Deck 3: Wellness and Health Promotion

Question 1

The nurse is discharging a client who was hospitalized for a cerebral vascular accident (CVA). The client will be cared for at home by family members. Which statement made by the family indicates understanding of the client's primary prevention needs after discharge?

A) "She will need instruction on using her walker."
B) "She will need to have her flu shot this year."
C) "She must take her blood pressure medications regularly."
D) "She needs to have her cholesterol checked every 2 months."

Answer 1

"She will need to have her flu shot this year."

Question 2

The nurse is planning a presentation to a group of middle-school students regarding health promotion and wellness. Which concepts will the nurse plan to include in the presentation?

A) Individuals are more knowledgeable in today's society in regard to health care issues.
B) Consumers of health care in today's society demonstrate less decision-making capabilities concerning their health care than in the past.
C) The focus of Healthy People 2020 is on the early treatment of disease and pathologic conditions.
D) The roles of health care providers in today's society have expanded.
E) Individuals, in general, are proactive regarding health care practices and desire care that promotes health and prevents disease.

Answer 2

Individuals are more knowledgeable in today's society in regard to health care issues.
The roles of health care providers in today's society have expanded.
Individuals, in general, are proactive regarding health care practices and desire care that promotes health and prevents disease.

Question 3

A nurse teaching a smoking cessation class includes the following statements in the presentation: "Everyone here tonight has the ability to control the urge to smoke. You are all rational people who understand that smoking is the cause of many significant health problems, and that it is a voluntary event that you are going to learn to do without. Regardless of your motivation, you will get help here to understand your triggers to smoke, and how to control them." Which theory or model is the nurse using to promote smoking cessation?

A) The Self-Efficacy Model.
B) The Theory of Reasoned Action.
C) The Health Promotion Model.
D) The Health Belief Model.

Answer 3

The Theory of Reasoned Action.

Question 4

The nurse is planning a weight reduction class and wants to use the Health Belief Model to motivate the clients in losing weight. Which are mediating factors in the Health Belief Model?

A) Likelihood of the individuals developing complications from being overweight.
B) The clients' perception of the severity of an illness that could develop from being overweight.
C) The cost of the class that will be the client's responsibility.
D) The amount of time commitment for the individuals taking the class.
E) The religion of the clients who will be taking the class.

Question 5

The school nurse is working with several adolescents during gym class. Which adolescent is meeting the age-appropriate recommendations for physical activity developed by the Centers for Disease Control (CDC)?

A) A 17 year old who runs at a fast pace for 30 minutes five times per week and practices yoga for 30 minutes two times per week.
B) A 16 year old who swims for 60 minutes 5 times per week and jogs for 60 minutes the other 2 days per week.
C) A 15 year old who lifts moderately heavy weights 15 minutes three times per week.
D) A 13 year old who speed-walks 60 minutes five times per week.

Question 6

A couple seeks genetic counseling as both have a positive family history of sickle cell anemia, and are concerned about the potential of having a child with this disease. Which statement indicates that the couple wishes to participate in primary prevention?

A) "We need to both be treated for sickle cell anemia before we can have a baby."
B) "We will have blood tests to determine if we are carriers."
C) "We need to see a genetics counselor to discuss the potential for having a child with sickle cell disease."
D) "Neither one of us has sickle cell disease, so any baby we have will be safe from the disease as well."

Question 7

The school nurse is working with several school-aged children in health class. Which child is meeting age-appropriate recommendations for physical activity developed by the Centers for Disease Control (CDC)?

A) A 12-year-old who plays soccer 4 days per week at the neighborhood playground and 3 days per week for a soccer team.
B) A 10-year-old who runs wind sprints for 15 minutes for PE class 1 day per week.
C) An 8-year-old who plays on the monkey bars at both 30-minute recess periods three times per week.
D) A 9-year-old who plays kickball at one 20-minute recess daily five times per week and plays basketball for a team 2 days per week.

Question 8

A client who has recently experienced a fracture is concerned about maintaining muscle strength during recuperation. Which type of exercise will the nurse recommend for this client?

