Deck 27: Health Promotion

Question 1

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.

A) Individual characteristics and experiences
B) Levels of prevention
C) Behavioral outcomes
D) Behavior-specific cognition and affect
E) Commitment to action

Answer 1

Individual characteristics and experiences
Behavioral outcomes
Behavior-specific cognition and affect

Question 2

The nurse conducts a face-to-face counseling session with a client desiring to lose 100 lbs.What should the nurse use to confirm the client's expected behaviors?

A) Contract
B) Strategy map
C) Reinforcement
D) Set appointment

Answer 2

Contract

Question 3

Which is one of the greatest concerns with heavy and chronic use of alcohol in teens and young adults?

A) Liver damage
B) Unintentional death
C) Tobacco use
D) Obesity

Answer 3

Unintentional death

Question 4

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 trait is she demonstrating that is linked to health and healing?

A) Invincibility
B) Hardiness
C) Baseline strength
D) Vulnerability

Question 5

The nurse identifies the diagnosis of Sedentary Lifestyle for a client.Which nursing action should the nurse implement for this client?

A) Evaluate depression or cognitive impairment
B) Provide suggestions for managing energy use
C) Encourage independence in activities of daily living
D) Encourage participation in low-intensity aerobic chair exercise

Question 6

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 behavior?

A) Healthy living
B) Health promotion
C) Wellness behaviors
D) Health protection

Question 7

What does the World Health Organization's definition of the health include? Select all that apply.

A) Absence of disease
B) Physical well-being
C) Mental well-being
D) Social well-being
E) Financial security

Question 8

A client with a BMI of 29 asks what can be done to help in losing weight.What should the nurse recommend to this client?

A) Enjoy food.
B) Eat more whole grains.
C) Eat one meatless meal a week.
D) Replace sugary beverages with diet soda.

Question 9

The nurse identifies the diagnosis of Readiness for Enhanced Health Management for a client recovering from an acute illness.Which NIC intervention should the nurse identify for this client?

A) Health screening
B) Risk identification
C) Program development
D) Surveillance: community

Question 10

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?

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

Question 11

The school nurse at a local elementary school is performing physical fitness assessments on the third-grade children.Which test should the nurse use to assess the students' cardiorespiratory fitness?

A) Step up and down on a 12-inch bench
B) Perform the sit-and-reach test
C) Run a mile without stopping,if they can
D) Perform range-of-motion exercises

Question 12

What is the chief distinction between the levels of prevention in the Leavell and Clark model of health protection?

A) The point in the disease process at which they occur
B) Placement on the Wheel of Wellness
C) The level of activity required to achieve them
D) Placement in the Transtheoretical Model of Change

Question 13

The nurse plans to provide the annual influenza vaccination during the community group meeting scheduled for the first week in October.Which nursing diagnosis is this plan addressing?

A) Sedentary Lifestyle
B) Deficient Community Health
C) Risk for Frail Elderly Syndrome
D) Readiness for Enhanced Health Management

Question 14

Which individuals should receive annual lipid screening?

A) All overweight children
B) All adults aged 20 years and older
C) Persons with total cholesterol greater than 150 mg/dL
D) Persons with HDL less than 40 mg/dL

Question 15

What are health screening activities designed to do?

A) Detect disease at an early stage.
B) Determine treatment options.
C) Assess lifestyle habits.
D) Identify healthcare beliefs.

Question 16

The nurse uses Pender's Health Promotion Model to analyze individuals attending a smoking cessation program.Which is a characteristic of people according to this model?

A) People seek to regulate their own behavior.
B) Health professionals exert influence on people.
C) People are at the mercy of healthcare professionals who plan care.
D) Reconfiguring the environment is needed for behavior change.

Question 17

The nurse uses Pender's Health Promotion Model when creating a teaching session for a group of community members.Which statement focuses on the interpersonal environment?

A) Reflective self-awareness is essential.
B) People seek to create living conditions to express potential.
C) Health professionals influence people throughout the life span.
D) Growth is valued to achieve a balance between change and stability.

Question 18

A patient with morbid obesity who attended four meetings of a weight loss program wants to quit the program because he has already learned what to do.What should the nurse tell him?

A) "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."
B) "Although you have learned some healthy habits,you will need at least another 6 weeks before you can quit the program and have success."
C) "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."
D) "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 19

After completing a health assessment,the nurse determines that a patient is at risk for heart disease.What did the nurse assess to make this clinical determination?

A) Large thighs
B) Low water intake
C) Abdominal obesity
D) Cares for young children

Question 20

The muscle strength of a woman weighing 132 pounds who is able to lift 72 pounds would be recorded as 0.55.How should the nurse explain this measurement to the patient?

A) Ratio of weight lifted divided by body weight
B) Measure of weight pushed divided by body mass index (BMI)
C) Ability of a muscle to perform repeated movements
D) Ability to move a joint through its range of motion

Question 21

Health promotion programs assist a person to advance toward optimal health.Which activity might such programs include? Select all that apply.

A) Disseminating information
B) Changing lifestyle and behavior
C) Prescribing medications to treat underlying disorders
D) Environmental control programs
E) Wellness appraisal programs

Question 22

Which action demonstrates how nurses promote health? Select all that apply.

A) Role modeling
B) Educating patients and families
C) Counseling
D) Providing support
E) Providing direct care

Question 23

Why does the nurse working in an ambulatory care program ask questions about the client's locus of control? Select all that apply.

A) People who feel in charge of their own health are the easiest to motivate toward change.
B) People who feel powerless about preventing illness are least likely to engage in health promotion activities.
C) People who respond to direction from respected authorities often prefer a health promotion program supervised by a health provider.
D) People who feel in charge of their own health are less motivated by health promotion activities.
E) People who feel in charge of their own health demonstrate control,commitment,and challenge.

Question 24

The nurse is implementing a wellness program based on data gathered from a group of low-income seniors living in a housing project and uses the Wheel of Wellness as a model for interventions.Which intervention would be appropriate based on this model? Select all that apply.

A) Creating a weekly discussion group focused on contemporary news
B) Facilitating a relationship between local pastors and residents of subsidized housing
C) Coordinating a senior tutorial program for local children at the housing center
D) Establishing an on-site healthcare clinic operating one day per week
E) Scheduling a financial advisor to discuss planning for retirement

Question 25

Which are goals for Healthy People 2020? Select all that apply.

A) Eliminate health disparities among various groups.
B) Decrease the cost of healthcare related to tobacco use.
C) Increase the quality and years of healthy life.
D) Decrease the number of inpatient days annually.
E) Promote healthy development for people in all stages of life.