Question 1

Why should health promotion be a focus when caring for people with disabilities?&#10;A) To reduce the cost of health care&#10;B) To help people with disabilities learn ways to care for themselves&#10;C) To help people with disabilities because they experience disparities in almost all areas of health and health care&#10;D) Because health promotion activities help people with disabilities feel accepted

Accepted Answer

People with disabilities experience disparities in almost all areas of health and health care. Thus, appropriate and tailored health promotion practices become especially important. Focusing on health promotion when caring for people with disabilities is not done to reduce the cost of health care, to teach self-care, or help people with disabilities feel accepted.

Question 2

Which of the following is a strategy for health promotion that is identified in the Ottawa Charter on Health Promotion?&#10;A) Create supportive environments&#10;B) Encourage the use of vaccinations&#10;C) Reduce the need for health services&#10;D) Improve access to health-care facilities

Accepted Answer

The Ottawa Charter on Health Promotion identified five major strategies: building healthy public policy, creating supportive environments, strengthening community action, developing personal skills, and reorienting health services. The use of vaccinations, reducing the need for health services, and improving access to health-care facilities are not strategies for health promotion as identified in the Ottawa Charter.

Question 3

Which of the following is a potential issue when focusing on the goal of health promotion for people with disabilities?&#10;A) What works for one disabling condition might not work for another.&#10;B) People with disabilities might not be interested in health promotion actions.&#10;C) The cost of care for people with disabilities will be higher when health promotion is added.&#10;D) Few health-care providers are interested in health promotion for people with disabilities.

Accepted Answer

The steps needed to accomplish an accessible and healthier society make health promotion for people with disabilities a clear goal. The process is formidable, and what works to improve health promotion for one type of disabling condition might not work for another. There is no reason for people with disabilities not to be interested in health promotion actions. There is no evidence that health promotion activities for people with disabilities will cost more. There is no evidence that few health-care providers are interested in health promotion for people with disabilities.

Question 4

Which of the following health problems has been identified and studied as a disability?&#10;A) Gastritis&#10;B) Appendicitis&#10;C) Bladder incontinence&#10;D) Sedentary older adults

Accepted Answer

For some research studies, disabilities have been divided into five categories to include chronic condition, intellectual disabilities, sedentary older adults, mental disorders, and cancer. Gastritis and appendicitis are acute health problems. Bladder incontinence is not categorized as a disability.

Question 5

After researching health promotion studies, which of the following approaches would a nurse consider using for health promotion targeting a group of patients with disabilities in the United States?&#10;A) Videos&#10;B) Printed material&#10;C) Telephone coaching&#10;D) Physical activity programs

Accepted Answer

Health promotion interventions in the U.S. studies included health promotion classes, physical activity programs, and the use of support systems. Germany used telephone coaching as a health promotion intervention. Videos and printed materials were not identified as being used for health promotion in any country that was studied.

Question 6

Which aspect of health is aligned with universal design approaches?&#10;A) Primary care&#10;B) Tertiary care&#10;C) Health literacy&#10;D) Secondary care

Accepted Answer

Applying universal design approaches to health promotion instruction aligns with health literacy initiatives to provide all individuals with easily accessible, easy-to-navigate, and easy-to-comprehend basic health information and services to make appropriate health-care decisions. Health literacy is a predictor of health outcomes in the general population, and it is likely that lack of accessible knowledge has an impact on health behavior risks, knowledge of disease self-management, use of preventive services, health-care costs, and rates of hospitalization and mortality for individuals with disabilities. Primary, secondary, and tertiary care are not identified as being aligned with universal design approaches.

Question 7

Which of the following statements would a nurse make when asked to explain universal design for instruction?&#10;A) &#34;It really is a one-size-fits-all approach to learning.&#34;&#10;B) &#34;It focuses on cognitive application when learning.&#34;&#10;C) &#34;It makes it easier to navigate a learning environment.&#34;&#10;D) &#34;It focuses on strategies that benefit all learners, including those with disabilities.&#34;

Accepted Answer

Universal design for instruction (UDI) is a framework specifically for teaching methods. This pedagogical approach consists of the proactive design and use of inclusive instructional strategies that benefit a broad range of learners, including students with disabilities. It is not a one-size-fits-all approach to learning. It is a holistic and accessible solution to prepare and provide information in a learner-ready format. It does not specifically address the ease of navigating a learning environment.

Question 8

Which of the following is a characteristic of universal design for instruction?&#10;A) It minimizes unnecessary barriers.&#10;B) It enhances the ability to accommodate the curriculum.&#10;C) It may compromise curriculum objectives and measurements.&#10;D) It takes into consideration the legal mandate of accessible physical environments.

Accepted Answer

The universal design concept minimizes unnecessary barriers and reduces the need to accommodate or retrofit curriculums. It does not compromise curriculum objectives and measurements. It goes beyond the legal mandate of accessible physical environments.

Question 9

Why has providing health promotion interventions been avoided when caring for people with disabilities?&#10;A) Because of poorly written educational materials&#10;B) Because health-care professionals have not been adequately prepared&#10;C) Because videos do not show the application to people with disabilities&#10;D) Because of excessive cost to prepare and provide interventions to this population

Accepted Answer

Because they lack professional development training, inadequately prepared health-care professionals was the reason cited most often as a barrier to care and preventive health and health promotion services for individuals with disabilities. Health promotion has not been avoided in people with disabilities because of the quality of written materials, videos that do not demonstrate the application to people with disabilities, or the cost to prepare and provide interventions to this population.

Question 10

Which of the following organization Web sites would a nurse access to learn more information about universal design for instruction?&#10;A) Health.gov&#10;B) World Health Organization&#10;C) National Institutes for Health&#10;D) National Service Inclusion Project

Accepted Answer

One resource for universal design for instruction is the National Service Inclusion Project Web site. Health.gov is not a Web site for universal design. The World Health Organization and National Institutes for Health may have participated in relevant studies, but their Web sites do not specifically identify information about universal design for instruction.

Deck 18: Health Promotion for Individuals With Disabilities