Deck 16: Health Promotion

Question 1

The health nurse of a busy university campus is implementing a health promotion activity by placing posters about proper hand washing in all of the public restrooms on campus.Which type of health promotion program is the nurse implementing?

A)Environmental control
B)Information dissemination
C)Health risk appraisal and wellness assessment
D)Lifestyle and behavior change

Answer 1

Information dissemination

Question 2

A community health nurse wants to provide health promotion classes through the local hospital.Which topics should the nurse include in this endeavor?
Standard Text: Select all that apply.

A)Time management
B)Healthy eating habits
C)Exercise after stroke
D)Bicycle safety for children
E)Performing self-examination of the breasts

Answer 2

Time management
Healthy eating habits
Bicycle safety for children

Question 3

The nurse educator provides developmental testing for kindergarten through third-grade students.Which level of prevention is the nurse performing?

A)Primary
B)Secondary
C)Tertiary
D)Community

Answer 3

Secondary

Question 4

The nurse is preparing information packets for incoming college students regarding sexually transmitted disease,drug and alcohol abuse,and the use of stimulants among this age group.In this situation,the nurse has assumed which role?

A)Facilitator
B)Advocate
C)Teacher
D)Coordinator of services

Question 5

A client has received a high score on the Life-Change Index.For which part of the client's assessment should the nurse use this information?

A)Life stress review
B)Social support systems review
C)Lifestyle assessment
D)Health beliefs review

Question 6

A client is hospitalized with numerous acute health problems.According to Maslow's basic needs model,which nursing diagnosis should the nurse identify as being the highest priority for this client?

A)Risk for Injury related to unsteady gait
B)Altered Nutrition,Less Than Body Requirements related to inability to absorb nutrients
C)Self-Care Deficit related to weakness and debilitation
D)Powerlessness related to chronic disease state

Question 7

The nurse is providing care within the total care context.What should the nurse consider when using this care approach?

A)The individualism of the client
B)Principles applicable to the client at this moment
C)Principles general to all clients of the same age and condition
D)The person's self-identity

Question 8

A client is having difficulty with feelings of self-loathing and disgust after being attacked and raped.According to Maslow's human needs theory,at which level should the nurse recognize that the client is struggling?

A)Physiological
B)Safety and security
C)Love and belonging
D)Self-esteem

Question 9

The nurse suggests that a client make a list of past experiences that have brought joy,peace,and hope into the client's life.What action is the nurse assisting the client to complete?

A)Lifestyle assessment
B)Social support systems review
C)Health beliefs review
D)Spiritual health assessment

Question 10

Psychologic homeostasis is maintained by a variety of mechanisms.Which client should the nurse identify as being the most likely candidate to obtain psychologic homeostasis?

A)A child who is used to getting ready for school alone
B)A teenager whose circle of friends includes single parents of the same age
C)An elderly person who has just moved to a long-term care facility
D)A young adult who is in a long-term relationship

Question 11

The nurse is practicing the concept of holism with a client.Which action is the nurse most likely making?

A)Considering how the loss of a client's job will affect the regulation of the client's diabetes
B)Making sure to do complete teaching regarding pharmacological interventions
C)Following physician treatments on schedule
D)Prioritizing the needs of the client assigned according to Maslow's hierarchy

Question 12

A client has been working hard in rehabilitation following a traumatic brain injury.She has a weak support system in that her family lives a far distance away and her coworkers are not involved.On which behavior-specific cognitions should the nurse focus to assist this client with success in the rehabilitation program?

A)Situational influences
B)Perceived benefits of action
C)Perceived barriers to action
D)Interpersonal influences

Question 13

A client has joined a fitness club and is working with the nurse to design a program for weight reduction and increased muscle tone.The client has tried exercise in the past with success,but has not been participating in a program for some time.In order to assess the potential for success with this client,the nurse should evaluate which of the behavior-specific cognitions?

A)Interpersonal influences
B)Perceived benefits of action
C)Situational influences
D)Perceived self-efficacy

Question 14

The client is a high school student who is also a single parent.She is attending parenting classes while studying full time and living in an apartment with her child.The student also meets twice a week with a teen peer group and participates in a nutrition program through the county.Which is the most appropriate diagnosis for this client?

A)Risk for Situational Low Self-Esteem
B)High Risk for Caregiver Role Strain
C)Readiness for Enhanced Coping
D)Readiness for Enhanced Nutrition

Question 15

A client with diabetes wants to have better control over her blood sugar levels.She has set a goal that she will have laboratory values that reflect this,and she has been monitoring her blood sugar twice a day for the past month.Along with regular checks,she has kept all appointments with her nutritionist.This client is modeling which stage of health behavior change?