A) Isometric exercise.
B) Isotonic exercise.
C) Resistive exercise.
D) Anaerobic exercise.

Question 9

The nurse is preparing a seminar presentation regarding causes of death in the United States. Which cause of death with the nurse include as being responsible for more deaths in the United States than all of the others combined?

A) HIV and AIDS.
B) Cigarette smoking.
C) Automobile crashes.
D) Drug abuse.

Question 10

A nursing student is preparing an educational program concerning breast cancer. The focus of the program is secondary prevention. Which topic would be most appropriate?

A) A dietary discussion concerning the connection between breast cancer and dietary intake.
B) Techniques for performing self-breast examination.
C) Radical mastectomy.
D) Chemotherapy and radiation treatments.

Question 11

A staff nurse is participating on a committee examining ways to most effectively meet the goals of Healthy People 2020. Which client would be the nurse's highest priority based on the goals of Healthy People 2020?

A) An adolescent female with her first pregnancy.
B) A diabetic client who maintains optimal visual intactness.
C) An IV drug abuser who converts to methadone use.
D) Several obese school-age children.

Question 12

During a routine pediatric health maintenance appointment, the parents of a newborn report being concerned their baby is sleeping too much. The nursing assessment reveals the newborn sleeps 16 hours each day. Which response by the nurse is the most appropriate?

A) "The recommendation for a newborn is 16 to 18 hours of sleep per day."
B) "Your newborn is sleeping too much."
C) "Do not allow your newborn to nap as often."
D) "I would recommend putting your baby to sleep later in the evening."

Question 13

The client who reports having difficulty sleeping at night asks the nurse for suggestions to enhance getting a good night's sleep. Which recommendations may be beneficial to this client?

A) Performing 30 minutes of exercise prior to going bedtime.
B) Setting a regular bedtime.
C) Establishing a relaxation routine at bedtime.
D) Avoiding alcohol.
E) Watching television to assist in falling asleep.

Question 14

The Health Promotion Model is being used by a nurse to analyze the potential impact of the importance of regular exercise. According to the model, which participant is most likely to initiate and consistently participate in a successful program of exercise after attending the session?

A) An overweight female who has never participated in an exercise program.
B) A 30-year-old male who admits frequently joining and quitting exercise groups.
C) A teenaged male who has low self-esteem.
D) A 24-year-old female who reports she is anxious to begin exercising with her husband.

Question 15

The client inquires about isotonic exercises that will increase muscle tone. Which activities will the nurse recommend to the client?

A) Running.
B) Weight lifting.
C) Walking.
D) Pushing against a wall.
E) Cycling.

Question 16

The nurse is working with several clients in a fitness setting. Which client is meeting the age-appropriate recommendations for physical activity developed by the Centers for Disease Control (CDC)?

A) A 37-year-old who lifts weights for one hour twice per week.
B) A 42-year-old who walks at a slow pace for 60 minutes 4 days per week.
C) A 45-year-old who walks briskly for 30 minutes 6 days per week.
D) A 57-year-old who swims for 20 minutes twice per week.

Question 17

The nurse is interviewing a client who has experienced a 15-pound weight gain during the last year. The nurse obtains a 24-hour dietary recall, as well as determining the client's exercise habits and feelings regarding plans to take off the excess weight. Which type of approach is the nurse using to enhance the client's health?

A) Psychosocial perspective.
B) Illness perspective.
C) Physiologic perspective.
D) Wellness perspective.

Question 18

The nurse is planning an exercise class for a group of young adults. When promoting the benefits of regular exercise, which topics will the nurse include?

A) Reducing risk of cardiovascular disease.
B) Reducing risk of skin cancer.
C) Reducing risk of colon cancer.
D) Reducing risk of renal disease.
E) Reduced risk of hypertension.

Question 19

The nurse held a smoking cessation class prior to the upcoming Great American Smokeout, hoping to motivate many individuals to stop smoking by promoting self-efficacy. Which statement made by a participant indicates the highest level of positive self-efficacy according to the Health Belief Model?

A) "I think this time will be different."
B) "I am going to do the best that I can, so that I won't get lung cancer."
C) "I am afraid of getting lung cancer like my father."
D) "I know that this time I will quit smoking permanently."

