Chapter 02: Health and Wellness
Potter: Essentials for Nursing Practice, 8th Edition
1. A nurse is assessing a patient’s stage of behavioral change. Which statement by the patient
will indicate to the nurse that the patient is in the preparation stage?
a. “I started to exercise regularly, but it didn’t last long. I’ll probably try again in a
b. “I have a problem, and I really think I need to work on it.”
c. “I am really working hard to stop smoking.”
d. “There is nothing that I really need to change.”
“I started to exercise regularly, but it didn’t last long. I’ll probably try again in a few weeks”
is the preparation stage. “I have a problem, and I really think I need to work on it” is the
contemplation stage. “I am really working hard to stop smoking” is the action stage. “There
is nothing that I really need to change” is the precontemplation stage.
PTS: 1 DIF: Cognitive Level: Applying (Application)
OBJ: Discuss four types of risk factors and the process of risk-factor modification.
TOP: Nursing Process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
2. A patient is depressed after a divorce and is not eating. The nurse is using Maslow to
prioritize care. Which patient need should the nurse address first?
b. Emotional safety
d. Love and belonging
According to Maslow, individuals have to meet lower-level needs before they are able to
satisfy higher-level needs. The lowest level on the hierarchy consists of very basic
physiological needs such as oxygen, water, food (nutrition), sleep, and sex. The second level
on the hierarchy consists of safety needs. The third level on the hierarchy is love and
belongingness, which is a desire to belong to groups. The fourth level deals with the need
for self-esteem. Depression is not a lower need but a higher need.
PTS: 1 DIF: Cognitive Level: Analyzing (Analysis)
OBJ: Discuss the health belief, health promotion, basic human needs, and holistic health
models of health and illness and their relationship to patients’ attitudes toward health and
health practices. TOP: Nursing Process: Implementation
MSC: NCLEX: Management of Care
3. A nurse is assessing a patient’s risk factors for heart disease and finds that the patient has
several risk factors. How should the nurse interpret this finding?