Question 1

A client who has been considering smoking cessation says &#34;I've already quit.I haven't had a cigarette for 6 weeks.&#34; According to Prochaska and DiClemente,in which stage of change is this client?&#10;A)Preparation&#10;B)Precontemplation&#10;C)Action&#10;D)Contemplation&#10;

Accepted Answer

The client has already taken action by quitting smoking for 6 weeks, which means they are in the action stage of change according to Prochaska and DiClemente's Stages of Change model.

Question 2

What is a goal of Healthy People 2020?&#10;A)Elimination of health disparities.&#10;B)Improvement of personal sense of well-being.&#10;C)Identifying differences between health promotion and health protection.&#10;D)Increasing people's involvement in health-promotion activities.&#10;

Accepted Answer

One of the main goals of Healthy People 2020 is to eliminate health disparities, or differences in health outcomes among different groups of people. This includes disparities based on race, ethnicity, socioeconomic status, and other factors.

Question 3

A nurse has accepted a job position in a clinic whose focus is on health care during pregnancy and infancy.Which type of health organization does this represent?&#10;A)Health protection&#10;B)Health restoration&#10;C)Preventive health services&#10;D)Health promotion&#10;

Accepted Answer

Preventive health services focus on promoting health and preventing illness or complications. The clinic's focus on pregnancy and infancy aligns with the goals of preventive health services, as it aims to promote the health of both the mother and child during this critical time. Health protection and health restoration are more focused on addressing health issues that have already arisen, while health promotion may include a wider range of health topics beyond just pregnancy and infancy.

Question 4

A client asks the nurse about a new treatment for Alzheimer disease that the client found during a search of the Internet.The treatment is based upon alternative medicine strategies.How should the nurse respond to questions about this treatment?

A)Since the treatment was discovered on the Internet,it is probably not valid.
B)Because the treatment is based upon alternative medicine strategies,it is probably not valid.
C)The treatment must be researched and found to be valid before it can be added to the Internet.
D)The treatment may be valid,but further investigation should be done before it is trusted.

Accepted Answer

The nurse should not dismiss the treatment outright without further investigation. However, it is important to emphasize the need for additional research and to caution against blindly trusting information found on the Internet.

Question 5

What is the primary role in which the nurse works when leading a health-promotion group?&#10;A)Provider of care&#10;B)Manager of care&#10;C)Facilitator of the process&#10;D)Member of the discipline of nursing&#10;

Accepted Answer

When leading a health-promotion group, the primary role of the nurse is to facilitate the process, which includes planning, organizing, and directing activities that promote health and prevent disease. The nurse also encourages active participation and collaboration among group members and provides guidance and support as needed. While the nurse may also provide care, manage care, and work as a member of the discipline of nursing, these roles are secondary to their primary role as a facilitator of the group process.

Question 6

During a health visit a client who has been reviewing smoking cessation material states "I've already cut back from a pack a day to half a pack." According to Prochaska and DiClemente,in which stage of change is this client?

A)Preparation
B)Precontemplation
C)Action
D)Contemplation

Accepted Answer

The client is in the Preparation stage of change according to Prochaska and DiClemente's model. This stage is characterized by individuals intending to take action in the immediate future and starting to make small changes, like reducing the amount of cigarettes smoked, as a way to prepare for a larger change.

Question 7

The client has a strong belief that he can successfully change his eating and exercise pattern in order to lose weight.Using Pender's Health-Promotion Model,how would the nurse document this belief?&#10;A)As a positive activity-related affect.&#10;B)As a perceived barrier to action.&#10;C)As positive self-efficacy.&#10;D)As good interpersonal influence.&#10;

Accepted Answer

Positive self-efficacy refers to an individual's belief that they can successfully take action to achieve a desired behavior change. This aligns with the client's strong belief that they can successfully change their behaviors to lose weight.

Question 8

What is the outcome of a work-site health-promotion program for the company offering these classes to employees?&#10;A)There is no benefit documented.&#10;B)Employees report feeling coerced to attend.&#10;C)Morale among employees often increases.&#10;D)Absenteeism increases during classes.&#10;

Accepted Answer

A work-site health-promotion program has been shown to improve employee morale by making them feel valued and taken care of by the company. This can lead to increased job satisfaction and productivity. There is also potential for decreased healthcare costs and absenteeism in the long run. Coercion should be avoided in any program, but employee participation is generally voluntary.

Question 9

What is a mission of Healthy People 2020?&#10;A)Encourage all people to change behavior.&#10;B)Identify nationwide health improvement priorities.&#10;C)Increase the number of health-related research studies.&#10;D)Increase the number of healthcare professionals.&#10;

Accepted Answer

The mission of Healthy People 2020 is to identify nationwide health improvement priorities in order to improve public health outcomes. While encouraging behavior change, increasing health-related research studies, and increasing the number of healthcare professionals are important aspects of promoting public health, they are not the primary mission of Healthy People 2020.

Question 10

What is the purpose of a risk appraisal program?&#10;A)To inform the public about the risks of particular lifestyle choices.&#10;B)To improve the quality of risky environmental situations.&#10;C)To enhance the quality of life and extend the life span.&#10;D)To apprise individuals of the risk factors that are inherent in their lives.&#10;

Accepted Answer

The purpose of a risk appraisal program is to apprise individuals of the risk factors that are inherent in their lives. It is designed to identify potential health risks and provide information to help individuals make informed decisions about their health behaviors. It can also be used to create personalized interventions and develop strategies for risk reduction.

