wellness?

Back 8

-Ability to learn
-Ability to use information effectively
-Striving for continued growth
-Learning to deal with new challenges
P.301 (Slide 25)

Front 9

26. What is Spiritual wellness?

Back 9

-Belief in some force that gives life meaning and purpose
-Person’s own morals, values, and ethics
P.301 (Slide 26)

Front 10

What is Occupational wellness?

Back 10

Ability to achieve balance between work and leisure
P.301 (Slide 26)

Front 11

27. What is Environmental wellness?

Back 11

-Ability to promote health measure that improves
---Standard of living
---Quality of life
-Influences such as food, water, and air
P.301 (Slide 27)

Front 12

28. What are Internal Variables the influence health?

Back 12

-Biologic dimension
---genetic makeup, gender, age, and developmental level
-Psychologic dimension
---mind-body interactions and self-concept
-Cognitive dimension
---lifestyle choices and spiritual and religious beliefs
P.303-305 (Slide 28)

Front 13

29. What are External Variables the influence health?

Back 13

-Physical environment
-Standards of living
-Family and cultural beliefs
-Social support networks
P.306 (Slide 29)

Front 14

30. What are Health Belief Models used for?

Back 14

Help determine whether individual is likely to participate in disease prevention and health promotion activities
P.306 (Slide 30)

Front 15

What 2 basic concepts are included in Health Locus of Control Model?

Back 15

-Internals - health status is under their own or others’ control
-Externals - health is largely controlled by outside sources
P.307 (Slide 30)

Front 16

31. What 11 factors influence patients Health Care Adherence?

Back 16

-Client motivation
-Degree of lifestyle change
-Perceived severity of health care problem
-Value placed on reducing threat of illness
-Ability to understand and perform specific behaviors
-Degree of inconvenience of illness itself or of health regimens
-Beliefs that prescribed therapy or regimen will or will not help
-Complexity, side effects, and duration of proposed therapy
-Cultural heritage, beliefs, or practices that support or conflict with regimen
-Degree of satisfaction and quality and type of relationship with health care providers
-Overall cost of therapy
P. 308-309 Box 17-3 (Slide 31,32.)

Front 17

33. Define Illness (5 components)

Back 17

-A highly personal state
-Person’s physical, emotional, intellectual, social, developmental, or spiritual functioning is diminished
-Not synonymous with disease
-May or may not be related to disease
-Only person can say he or she is ill
P.309 (Slide 33)

Front 18

34. Define Acute Illness (4 components)

Back 18

-Characterized by symptoms of relatively short duration
-Symptoms appear abruptly, subside quickly
-May or may not require intervention by health care professionals
-Most people return to normal level of wellness
P.309 (Slide 34)

Front 19

35. Define Chronic Illness (4 components)

Back 19

-Usually slow onset and lasts for 6 months or longer
-Often has periods of remission (symptoms disappear) and exacerbation (symptoms reappear)
-Care includes promoting independence, sense of control, and wellness
-lient must learn how to live with physical limitations and discomfort
P.310 (Slide 35)

Front 20

36. Define Disease(3 components)

Back 20

-Alteration in body function
-Reduction of capacities or shortening of normal life span
-Causation of disease is called etiology
P.309 (Slide 36)

Front 21

37. Four Aspects of Sick Role

Back 21

-Right to not be held responsible for their condition
-Right to be excused from certain social roles and tasks
-Obligation to try to get well as quickly as possible
-Obligation to seek competent help
P.311 (Slide 37)

Front 22

38. What are the 5 Stages of Illness?

Back 22

-Stage 1: Symptom experience
---Believes something is wrong
-Stage 2: Assumption of the sick role
---Accepts the sick role and seeks confirmation
-Stage 3: Medical care contact
---Seeks advice of a health professional
-Stage 4: Dependent client role
---Becomes dependent on professional for help
-Stage 5: Recovery or rehabilitation
---Relinquishes dependent role
----Resumes former roles and responsibilities
P.311 (Slide 38)

Front 23

39. What are the Effects of Illness?

Back 23

-Impact on the client
---Behavioral and emotional changes
---Self-concept and body image changes
---Lifestyle changes
-Impact on family depends on:
---Which family member is ill
---Seriousness and length of illness
---Cultural and social customs of family
P.311-312 (Slide 39)

Front 24

40. How does illness have a Possible Family Impact?

Back 24

-Role changes
-Task reassignments
-Increased demands on time
-Stress due to anxiety about outcomes
-Conflict about unaccustomed responsibilities
-Financial problems
-Loneliness as result of separation or loss
-Change in social customs
P312 (Slide 40)

Front 25

41. Which one of the following is an example of the emotional component of wellness?
A.The client chooses healthy foods.
B.A new father decides to take parenting classes.
C.A client expresses frustration with her partner’s substance abuse.
D.A widow with no family decides to join a bowling league.

Back 25

42.
a.The client who chooses healthy foods represents the physical component.
b.Taking parenting classes enhances the intellectual component.
**c.Correct. Frustration is an example of an emotion.
d.The bowling league enhances both the physical and social components.

Front 26

43. Which individual appears to have “taken on” the sick role?
A.An obese client states, “I deserve to have a heart attack.”
B.A mother is ill and says, “I won’t be able to make your lunch today.”
C.A man with low back pain misses several physical therapy appointments.
D.An elder states, “My horoscope says I will be well again.”

Back 26

44.
a.The sick role states that persons are not answerable for their illness; the obese client does feel responsible for his condition.
**b.Correct. The mother has taken on the sick role by expecting to be excused from her usual role responsibilities.
c.In the sick role, the client tries to get better, unlike this man who misses his physical therapy appointments.
d.The elder is not following the sick role expectation of relying on competent help but is relying on astronomy instead.

Front 27

45. A client with human immunodeficiency virus (HIV) is scheduled to begin several medications to manage the infection. Which of the following variables is most likely to predict adherence with the treatment program? Select all that apply.
A.The client is a graduate student at a local university.
B.The client has a trusting relationship with the health care provider.
C.The client’s aunt has used similar medication successfully for 3 years.
D.The nurse explains why the treatment plan has been set up the way it is.
E. The client is male.

Back 27

46.
a.Educational level has not been shown to be a predictive factor for adhering to treatment.
**b.Correct. Significant evidence exists that a trusting relationship with the provider is an important predictor of adherence.
**c.Correct. Perceived effectiveness of the medication is a predictor of adherence.
**d.Correct. An informed client is more likely to adhere to treatment than one who is not.
e.Gender is not a predictive factor for adherence to a treatment plan.