Deck 15: Patient Education and Health Promotion

Question 1

A home health nurse tells a client, "I am very proud of you. You gave your first insulin injection without a problem. You have done wonderfully and are learning fast." What technique is the nurse using to compliment the client's progress?

A) Reinforcement
B) Motivation
C) Health promotion
D) Positive feedback

Answer 1

Positive feedback

Question 2

The nurse has educated the client on the pathophysiology of osteoarthritis and degenerative joint disease. This is an example of what learning theory?

A) Adaptive learning theory
B) Behavioral learning theory
C) Cognitive learning theory
D) Developmental learning theory

Answer 2

Cognitive learning theory

Question 3

Which learning domain is the focus for instruction when the nurse educates a new mother about the breast and its role in milk production for feeding the newborn?

A) Affective
B) Psychomotor
C) Cognitive
D) Behavioral

Answer 3

Cognitive

Question 4

A client states to the nurse, "I understand that I need a mastectomy for the treatment of my breast cancer, but I am fearful of learning about the drains I will need to empty." This is an example of what kind of learning?

A) Affective learning
B) Psychomotor learning
C) Cognitive learning
D) Behavioral learning

Question 5

A client shares with the nurse how much she appreciates understanding the physiology of her breastfeeding. She states, "I felt very comfortable with what you explained to me and I feel I will be successful at breastfeeding." In affective learning, this represents:

A) creating an educational opportunity for the future.
B) creating an atmosphere for discussion of feelings.
C) creating specific learning sessions for new information.
D) creating rational thought and learning.

Question 6

A nurse assisting a new mother in the act of breastfeeding is represented by which form of learning?

A) Affective
B) Psychomotor
C) Cognitive
D) Simplistic

Question 7

When establishing a teaching-learning relationship with a client, it is most important for the nurse to remember that effective learning can best be achieved through which concept?

A) The nurse is the expert in the teaching-learning environment.
B) The nurse must be able to handle criticism during the process.
C) The client and the nurse are equal participants.
D) Assimilation and application of psychomotor concepts is essential.

Question 8

Educating women on diet and exercise is an example of what type of client education?

A) Health promotion
B) Disease prevention
C) Health protection
D) Health restoration

Question 9

When the nurse instructs a client about breast self-examination, the primary purpose of the client education is:

A) promotion of self-efficacy and body image.
B) restoration of function.
C) illness prevention.
D) promotion of coping.

Question 10

A home health nurse is visiting a 40-year-old client who has had abdominal surgery. The client is unable to change dressing because of obesity. The nurse is to instruct the client's spouse on the sterile dressing technique. During the visit, the nurse notes that the spouse has limited abilities due to mental disabilities. To determine the spouse's literacy, assessment of which area for the spouse would be appropriate?

A) Motivation to provide care
B) Educational records
C) Manner of speech
D) Reading with WRAT

Question 11

When the newly diagnosed client with type 1 diabetes tells the nurse that the client has never received instruction on the administration of injections, an appropriately stated nursing diagnosis for the client is:

A) self-care deficit related to lack of knowledge about injections
B) knowledge deficit related to lack of knowledge about injections
C) deficient knowledge of injection administration as verbalized by the client, related to the lack of instruction and experience
D) ineffective healthcare maintenance related to diabetic instructions

Question 12

What is the most appropriate teaching strategy for the nurse to use for a 1-hour presentation on the prevention of osteoporosis to a group of 30 college-age women?

A) Role play
B) Lecture/discussion
C) Demonstration
D) Test taking

Question 13

Which guideline is most important for the nurse to keep in mind when planning to teach an exercise class to a group of older adults?

A) Allow ample time for psychomotor skills.
B) Keep the session at 2 to 3 hours.
C) Allow for long-term memory loss.
D) Provide information in a structured format.

Question 14

The School of Health Sciences, campus health center, and acute care facility establish a wellness center for the uninsured. This is an example of:

A) cost containment.
B) illness care.
C) community partnership.
D) mobilized healthcare.

Question 15

Which health promotion activity would be the most appropriate to suggest to a 20-year-old female?

A) Aerobic exercise three times per week
B) Yearly breast mammography
C) Weekly blood pressure screening
D) Intake of a diet high in fat

Question 16

The nurse is instructing about illness prevention when the nurse tells new mothers to be certain that their newborns are:

A) given massages.
B) mentally stimulated.
C) positioned prone for sleep.
D) immunized on schedule.

Question 17

The local health department inspects restaurants and food manufacturing facilities. This is an example of:

A) health protection.
B) health promotion.
C) illness prevention.
D) pest surveillance.

Question 18

A primary health maintenance concern for adolescents is:

A) adequate rest.
B) alcohol abstinence.
C) exercise regimen.
D) job safety.

Question 19

An appropriate topic on secondary prevention and health maintenance for a group of middle-age adults is:

A) medical checkups.
B) prenatal checkups.
C) pregnancy prevention.
D) medication safety.

Question 20

A woman is admitted to the medical division with pelvic inflammatory disease. Which statement would indicate that she requires more education on health promotion and illness prevention?

A) "My sexual partner is at risk for infection when I have an infection."
B) "The number of sexual partners increases my risk for infection."
C) "Unprotected sexual intercourse increases my risk for infection."
D) "Sexual relationships have no effect on the infections I get."

Question 21

An older adult client is receiving Medicare benefits only and the source of income is Social Security. The client has limited literacy skills and no family support. What is the major issue that puts the client at risk for an alteration in health maintenance?

A) Unpleasant past experience
B) Family values
C) Lack of motivation
D) Knowledge deficit

Question 22

Which client would be the best candidate for a nurse to use motivational interviewing?

A) A 38-year-old male training to walk a half-marathon
B) A 44-year-old female who brought a food log to weight loss counseling
C) A 66-year-old male who is showing improvement in range of motion
D) A 28-year-old female with elevated blood glucose for 8 months

Question 23

The nurse is using Teach-Back to evaluate the client's understanding of new information given during discharge. Which statement indicates the use of this technique?

A) "Will you promise to read these instructions when you go home?"
B) "Is someone able to review the instructions with you?"
C) "Please repeat to me the different signs and symptoms of stroke."
D) "Use the instructions on this paper to clean your wounds at home."