Deck 9: Introduction to Functional Health Patterns and Health Promotion

Question 1

The primary care pediatric nurse practitioner is counseling an obese 16­year­old
client about weight management. The adolescent says, "I know I need to lose weight, but I don't
want to give up all my favorite foods." When using motivational interviewing techniques, how will the nurse practitioner respond?
A. "Do you think there are any foods you could limit or do without for a while?"
B. "I hear you telling me that you really don't have a desire to lose weight."
C. "If you can't give up these foods, you won't see the benefits of weight loss."
D. "In the long run, the sacrifices you make today will improve your health."

Answer 1

Do you think there are any foods you could limit or do without for a while?"

Question 2

The primary care pediatric nurse practitioner is performing a focused problem
assessment on a child who has asthma and learns that one of the child's parents smokes around the child in spite of being advised against this. The nurse practitioner recognizes this as a possible alteration in which functional health pattern?
A. Cognitive­perceptual
B. Health perception
C. Role­relationship
D. Values­beliefs

Answer 2

Health perception

Question 3

The primary care pediatric nurse practitioner provides patient teaching for
children newly diagnosed with irritable bowel syndrome (IBS). At which stage of development will children be able to understand the link between stress and the symptoms of the disease?
A. Concrete­operational stage
B. Formal­operational stage
C. Pre­conceptual stage
D. Sensorimotor stage

Answer 3

Formal­operational stage

Question 4

The primary care pediatric nurse practitioner sees a 17­year­old client who quit
smoking almost a year prior but who reports having renewed cravings when around friends who smoke. Using knowledge of the maintenance stage of change, the primary care pediatric nurse practitioner will
A. go over with the adolescent about the health risks associated with smoking.
B. recommend avoiding friends who smoke and making new friends.
C. remind the adolescent about the struggles associated with quitting smoking.
D. suggest that the teen consider taking up a sport or other physical activity.

Question 5

The pediatric nurse practitioner provides primary care for a special needs infant
whose parent takes an active role in the infant's care. The parent has a high school diploma and asks many questions about her infant's treatments. Which approach will the nurse practitioner take to ensure health literacy for this parent?
A. Ask the parent to read back all information given.
B. Encourage the parent to ask questions when confused.
C. Provide written materials presented at an 8th grade level.
D. Reinforce written information with verbal instructions.

Question 6

The primary care pediatric nurse practitioner is assessing the health literacy of
the parent of a toddler. Which tool will the nurse practitioner use to estimate reading level?
A. Flesch­Kincaid Readability Test
B. Gunning Fog Index
C. Number of children's books in the home
D. SMOG

Question 7

The primary care pediatric nurse practitioner examines an infant whose weight is
below the 3rd percentile and whose mother does not comply with the feeding regimen. When attempting to enlist the help of the infant's grandmother, the grandmother says, "My daughter was like this when she was a baby and she turned out all right." Which approach will the nurse practitioner take to improve the outcome for this infant?
A. Ask the grandmother about her daughter's health during childhood.
B. Explain that the condition is potentially serious if not treated.
C. Give the grandmother and mother information about normal growth.
D. Refer the family to a social worker to investigate possible neglect.

Question 8

An adolescent who is overweight expresses a desire to lose weight in order to
participate in sports but tells the primary care pediatric nurse practitioner that he doesn't want to give up sweets and soft drinks because he enjoys them too much. Which stage of change does this represent?
A. Action
B. Contemplation
C. Precontemplation
D. Preparation

Question 9

The parent of a newborn has quit smoking cigarettes within the past month and
reports feeling fidgety. Using a "reframing" technique, how will the primary care pediatric nurse practitioner respond?
A. Explore ways that the parent can use this extra energy to do things for the baby.
B. Remind the parent that this is a normal, temporary part of nicotine withdrawal.
C. Suggest that the parent take up exercise to enjoy the benefits of not smoking.
D. Tell the parent that, over time, these symptoms of withdrawal will subside.

Question 10

The primary care pediatric nurse practitioner is counseling an obese adolescent
whose parents both have type 2 diabetes mellitus. Which health behavior prediction model is useful when the nurse practitioner discusses lifestyle changes with this client?
A. Behavioral change model
B. Health belief model
C. Health promotion model
D. Transtheoretical model

Question 11

The primary care pediatric nurse practitioner is working with a 12­year­old female
who has poor diabetes control. The child tells the nurse practitioner that the parent forgets to remind her to check her blood sugars. Which action is correct?
A. Assess the parent's knowledge about diabetes management.
B. Help the child develop a strategy to remember without parental prompts.
C. Refer to a social worker to help the family overcome obstacles to care.
D. Remind the child's parent about the importance of good diabetes control.

Question 12

The primary care pediatric nurse practitioner is counseling a school­age child
about asthma management strategies. The child states that it is "too much trouble" to remember to use an inhaled corticosteroid medication twice daily and reports feeling fine, in spite of exhibiting expiratory wheezes. Which action uses the health belief and self­efficacy model to teach this child about asthma management?
A. Asking the child to try to use the inhaler at least once daily
B. Discussing whether the child wants to participate in athletics
C. Obtaining pre­ and post­treatment spirometry testing
D. Providing written information about inhaled corticosteroids