Deck 42: Promoting Health

Question 1

The nurse is planning a health promotion class for young adult women. What topic would be most important for the nurse to include for this group?
1)Immunizations
2)Papanicolaou (Pap) test every 2 or 3 years
3)Annual mammograms
4)Screening colonoscopies

Answer 1

2

Question 2

The nurse is working with a client who is obese and reports having a sedentary lifestyle. What is the nurse's first action to promote this client's health?
1)Teach the client how to follow a low-calorie diet.
2)Assist the client in a plan to increase his activity level.
3)Explain the risks associated with the client's weight and lifestyle.
4)Help the client identify goals for promoting health.

Answer 2

4

Question 3

The nurse teaches a class for the community discussing routine screening tests for different types of cancer. What level of health prevention would the nurse classify this activity?
1)Primary
2)Secondary
3)Tertiary
4)Maintenance

Answer 3

2

Question 4

The nurse conducts an assessment of a 38-year-old patient's fitness using the step test. At the end of the test, which heart rate would indicate the patient is in very poor physical condition?
1)96 beats/min
2)106 beats/min
3)114 beats/min
4)134 beats/min
Multiple Response
Identify one or more choices that best complete the statement or answer the question.

Question 5

Which would be an appropriate topic for the elementary school nurse to include in health promotion activities for students?
1)Housing conditions
2)Poor sanitation
3)Stranger danger
4)Preventing sexually transmitted infections (STIs)

Question 6

The nurse is caring for a patient with a nursing diagnosis of Activity Intolerance secondary to cardiac disease that causes the patient to produce less energy than is expended with activity. Which theory of health and wellness would support this nursing diagnosis?
1)World Health Organization (WHO)
2)Jean Watson
3)Betty Neuman
4)Myers, Sweeney, and Witmer

Question 7

The nurse working in an acute care setting provides what level of health prevention most often?
1)Primary
2)Secondary
3)Tertiary
4)Assessment

Question 8

A group of nursing students have been discussing the benefits of forming a study group. They realize that reviewing disease processes and treatments together may be more helpful in retaining new information and applying it to the clinical setting than if they continued to study individually. According to Prochaska and DiClemente's Transtheoretical Model of Change, which stage of behavior change are they exemplifying?
1)Precontemplation
2)Contemplation
3)Preparation
4)Action Stage

Question 9

A 55-year-old man suffered a myocardial infarction (heart attack) 3 months ago. During his hospitalization, he had stents inserted in two sites in the coronary arteries. He was also placed on a cholesterol-lowering agent and two antihypertensives. What type of care is he receiving?
1)Primary prevention
2)Secondary prevention
3)Tertiary prevention
4)Health promotion

Question 10

A mother of three young children is newly diagnosed with breast cancer. She is intensely committed to fighting the cancer. She believes she can control her cancer to some degree with a positive attitude and feelings of inner strength. Which of the following traits is she demonstrating that is linked to health and healing?
1)Invincibility
2)Hardiness
3)Baseline strength
4)Vulnerability

Question 11

According to Pender's Health Promotion Model, which variables must be considered when planning a health promotion program for a client? Select all that apply.
1)Individual characteristics and experiences
2)Levels of prevention
3)Behavioral outcomes
4)Behavior-specific cognition and affect
5)Health is compared to the spokes of a wheel

Question 12

The nurse is teaching a class for diabetics and tells them, "Maintaining your blood glucose within normal limits helps reduce the risk for complications of diabetes." What type of activity does this class represent?
1)Health promotion
2)Health protection
3)Primary prevention
4)Tertiary prevention

Question 13

Goals for Healthy People 2020 include which of the following? Select all that apply.
1)Eliminate health disparities among various groups.
2)Decrease the cost of healthcare related to tobacco use.
3)Increase the quality and years of healthy life.
4)Decrease the number of inpatient days annually.
5)Promote hospice care to the elderly

Question 14

Which type of health promotion programs seeks to raise the level of knowledge and awareness of individuals and groups about health habits?
1)Environmental evaluation and protection
2)Information dissemination
3)Wellness assessment and appraising health risk
4)Lifestyle and behavior changes

Question 15

The new mother who just gave birth tells the nurse, "I don't know anything about babies, so I want you to teach me everything you can to help me be a good mother." What nursing diagnosis would be most appropriate for this patient? Readiness for Enhanced:
1)Breastfeeding
2)Communication
3)Family Coping
4)Parenting

Question 16

The nurse meets with patients who have quit smoking or are planning to quit. Which statement made by a patient would lead the nurse to conclude that that patient is in the maintenance stage of change?
1)"I haven't smoked in 2 weeks, but I have to constantly resist the urge to light a cigarette."
2)"I don't even think about cigarettes anymore. I really don't miss smoking."
3)"Each day I don't smoke, I put money that I would have spent in a jar to pay for a vacation."
4)"I am chewing gum and eating carrot sticks to keep myself from lighting a cigarette."

