Deck 8: Health Promotion

Question 1

A nurse learns that Jolene,18,is considering weight reduction and has gathered information on various diets.Jolene verbalizes plans to begin the diet in a couple of months.In which stage of the transtheoretical model of change is Jolene?

A)Precontemplation
B)Preparation
C)Action
D)Contemplative

Answer 1

Contemplative

Question 2

What were the themes leading to the development of the 1997 Jakarta Declaration on Health Promotion?

A)Perceived barriers,benefits,and self-efficacy
B)Health risk,lifestyle,and environment
C)Injury prevention,nutrition,and active living
D)Social justice,equity,and sustainability

Answer 2

Social justice,equity,and sustainability

Question 3

Mr.Etherington,67,was diagnosed with COPD.His nurse at an outpatient clinic develops a written contract with him for smoking cessation.What is the purpose of this written contract?

A)Identifying barriers to change
B)Holding the client accountable for his behaviour
C)Motivating the client to follow through with selected actions
D)Controlling client behaviour

Answer 3

Motivating the client to follow through with selected actions

Question 4

Mr.Sneddon,34,is in a drug rehabilitation centre He and his nurse develop a behavioural care plan to help him stay off drugs once discharged into the community.How should a role model be selected to help in maintaining new health behaviours?

A)The nurse should choose the role model as she knows the client best.
B)The physician should choose the role model for his client.
C)Mr.Snedden and the nurse together should select the role model.
D)Choice of a role model is the responsibility of a social worker.

Question 5

The health nurse of a university campus is implementing a health-promotion activity by placing posters about proper hand washing in all of the public restrooms on campus.This is an example of which type of health-promotion program?

A)Environmental control
B)Information dissemination
C)Health risk appraisal and wellness assessment
D)Lifestyle and behaviour change

Question 6

The client is making a list of past experiences that have brought joy,peace,and hope into the client's life.This is part of which of the following?

A)Lifestyle assessment
B)Social support systems review
C)Health beliefs review
D)Spiritual health assessment

Question 7

A nursing student is considering a health-promotion project while working on the pediatric unit at the local hospital.Which of the following statements would be supported in the literature during the student's research?

A)The leading cause of death in children under the age of 14 is poison consumption.
B)Children under the age of two are too young to benefit from health-promotion initiatives.
C)Motor vehicle accidents are the leading cause of death and injury in children under the age of 14.
D)Obesity is genetic,and a health-promoting initiative would fail for those under the age of 12.

Question 8

Mrs.Fadamen,67,has recently been diagnosed with type II diabetes.Why is it important for the nurse to assess Mrs.Fadamen's health beliefs as part of the overall nursing assessment?

A)It helps the nurse to understand Mrs.Fadamen's beliefs about how behaviours can improve health.
B)Mrs.Fadamen's overall control of her diabetes will be influenced by identified risk factors.
C)The impact of stress on Mrs.Fademan's mental and physical well-being can be determined.
D)It validates other assessment data which has been collected.

Question 9

A nurse in a university health clinic is preparing information packets for incoming students regarding drug abuse.What type of program is this?

A)Health promotion
B)Health protection
C)Disease prevention
D)Empowerment promotion

Question 10

Ms.De Luca,33,has joined a fitness club and tells a nurse about her desire to lose weight.She has had success with exercise in the past,but has not been exercising lately.While assessing the potential for success with this client,the nurse should evaluate which of the behaviour-specific cognitions?

A)Interpersonal influences
B)Perceived benefits of action
C)Situational influences
D)Perceived self-efficacy

Question 11

Mrs.Silver,76,who has been recently widowed,has diabetes,hypertension,and congestive heart failure.What should the nurse keep in mind when working with Mrs.Silver toward health promoting and illness prevention changes?

A)Mrs.Silver is at risk of cognitive impairment,and may not understand the change process.
B)Maximizing strengths will be of prime importance to maintain optimal function and quality of life.
C)Her chronic illnesses make her a poor candidate for successful health promoting changes.
D)Mrs.Silver has a poor support system,and may not successfully complete a health promoting change process.

Question 12

Mr.Jelkman,47,is working with the nurse to improve control of his diabetes.How will goals and interventions be developed?

A)Mr.Jelkman will decide the goals and interventions required to meet his needs.
B)The nurse will decide the goals and interventions required to meet Mr.Jelkman's needs.
C)The goals and interventions developed by the nurse and Mr.Jelkman will need to be acceptable to his doctor.
D)The goals and interventions will be based on nursing priorities.