Question 11

What do the leading health indicators developed as a part of Healthy People 2020 have in common?&#10;A)They are all focused on young people.&#10;B)They all can be measured by objective data.&#10;C)They are passive and do not require client motivation.&#10;D)They eliminate health disparities.&#10;

Accepted Answer

The answer of What do the leading health indicators developed...

Question 12

The government has authorized a series of influenza immunization clinics that will be provided free of cost to citizens.Which type of health organization does this represent?&#10;A)Health protection&#10;B)Health restoration&#10;C)Preventive health services&#10;D)Health promotion&#10;

Accepted Answer

The answer of The government has authorized a series of...

Question 13

A small school district cannot afford to employ registered nurses at each of its individual school campuses.Can this school offer health-promotion activities?&#10;A)No;there must be a healthcare professional present for these activities.&#10;B)It can only do so if the district employs a nurse consultant to plan the curriculum.&#10;C)It can only do so if the district has access to preprinted curriculum approved by the state.&#10;D)Yes;many professionals such as teachers can teach health-related topics.&#10;

Accepted Answer

The answer of A small school district cannot afford to...

Question 14

The nurse is involved in an organization whose goal is to help children make the decision not use tobacco.Which type of health organization does this represent?&#10;A)Health protection&#10;B)Health restoration&#10;C)Preventive health services&#10;D)Health promotion&#10;

Accepted Answer

The answer of The nurse is involved in an organization...

Question 15

Which level of prevention as defined by Leavell and Clark most closely reflects health promotion?&#10;A)Primary&#10;B)Secondary&#10;C)Tertiary&#10;D)None of the levels is related to health promotion&#10;

Accepted Answer

The answer of Which level of prevention as defined by...

Question 16

After being provided with smoking cessation information the client responds,"I'm not interested.I enjoy smoking and don't want to quit." According to Prochaska and DiClemente,in which stage of change is this client?

A)Preparation
B)Precontemplation
C)Action
D)Contemplation

Accepted Answer

The answer of After being provided with smoking cessation information...

Question 17

A client tells the nurse that a group of friends have all decided to stop smoking.The group has planned a party at which they will each smoke their last cigarette.According to Pender's model,how does the nurse interpret this information?

A)This group's plan sounds too frivolous to be successful.
B)Group actions generally are not as successful as individual efforts.
C)This party demonstrates a plan of action and is positive.
D)There is no connection between successful outcomes and planning.

Accepted Answer

The answer of A client tells the nurse that a...

Question 18

After receiving information about smoking cessation the client responds,&#34;OK.I've been thinking about quitting.&#34; According to Prochaska and DiClemente,in which stage of change is this client?&#10;A)Preparation&#10;B)Precontemplation&#10;C)Action&#10;D)Contemplation&#10;

Accepted Answer

The answer of After receiving information about smoking cessation the...

Question 19

According to Pender,Murdaugh,and Parsons,what is the definition of health promotion?&#10;A)Behavior designed to avoid illness.&#10;B)Behavior to increase early detection.&#10;C)Behavior to help maintain function within constraints of illness.&#10;D)Behavior motivated by a desire to increase well-being.&#10;

Accepted Answer

The answer of According to Pender,Murdaugh,and Parsons,what is the definition...

Question 20

The nurse working to promote a client's health identifies that the client did not finish high school.Using Pender's Health-Promotion Model,the nurse classifies this information as which personal factor?

A)Biologic
B)Psychologic
C)Sociocultural
D)Affect

Accepted Answer

The answer of The nurse working to promote a client's...

Question 21

The nurse is reviewing data within a client's medical record:
Current Problem: Right hip pain
Explaining Factors: "It started when I rode the stationary bike at home.It's that bike's fault I have pain now and I'm not going to do any exercise anymore."
Efforts take to relieve pain: "I take over-the-counter pills,but I figure if I'm supposed to get over this I will.Something will come up that will help with the pain."
Based upon this information,which health belief model should the nurse identify that the client follows?

A)Internal locus of control
B)External local of control
C)Rosenstock's health belief model
D)Pender's health promotion model

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Accepted Answer

The answer of The nurse is reviewing data within a...

Question 22

A client comes into the community clinic for a wellness check-up.During the interview the nurse collects the following information:
Reason for visit: "Just wanted to get a quick check-up.I know I'm not sick and will not get anything serious.And even if I do,what can be done? You people will tell me to take some pills,change my diet,get more exercise … the list goes on and on and why? If I'm meant to live long I will and if I'm meant to die early,then I will do that too."
Which health belief model should the nurse consider as the guiding principle for this client?

A)Internal locus of control
B)Neuman systems model
C)Rosenstock's health belief model
D)Pender's health promotion model

Accepted Answer

The answer of A client comes into the community clinic...

Question 23

Which model does the nurse employ while working in the role of health promoter?&#10;A)Nursing process&#10;B)Medical model&#10;C)Scientific method&#10;D)Problem-solving model&#10;

Accepted Answer

The answer of Which model does the nurse employ while...

Question 24

The nurse has been asked to provide a health-promotion session for a group of preschool children.Can the nurse work in this capacity?&#10;A)No;health-promotion activities are limited to individual sessions.&#10;B)The nurse may do so only if there is a medical order for the session.&#10;C)No;health promotion is effective only with adult clients.&#10;D)Yes;the nurse can work with groups or individuals of all ages.&#10;

Accepted Answer

The answer of The nurse has been asked to provide...

Deck 7: The Nurse As Health Promoter and Care Provider