Deck 15: Health and Health Promotion

Question 1

The nursing policy analyst explains to a class of nursing students that the consumer wellness movement helped create:

A) a surge in wellness and fitness centers across the nation.
B) market-based competition for customer services.
C) new types of health care insurance.
D) self-care focus in health policies and public health initiatives.

Answer 1

self-care focus in health policies and public health initiatives.

Question 2

A nurse assessing a patient with the role performance model of health in mind would add which question to the nursing assessment as a priority?

A) "Are you able to meet your needs when you are sick?"
B) "How has this illness affected your daily activities?"
C) "How much stress do you have in your life right now?"
D) "When did the symptoms first become bothersome?"

Answer 2

"How has this illness affected your daily activities?"

Question 3

A nurse is frustrated because a patient does not make any needed health changes despite ongoing and comprehensive education on the health-related topic.The best action by the nurse would be to:

A) ask the patient if he or she really wants to make changes.
B) assess for barriers to implementing the knowledge.
C) continue trying to education the patient on the topic.
D) find out whether the patient learns in a different way.

Answer 3

assess for barriers to implementing the knowledge.

Question 4

The nurse explains to a student that health promotion means :

A) encouraging people to avoid unhealthy habits.
B) maintaining a preventive health schedule.
C) preventing major diseases and injuries.
D) protecting health and improving wellness.

Question 5

A nurse has worked to teach patients disease prevention strategies and is frustrated by the low level of compliance.This nurse would most likely conclude that:

A) it is hard to convince people that they can attain higher wellness levels.
B) most people have very low levels of motivation to make changes.
C) patients do not like being told that good health requires deprivation.
D) the information being given is too difficult for patients to follow.

Question 6

A nurse tailors smoking cessation and smoking prevention activities toward teenagers because the nurse knows:

A) adolescents can become "captive audiences" in school programs.
B) smoking as a teenager is a strong predictor of smoking as an adult.
C) teenagers are more amenable to messages about good health habits.
D) the health risks associated with smoking are worse for adolescents.

Question 7

A nurse is working with a patient on an exercise regimen.Which outcome, as written by the nurse, is most likely to encourage compliance with a newly established exercise regimen? The patient will:

A) increase exercise by 10% a week for 10 weeks.
B) participate in an exercise class three times weekly.
C) swim for 30 minutes a day five times a week.
D) walk for 10 minutes a day three times a week.

Question 8

A nurse is beginning discharge teaching when the patient states, "I just don't know if I can follow this diet at home.What difference will it make?" In further refining the discharge teaching plan, the nurse should:

A) ask the patient to help set nutritional goals.
B) give the patient clear written directions.
C) provide the patient with a list of websites.
D) tell the patient when to return to the clinic.

Question 9

The nurse who is interested in the eudaemonistic model of health would likely assess patients regarding their position related to:

A) a broad range of feelings about health.
B) ease of making health care changes.
C) Maslow's level of self-actualization.
D) the importance of health in their lives.

Question 10

A nurse is counseling a patient on disease prevention for a condition seen often in the patient's family history.Which instruction would the nurse be most likely to include in the patient's teaching?

A) "Fresh fruits and vegetables have healthy nutrients."
B) "Sleep deprivation has some very harmful effects."
C) "Stress can be reduced through many different methods."
D) "You should limit red meat to three servings a week."

Question 11

A nurse is helping an obese patient alter dietary habits, but the patient does not seem to follow through with agreed-upon recommendations.Which action by the nurse would be most beneficial?

A) Ask the patient about foods that have special meanings.
B) Describe the health risks of not staying on the regimen.
C) Encourage the patient to keep a food log during the day.
D) Review dietary teaching to see what is not understood.

Question 12

A nurse wishes to encourage a patient to begin an exercise program.Drawing on past research, to increase the likelihood of long-term compliance, the nurse suggests that the patient:

A) create a list of possible long-term health benefits.
B) exercise in the home or around the neighborhood.
C) invest in expensive and durable fitness equipment.
D) join an exercise class at the local fitness center.

Question 13

The word holism was first used in print by:

A) Dorothea Orem.
B) Halbert Dunn.
C) Jan Smuts.
D) Martha Rogers.

Question 14

The idea that health is the absence of disease is a predominant feature of the __________ model of health.

A) adaptive
B) clinical
C) eudaemonistic
D) role performance

Question 15

A nurse explains to a nursing student that an advantage of a broad view of health is:

A) family, friends, culture, and environment are all resources the patient can use.
B) it leaves room for alternative, holistic views about health and health care practices.
C) patients are free to define health and illness according to their own philosophies.
D) the health care team will not inadvertently overlook important issues for the patient.

Question 16

A nurse who is teaching a patient assesses the patient's goals in life.The nurse then explains to a student nurse that this practice is important because:

A) goals can be motivators for making health changes.
B) it helps the nurse become familiar with the patient.
C) social interactions relax the patient and increase trust.
D) this shows whether the person has self-agency or not.