Question 20

During a routine health examination, a client reports concern about her potential for the development of heart disease. During the assessment, the nurse reviews the client's risk factors. Which of the client's risk factors are considered modifiable?

A) Age, heredity, and weight.
B) Family history, self-history of diabetes mellitus type 1, and age
C) Weight, dietary intake, and environmental risks.
D) Biological characteristics, lifestyle factors, and family history.

Question 21

The nurse is working with an older adult client who has osteoarthritis that affects the mobility of both hips. In developing a plan of care, the nurse must consider the recommended levels of physical activity according to the Center for Disease Control (CDC). Which goal is the most appropriate for this client?

A) The client will bicycle at 10 mph for 1 hour or more every day.
B) The client will jog for 15 minutes per day 5 days per week.
C) The client will walk at least 5 mph for 15 minutes per day.
D) The client will swim for 15 minutes per day 5 days per week.

Question 22

The parents of a 7-month-old infant, being seen at the clinic for the administration of a hepatitis B vaccine, ask if their baby can also be given a vaccine to prevent the chickenpox during this visit. Which response by the nurse is the most appropriate?

A) "It will be less stressful to administer both shots during this visit."
B) "The additional injection will make your child run a fever."
C) "You really should wait and come back next month for this immunization."
D) "This immunization is not offered until after the age of 12 months."

Question 23

The nurse is counseling an adult client who has been instructed by the healthcare provider to have a mammogram screening performed. The nurse outlines this procedure for the client as which type of prevention?

A) Primary.
B) Tertiary.
C) Prepathologic.
D) Secondary.

Question 24

During the admission assessment of a new client, which factors should alert the nurse to possibility that the client is depressed and further evaluation is necessary?

A) The client reports a history of rheumatoid arthritis and type 2 diabetes, which are both well controlled.
B) The client has been late for work several times due to oversleeping during the last month.
C) The client reports a family history of depression.
D) The client has had difficulty falling asleep for the last 7 days.
E) The client reports a generalized feeling of muscle aches that have occurred over the last 3 weeks.

Question 25

Based on the Health Promotion Model, which adult client is demonstrating an activity-related affect variable for choosing to no longer attend a class on stress-reduction techniques?

A) The client whose family members are nonsupportive of the techniques the client has learned during the class.
B) The client who reflects on the last session of the class and feels that she is not benefitting from the techniques learned.
C) The client who resents that there is a no-smoking policy for participants during the class session.
D) The client who feels that the homework given during class is taking too much time.

Question 26

The adult client is effectively demonstrating concepts of wellness, self-responsibility, and decision making through which action?

A) Planning a menu that includes large portions of an assortment of foods from each of the food groups.
B) Decreasing the number of cigarettes smoked from 3 packs per day to 1.5 packs per day.
C) Practicing sexual abstinence or using a condom during sexual intercourse.
D) Walking at a pace of 3 to 4.5 mph for 15 minutes three times per week.

Question 27

The nurse is performing a health assessment. Which of the questions will provide the greatest assistance in the determination of discharge planning needs?

A) "Do you live alone?"
B) "Did you graduate from high school?"
C) "Are you involved in any types of exercise programs?"
D) "What steps have you taken to ensure your care when you go home?"

Question 28

A group of clients attend an educational program at which prevention and screening activities for breast cancer is discussed. Using the Health Belief Model, which participant is most likely to engage in the available health screenings?

A) The client whose mother and grandmother have a history of breast cancer.
B) The client who is attending the program as a course requirement.
C) The client attending in support of the presenter.
D) The client who agreed to attend in support of another participant.

Question 29

The nurse is planning to develop a campaign to raise awareness on the benefits of regular physical activity. Based on Healthy People 2020 reports, the nurse should target which populations?

A) Individuals of Hispanic descent attending English as a Second Language course.
B) Individuals who are enrolled in a master's degree program at a local college.
C) Females attending a mother's support group ranging from ages 25 to 35 years.
D) Males employed at an investment company ranging from ages 35 to 45 years.
E) Adolescents participating in after-school programs for low-income families.