Deck 17: Health Promotion

Question 1

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

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

Answer 1

Information dissemination.

Question 2

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

Answer 2

Spiritual health assessment.

Question 3

A client comes to the clinic seeking information regarding healthy lunch boxes for the children. This client is modelling which behaviour?

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

Answer 3

Health promotion.

Question 4

For some time, several nursing students have been discussing the benefits of joining a study group. They realise the importance of applying nursing knowledge to the clinical area and figure that together they may be more effective in retaining this information than if they continued in their individual settings. Which stage of behaviour change are they exemplifying?

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

Question 5

The main characteristics of homeostatic mechanisms include which of the following?

A) They are self-regulating.
B) They are compensatory.
C) They are regulated by negative feedback systems.
D) They may require several feedback mechanisms to correct only one physiological imbalance.
E) They are relatively stable and constant.

Question 6

A client has had a severe brain injury and has been in a rehab hospital for several months. Recently, the client developed pneumonia and is currently on IV antibiotic therapy for this. Which level of prevention addresses the pneumonia?

A) Tertiary.
B) Acute.
C) Primary.
D) Secondary.

Question 7

A client with diabetes wants to have better control over her blood sugar levels. She has set a goal that she will have laboratory values that reflect this and she has been monitoring her blood sugar twice a day for the past month. Along with regular checks, she has kept all appointments with her nutritionist. This client is modelling which of the following?

A) Contemplation stage.
B) Termination stage.
C) Maintenance stage.
D) Action stage.

Question 8

When working within the total care context of the individual, the nurse considers which of the following?

A) The person's self-identity.
B) The individualism of the client.
C) Principles that apply to the client at this moment.
D) Principles which are general to all clients of the same age and condition.

Question 9

Which of the following is an example of Primary prevention?

A) Rehabilitation following a car accident.
B) Immunisation services for school children.
C) Identification and interventions for cystic fibrosis.
D) Mammogram promotion.

Question 10

Health behaviour change is cyclic and involves progress through several stages. Arrange the following stages in the correct order:

A) Preparation stage
B) Contemplation stage
C) Maintenance stage
D) Precontemplation stage
E) Termination stage
F) Action stage

Question 11

A client is hospitalised with acute intestinal health problems. According to Maslow's basic needs model, which nursing diagnosis would take the highest priority?

A) Powerlessness related to chronic disease state.
B) Risk for Injury related to unsteady gait.
C) Altered Nutrition, Less than Body Requirements related to inability to absorb nutrients.
D) Self-Care Deficit related to weakness and debilitation.

Question 12

Developmental stage theories are relevant when providing nursing care because:

A) they help the nurse develop professionally.
B) they provide a baseline of predictable behaviours.
C) they provide a baseline for developing health.
D) they provide a theory of basic needs.

Question 13

A client is having difficulty with feelings of self-loathing and disgust after being attacked and raped. According to Maslow's human needs theory, which level is the client struggling with?

A) Self-esteem.
B) Love and belonging.
C) Safety and security.
D) Physiological.

Question 14

Health promotion can be offered to all clients:

A) who desire to have the need for change in their health status.
B) regardless of their health or age.
C) regardless of their health and illness status or age.
D) depending on the need for self-preservation.

Question 15

A nurse educator takes students into the school system and provides developmental testing for kindergarten through third class. The nurse educator and students are providing care at which level of prevention?

A) Community.
B) Primary.
C) Tertiary.
D) Secondary.

Question 16

A community health nurse wants to provide health promotion classes through the local hospital. Which of the following topics might be included in this endeavour?

A) Protection against specific health problems.
B) Stress management.
C) How much to exercise after a stroke.
D) How to exercise correctly.
E) Teaching self-examination.

Question 17

When the nurse is assessing a sick client, environmental factors should be considered because:

A) you shouldn't expose the client to the environment.
B) the self-regulatory function of the body works well.
C) system boundaries affect homeostasis.
D) the body feedback systems will adjust to the environment.

Question 18

The health nurse of a major industrial site is implementing a health promotion activity by conducting regular blood pressure and heart rate checks. This is an example of which type of health promotion program?

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

Question 19

A nurse is practicing the concept of holism to the client. Which of the following is the best example of this?

A) The nurse makes sure to do complete teaching regarding pharmacological interventions.
B) The nurse is able to prioritise the needs of the client assigned according to Maslow's hierarchy.
C) The nurse considers how the loss of a client's job will affect the regulation of the client's diabetes.
D) The nurse is careful to follow physician treatments on schedule.

Question 20

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

Question 22

Match the activity with the relevant cognition.
1. Perceived benefits of action
2. Perceived barriers to action
3. Self-efficacy
4. Activity-related affect
5. Interpersonal influences
6. Situational influences
A. Subjective feelings that occur before, during or after an activity
B. Perception of available options
C. Prior positive experience
D. Perceptions of inconvenience
E. Personal conviction of failure
F. Peer pressure

Question 23

A nurse in charge of an assisted living complex that includes independent living apartments understands the unique needs of individuals of this age group. In planning health promotion strategies, the nurse takes which of the following factors into consideration?

A) Rest and exercise.
B) Adjusting to physiological changes and limitations.
C) Safety promotion and injury prevention.
D) High obesity percentages.

Question 24

A client is progressing steadily in learning how to manage his asthma. In providing teaching, the nurse stresses the importance of using the peak flow metre every morning to help determine changes in respiratory status. The nurse is stressing which of the following behaviours of health promotion?

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

Question 25

A client has received a high score on the Life-change Index. This component would be part of which of the following?

A) Social support systems review.
B) Lifestyle assessment.
C) Health beliefs review.
D) Life stress review.

Question 26

A nurse is delivering a workshop regarding health promotion to a group of antenatal clients. In describing the Australia 2020 Summit, which critical health challenges will the nurse emphasise for this group?

A) Ensuring a healthy start.
B) Eliminating health disparities.
C) Believing that individual health is closely related to community health.
D) Recognising the health needs of the whole person.

Question 27

The nurse is conducting workshops for incoming university students regarding sexually transmitted disease, drug and alcohol abuse, and the use of stimulants among this age group. In this situation, the nurse has assumed which of the following roles?

A) Teacher.
B) Coordinator of services.
C) Facilitator.
D) Advocate.

Question 28

The client is a high school student who is also a single parent. She is attending parenting classes while studying full-time and living in an apartment with her child. The student also meets twice a week with a teen peer group and participates in a nutrition program through the local council. Which of the following NANDA-I taxonomy best describes the client's state of wellness?

A) Readiness for Enhanced Nutrition.
B) Readiness for Enhanced Coping.
C) High Risk for Caregiver Role Strain.
D) Risk for Situational Low Self-esteem.

Question 29

A client has been working hard in rehab following a traumatic brain injury. She has a weak support system in that her family lives a far distance away, she has no children, and her co-workers are not involved. Which of the following behaviour-specific cognitions will the nurse focus on to assist this client with success in the rehab course?

A) Interpersonal influences.
B) Perceived barriers to action.
C) Perceived benefits of action.
D) Situational influences.

Question 30

A client has joined a fitness club and is working with the nurse to design a program for weight reduction and increased muscle tone. The client has tried exercise in the past with success, but has not been participating in a program for some time. In order to assess the potential for success with this client, the nurse should evaluate which of the behaviour-specific cognitions?

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