Question 17

A patient with morbid obesity was enrolled in a weight loss program last month and has attended four weekly meetings. But now he believes he no longer needs to attend meetings because he has "learned what to do." He informs the nurse facilitator about his decision to quit the program. What should the nurse tell him?
1)"By now, you have successfully completed the steps of the change process. You should be able to successfully lose the rest of the weight on your own."
2)"Although you have learned some healthy habits, you will need at least another 6 weeks before you can quit the program and have success."
3)"You have done well in this program. However, it is important to continue in the program to learn how to maintain weight loss. Otherwise, you are likely to return to your previous lifestyle."
4)"You have entered the 'determination stage' and are ready to make positive changes that you can keep for the rest of your life. If you need additional help, you can come back at a later time."

Question 18

The school nurse at a local elementary school is performing physical fitness assessments on the third grade children. When assessing students' cardiorespiratory fitness, the most appropriate test is to have the students:
1)Step up and down on a 12-inch bench
2)Perform the sit-and-reach test
3)Run a mile without stopping, if they can
4)Perform range-of-motion exercises

Question 19

A client informs the nurse that he has quit smoking because his father died of lung cancer 3 months ago. Based on his motivation, smoking cessation should be recognized as an example of which of the following?
1)Healthy living
2)Health promotion
3)Wellness behaviors
4)Health protection

Question 20

The nurse is planning a health promotion class for adolescents. The presentation is too long. Which topic would be least important and therefore appropriate for the nurse to delete?
1)Stranger danger
2)Motor vehicle safety
3)Firearm safety
4)Alcohol and drug use

Question 21

The nurse is conducting a risk appraisal related to the patient's lifestyle choices. What questions would be appropriate for the nurse to ask? Select all that apply.
1)"What is your job?"
2)"What is your marital status?"
3)"What are your hobbies?"
4)"Are you sexually active?"
5)"Have you moved recently?"

Question 22

The nurse is implementing a wellness program based on data gathered from a group of low-income seniors living in a housing project. He is using the Wheels of Wellness as a model for his planned interventions. Which of the following interventions would be appropriate based on this model? Select all that apply.
1)Creating a weekly discussion group focused on contemporary news
2)Facilitating a relationship between local pastors and residents of subsidized housing
3)Coordinating a senior tutorial program for local children at the housing center
4)Establishing an on-site healthcare clinic operating 1 day per week
5)Providing free housing for seniors

Question 23

Identify interventions that would be effective when assisting a client in making behavior changes that would reduce his health risk factors. Select all that apply.
1)Ask the client to follow a plan you wrote for him.
2)Have the client identify two or three goals for change.
3)Help the client to understand the benefits of change.
4)Allow the client to identify available support and resources within the community.
5)Ask the family members to create a plan according to family values and rules.

Question 24

The nurse working in an ambulatory care program asks questions about the client's locus of control as a part of his assessment because of which of the following? Select all that apply.
1)People who feel in charge of their own health are the easiest to motivate toward change.
2)People who feel powerless about preventing illness are least likely to engage in health promotion activities.
3)People who respond to direction from respected authorities often prefer a health promotion program supervised by a health provider.
4)People who feel in charge of their own health are less motivated by health promotion activities.
5)People who are not in control of their health decisions will be more motivated by positive change.

Question 25

The nurse is admitting an elderly resident to an assisted living facility. In order to determine the resident's level of physical fitness upon admission, which of the following components should be included in the assessment?
1)Cardiorespiratory fitness
2)Hardiness
3)Muscular fitness
4)Flexibility
5)Nutritional status

Question 26

What teaching points will the nurse develop to address Healthy People 2020 goals? Select all that apply.
1)How to assess developmental milestones
2)How to file for Medicaid
3)How to maintaining a safe home and neighborhood
4)How to develop and maintain a healthy lifestyle
5)How to develop a low-fat, low-calorie diet