A)Termination stage
B)Maintenance stage
C)Contemplation stage
D)Action stage

Question 16

The nurse is using Kalish's adaptation of Maslow's hierarchy of needs when planning client care.Which client should the nurse identify as exhibiting a level of Kalish's adaptation?

A)Has a homosexual encounter for the first time
B)Has a need to participate in school sports and be "on the team"
C)Strives to become the CEO of a company
D)Is sleep deprived because of musculoskeletal discomfort

Question 17

A client is learning how to manage his asthma.In providing teaching,the nurse stresses the importance of using the peak flow meter every morning to help determine changes in respiratory status.The nurse is stressing which health promotion behavior?

A)Competing preferences
B)Competing demands
C)Situational influences
D)Interpersonal influences

Question 18

A nurse is delivering a workshop regarding health promotion to a group of elderly clients.In describing Healthy People 2010,which goal should the nurse emphasize for this group?

A)Eliminating health disparities
B)Believing that individual health is closely related to community health
C)Increasing quality and years of life
D)Developing partnerships between individual and community health

Question 19

Several nursing students have been discussing the benefits of joining a study group.They realize the importance of applying nursing knowledge to the clinical area and determine that together they may be more effective in retaining this information than if they continued in their individual settings.Which stage of behavior change are they exemplifying?

A)Termination stage
B)Preparation stage
C)Contemplation stage
D)Action stage

Question 20

A client comes to the clinic seeking information regarding smoking cessation classes and ways to improve respiratory function.This client is modeling which behavior?

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

Question 21

The nurse is reviewing information collected while providing client care.Which findings should the nurse identify as being a homeostatic mechanism?
Standard Text: Select all that apply.

A)The client's heart rate increases when walking up a flight of stairs.
B)The client shivers when core body temperature drops.
C)A child's bone growth occurs in spurts.
D)Decreased secretion of insulin occurs when food is not ingested.
E)Lactation occurs in a pregnant woman.

Question 22

A nurse is working with various cultures while implementing health promotion activities for the community center.Bringing the minister of the church into the planning stage of these activities would be sensitive to which cultural groups?

A)Latino American
B)Asian American
C)Native American
D)African American

Question 23

During a home visit,the nurse is planning to complete a physical fitness assessment of a client.What should the nurse include in this assessment?
Standard Text: Select all that apply.

A)Flexibility
B)Range of motion
C)Body composition
D)Muscle endurance
E)Cardiorespiratory endurance

Question 24

The nurse is structuring activities that take a client's developmental stage into consideration.Which activities should the nurse include?
Standard Text: Select all that apply.

A)Implementing seizure precautions
B)Creating a schedule for daily wound care
C)Monitoring intake,output,and daily weights
D)Preparing newborn care classes for new parents
E)Scheduling instruction sessions on self-administration of insulin

Question 25

The nurse is an advocate for health promotion activities.Which nursing actions demonstrate this nurse's advocacy?
Standard Text: Select all that apply.

A)Participating in a community-focused 5-mile run.
B)Attending the local high school's football games.
C)Providing an educational program to senior citizens on blood pressure-control strategies.
D)Attending a community meeting that is promoting the creating of a walking path in the city park.
E)Encouraging an anxious client to practice relaxation techniques.

Question 26

The nurse is reviewing the characteristics of homeostatic mechanisms prior to assessing a client.Which characteristics should the nurse keep in mind during this assessment?
Standard Text: Select all that apply.

A)They are self-regulating.
B)They are compensatory.
C)They are regulated by negative feedback systems.
D)They can require several feedback mechanisms to correct only one physiologic imbalance.
E)They are related to a closed system.

Question 27

A client has had a severe brain injury and has been in a rehabilitation hospital for several months.Recently,the client developed pneumonia and is currently on intravenous antibiotic therapy.Which level of prevention should the nurse use to address the health problem of pneumonia?

A)Primary
B)Secondary
C)Tertiary
D)Acute

Question 28

A nurse in charge of an assisted living complex that includes independent living apartments understands the unique needs of individuals of this age group.When planning health promotion strategies,what factor should the nurse take into consideration?

A)Rest and exercise
B)Adjusting to physiologic changes and limitations
C)High obesity percentages
D)Safety promotion and injury prevention