Deck 2: Wellness Health Promotion

Question 1

The school nurse is working with several teenagers in gym class.Which of the following individuals would the nurse know is meeting the age-appropriate recommendations for physical activity developed by the Centers for Disease Control?
1)A 17 year old who runs at a fast pace for 30 minutes 5 times per week and practices yoga for 30 minutes 2 times per week
2)A 16 year old who swims for 60 minutes 5 times per week and jogs for 60 minutes the other 2 days per week
3)A 15 year old who lifts moderately heavy weights 15 minutes 3 times per week
4)A 13 year old who speed-walks 60 minutes 5 times per week

Answer 1

2

Question 2

The nurse is discharging a client who had a CVA and will be cared for at home by her husband.The nurse knows that the client's husband understands the need for tertiary prevention when he makes which of the following statements?
1)"She will need instruction on using her walker."
2)"She will need to have her flu shot this year."
3)"She must take her blood pressure medications regularly."
4)"She needs to have her cholesterol checked every 2 months."

Answer 2

1

Question 3

The nurse is aware that which of the following is responsible for more deaths in the United States than all of the others combined?
1)HIV and AIDS
2)Cigarette smoking
3)Automobile crashes
4)Drug abuse

Answer 3

2

Question 4

During a routine well-child health examination,the parents of a 4-year-old child report being concerned their child is not getting enough rest.The nursing assessment reveals the child usually gets 9 hours of sleep per night.Which of the responses by the nurse is most appropriate?
1)"The recommendation for children of this age is at least 11 hours per night."
2)"Your child should be fine with the 9 hours he is getting."
3)"Taking a nap will benefit your child."
4)"I would not recommend making any bedtime changes for your child."

Question 5

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 determines the client's exercise habits and feelings regarding plans to take off the excess weight.The nurse is using what type of approach with this client to enhance health?
1)Psychosocial perspective
2)Illness perspective
3)Physiologic perspective
4)Wellness perspective

Question 6

A couple who both have a positive family history of sickle cell anemia are concerned about the potential of having a child with sickle cell disease.Which statement indicates that the couple wishes to participate in primary prevention?
1)"We need to both be treated for sickle cell anemia before we can have a baby."
2)"We will have blood tests to determine if we are carriers."
3)"We need to see a genetics counselor to discuss the potential for having a child with sickle cell disease."
4)"Neither one of us has sickle cell disease,so any baby we have will be safe from the disease as well."

Question 7

The nurse is teaching a smoking cessation class and has included 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." The nurse is utilizing what type of theory/model to promote smoking cessation?
1)The Self-Efficacy Model
2)The Theory of Reasoned Action
3)The Health Promotion Model
4)The Health Belief Model

Question 8

The nurse is part of a committee examining ways to most effectively meet the goals of Healthy People 2020.Which of the following clients would be the nurse's highest priority client?
1)A 16-year-old girl with her first pregnancy
2)A diabetic client who maintains optimal visual intactness
3)An IV drug abuser who converts to methadone use
4)Several obese school-age children

Question 9

A client who has recently experienced a fracture is concerned about maintaining muscle strength during recuperation.The nurse should encourage the client to perform which of the following activities?
1)Isometric exercises
2)Isotonic exercises
3)Resistive exercises
4)Anaerobic exercises

Question 10

The nurse is planning a weight reduction class and wants to use the Health Belief Model to motivate the clients in losing weight.The nurse would correctly choose which of the following as mediating factors in the Health Belief Model?
1)Likelihood of the individuals developing complications from being overweight
2)The clients' perception of the severity of an illness that could develop from being overweight
3)The cost of the class that will be the client's responsibility
4)The amount of time commitment for the individuals taking the class
5)The religion of the clients who will be taking the class

Question 11

The nurse is planning an exercise class for a group of young adults.Which of the following would the nurse include as benefits of regular physical activity?
1)Reduced risk of cardiovascular disease
2)Reduced risk of skin cancer
3)Reduced risk of colon cancer
4)Reduced risk of renal disease
5)Reduced risk of hypertension

Question 12

The nurse is working with several clients in a fitness setting.Which of the following individuals would the nurse know is meeting the age-appropriate recommendations for physical activity developed by the Centers for Disease Control?
1)A 37 year old who lifts weights for one hour twice per week
2)A 42 year old who walks at a slow pace for 60 minutes 4 days per week
3)A 45 year old who walks briskly for 30 minutes 6 days per week
4)A 57 year old who swims for 20 minutes twice per week