Question 13

Several nursing students have been discussing the benefits of joining a study group,as they think that together they may be more effective in retaining information than if they studied alone.Which stage of behaviour change are they exemplifying?

A)Termination stage
B)Preparation stage
C)Contemplation stage
D)Action stage

Question 14

How did the Epp report (1986)differ from the Lalonde report (1974)?

A)Epp addressed the effect of socioeconomic conditions on health.
B)Epp's report focused on health promotion; Lalonde's did not.
C)Lalonde named the health care system as responsible for an individual's health.
D)Lalonde named self-care,mutual aid,and healthy environments as foci of his report.

Question 15

Sigvard,17,has asthma.When the nurse suggests that he add a spacer to improve the delivery of the inhaled medications,Sigvard expresses concern over what his peers will think.He is displaying which of the following behaviours of health promotion?

A)Competing preferences
B)Competing demands
C)Situational influences
D)Interpersonal influences

Question 16

Mr.Tramble,56,and his nurse are developing a health-promotion plan to have him return safely to his home in the community following discharge from a rehabilitation unit.What role does the nurse play at this stage?

A)Expert
B)Peer
C)Resource person
D)Decision maker

Question 17

Community action,supportive environments,personal skills,health services,and healthy public policy are all concepts found in what document?

A)Epp Report
B)Transtheoretical Model
C)Ottawa Charter
D)Population Health Model

Question 18

A client comes to the clinic seeking information regarding smoking cessation classes and ways to improve respiratory function.This client is modelling which behaviour?

A)Health promotion
B)Health protection
C)Tertiary prevention
D)Primary prevention

Question 19

A needle exchange program is a particular approach to health promotion in which intravenous drug users can exchange used needles for new ones.Which of the following describes the purpose of such a program?

A)Harm reduction
B)Behaviour change
C)Health education
D)Role modelling

Question 20

Mrs.Dunning,81,has been discharged home after hip replacement surgery.Part of her discharge plan includes a visit by an occupational therapist to suggest changes to her environment to keep her safe from falls.Which term describes this plan?

A)Health promotion
B)Information dissemination
C)Health education
D)Health protection

Question 21

What is known about effective health-promotion activities offered to individuals and families in the home or in the community setting,such as in schools,hospitals,or worksites?

A)Models or conceptual frameworks must be used to guide practice.
B)To reduce potential bias,the nurse should remain unknown to the client(s).
C)The public health nurse should choose the priority behaviour for change.
D)The nurse should do a private evaluation of the success of goal attainment.

Question 22

Mr.De La Fontaine,59,wishes to strike a better balance between his work and social life so he has decided to join a walking program at a local shopping mall.This would be considered which kind of activity?

A)Health education
B)Disease prevention
C)Health promotion
D)Health protection

Question 23

In 2004,which organization was formed to set public health goals and benchmarks to achieve population health for Canadians?

A)The Ottawa Charter
B)Health and Welfare Canada
C)Public Health Agency of Canada
D)Canadian Red Cross Society

Question 24

According to the 2007 Canadian Community Health Survey,what is the estimated number of Canadians at risk of developing diabetes by 2017?

A)9 in 1000
B)1 in 1000
C)1 in 100
D)9 in 100

Question 25

A nurse working within a cancer agency,is helping a client,Mr.Martin,to quit smoking using Prochaska's transtheoretical change theory.During the action phase of this health behaviour change,how can the nurse support Mr.Martin as he strives to reach the termination,or final phase?

A)Ask Mr.Martin to reflect on why he wanted to smoke
B)Remind Mr.Martin of past successes
C)Suggest that Mr.Martin plan weekly rewards for not smoking
D)Provide pamphlets on the dangers of smoking

Question 26

A group of nurses travel to a developing country to provide polio immunizations to children.Which of the following describes this activity?

A)Health promotion
B)Health protection
C)Enhancement of coping
D)Biological health field concept

Question 27

Which of the following can provide the nurse with clear direction for health promotion planning with healthy clients?

A)Change strategies
B)Wellness nursing diagnosis
C)Harm reduction approach
D)Role modelling

Question 28

What is one major difference between Pender's Health Promotion Model (HPM)and the Health Belief Model of Rosenstock and Becker?

A)The Health Belief Model upholds that the client perceives the benefits of behaviour change.
B)Pender's Health Promotion Model integrated concepts from the Ottawa Charter.
C)The Health Belief Model cites fear and force as motivating factors for changing behaviour.
D)Six stages of behaviour change highlight Pender's Health Promotion Model.