Question 17

A nurse assessing a patient with the adaptive model of health in mind would most likely ask which question as part of an admission database?

A) "Does this illness cause problems in your relationships?"
B) "How have these symptoms interfered with your daily life?"
C) "What impact has this illness had on your usual lifestyle?"
D) "What type of support systems do you have to help you?"

Question 18

A nurse assesses a patient for frequently occurring barriers to implementing behavior changes according to the health belief model.Which question by the nurse will yield the most useful information?

A) "Do you think you know enough to change your diet?"
B) "How much time do you have each week to exercise?"
C) "What other information can I give you about this topic?"
D) "Why haven't you started these healthy behaviors yet?"

Question 19

A faculty member explains to a student that when a person has self-care agency, the person:

A) believes in personal control of his or her life and its consequences.
B) controls his or her own health care practices instead of relying on others for this.
C) has an innate sense of direction and sets goals for the future.
D) thinks he or she is able to accomplish things and is willing to try them.

Question 20

The nursing faculty member explains that dissatisfaction with the power imbalance in health care in part led to:

A) new ethical and professional standards.
B) requirements for patient education.
C) strict regulations on patient consent.
D) the consumer wellness movement.

Question 21

A nurse is explaining a behavioral contract with the patient.Which statement by the nurse is most accurate? "A behavioral contract:

A) lets me decide what rewards I will give you when you meet certain objectives."
B) does not have a specific time frame and continues until I terminate it."
C) eliminates the need to keep records of the behavior we are working on."
D) is planned and evaluated by both of us and concerns a specific goal."

Question 22

Before providing written information or behavioral contracts to a patient, a nurse should ascertain that the patient:

A) can read and understand.
B) has resources for change.
C) is ready to make changes.
D) wants to make changes.

Question 23

A nurse using the health promotion model assesses for the best predictors of behaviors that promote health, including: (Select all that apply.)

A) perceived barriers.
B) perceived benefits.
C) perceived wellness.
D) prior behavior.
E) self-efficacy.

Question 24

The faculty member explains to students that the Healthy People documents: (Select all that apply.)

A) focus on health disparities among Americans.
B) guide the planning of public health programs.
C) have specific, measurable health-related objectives.
D) rate hospitals and physicians based on patient satisfaction.
E) routinely assess peoples' willingness to make healthy changes.

Question 25

When working with patients on changing health-related behaviors, the nurse understands that the first priority is to:

A) assess the patient's knowledge about the behavior.
B) determine how motivated the patient is to change.
C) establish a collaborative relationship with the patient.
D) plan interventions and set goals for behavior change.

Question 26

A nurse is planning a community health assessment event using a tool called a health risk appraisal (HRA).For best results, which other activities should the nurse plan to include in this event? (Select all that apply.)

A) Gym memberships
B) Laboratory testing
C) Physical measurements
D) Support group interaction
E) Tailored education

Question 27

A nurse planning events related to Healthy People 2020 goals would include activities related to: (Select all that apply.)

A) creating screening programs for childhood obesity.
B) developing health literacy programs for adults.
C) implementing classes on cultural competence for nurses.
D) planning smoking prevention classes for middle school children.
E) teaching healthy nutrition and eating to children.

Question 28

A patient who smokes has decided to cut down on the number of cigarettes smoked each day and not to go outside with other smokers during work breaks.The nurse can conclude, according to Prochaska's transtheoretical model of change, that this patient is in the stage of:

A) action.
B) maintenance.
C) precontemplation.
D) preparation.

Question 29

A grant-awarding organization is reviewing a nurse-led program promoting weight loss and healthy eating habits in a minority population.The program has a high success rate.The organization's members might conclude that:

A) members of the cultural group have specific health needs the program helps meet.
B) nurse-run programs have better outcomes than those led by other providers.
C) the nurse sought assistance from cultural leaders to develop the program.
D) this cultural group is well assimilated and uses Western medical practices.

Question 30

A patient needs to make a health-related behavior change, and the nurse using the health beliefs model is working with the perceived severity factor.Which action by the nurse is most appropriate?

A) Assist the patient to identify the benefits associated with the wanted change.
B) Help the patient determine the barriers that prevent changing this behavior.
C) Illustrate some of the consequences of not changing the selected behavior.
D) Inform the patient about the morbidity associated with current behavior.

Question 31

A patient needs to lose weight.The nurse has assessed the patient to be in the contemplation stage of Prochaska's transtheoretical model of change.Which intervention by the nurse would be most appropriate?

A) Give the patient a referral to a dietician for teaching.
B) Help the patient devise a log to record all food eaten.
C) Provide information on the benefits of losing weight.
D) Teach the patient small, simple steps for weight loss.