Question 13

The nurse understands that the type of exercise that is most useful for strengthening larger muscle groups such as abdominals,gluteals,and quadriceps,and for endurance training is:
1)Aerobic
2)Isotonic
3)Resistive
4)Isometric

Question 14

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 following assessed risk factors are considered modifiable?
1)Age,heredity,and weight
2)Family history,self history of diabetes mellitus type I,and age
3)Weight,dietary intake,and environmental risks
4)Biological characteristics,lifestyle factors,and family history

Question 15

The client reports having difficulty sleeping at night.The client asks the nurse for suggestions to assist him in getting a good night's sleep.Which of the following recommendations may be beneficial to the client?
1)Perform a short exercise routine 30 minutes prior to going to bed to promote fatigue.
2)Set a regular bedtime.
3)Establish a relaxation routine at bedtime.
4)Avoid alcohol.
5)Watch television to assist in falling asleep.

Question 16

The nurse is working with a client in a fitness setting.Which of the following would be the correct maximum desired heart rate target zone for both moderate- and vigorous-intensity workouts for this 60-year-old female?
1)66-80,and 112-124
2)60-85,and 85-110
3)80-110,and 120-130
4)80-112,and 112-136

Question 17

A nursing student is preparing an educational program concerning breast cancer.The focus of the program is primary prevention.Which of the following topics would be most appropriate?
1)A dietary discussion concerning the connection between breast cancer and dietary intake
2)Techniques for performing self-breast examination
3)American Cancer Society recommendations for mammography
4)Treatment options available for breast cancer clients

Question 18

The Health Promotion Model is being used by a nurse to analyze the potential impact of an educational program being provided regarding the importance of regular exercise.According to the model,which of the following participants is most likely to initiate and consistently participate in a successful program of exercise after attending the session?
1)An overweight female who has never participated in an exercise program
2)A 30-year-old male who admits frequently joining and quitting exercise groups
3)A teenaged male who has low self-esteem
4)A 24-year-old female who reports she is anxious to begin exercising with her husband

Question 19

The school nurse is working with several school-aged children in health class.Which of the following individuals would the nurse know is most closely meeting the age-appropriate recommendations for physical activity developed by the Centers for Disease Control?
1)A 12 year old who plays soccer 4 days per week at the neighborhood playground and 3 days per week for a soccer team
2)A 10 year old who runs wind sprints for 15 minutes for PE class 1 day per week
3)A 8 year old who plays on the monkey bars at both 30-minute recess periods 3 times per week
4)A 9 year old who plays kickball at one 20-minute recess daily 5 times per week and plays basketball for a team 2 days per week

Question 20

The nurse is planning a smoking cessation class prior to the upcoming Great American Smokeout,hoping it may motivate many individuals to stop smoking by promoting self-efficacy.Which of the following statements,if made by the client,would indicate the highest level of positive self-efficacy according to the Health Belief Model?
1)"I think this time will be different."
2)"I am going to do the best that I can,so that I won't get lung cancer."
3)"I am afraid of getting lung cancer like my father."
4)"I know that this time I will quit smoking permanently."

Question 21

Based on the Health Promotion Model,which of the following adult clients is demonstrating an activity-related affect variable for choosing to no longer attend a class on stress-reduction techniques?
1)The client whose family members are nonsupportive of the techniques the client has learned during the class.
2)The client who reflects on the last session of the class and feels that she is not benefitting from the techniques learned.
3)The client who resents that there is a no-smoking policy for participants during the class session.
4)The client who feels that the homework given during class is taking too much time.

Question 22

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 of the following populations?
1)Individuals of Hispanic descent attending English as a Second Language course
2)Individuals who are enrolled in a master's degree program at a local college
3)Females attending a mother's support group ranging from ages 25 to 35 years
4)Males employed at an investment company ranging from ages 35 to 45 years
5)Adolescents participating in after-school programs for low-income families

Question 23

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?
1)The client whose mother and grandmother have a history of breast cancer
2)The client who is attending the program as a course requirement
3)The client attending in support of the presenter
4)The client who agreed to attend in support of another participant

Question 24

The nurse is performing a health assessment.Which of the questions will provide the greatest assistance in the determination of discharge planning needs?
1)"Do you live alone?"
2)"Did you graduate from high school?"
3)"Are you involved in any types of exercise programs?"
4)"What steps have you taken to ensure your care when you go home?"

Question 25

The nurse is counseling a 52-year-old female client who has been instructed by her healthcare provider to have a screening mammogram performed.The nurse outlines this procedure for the client as which type of prevention?
1)Primary
2)Tertiary
3)Prepathologic
4)Secondary

Question 26

The adult client is effectively demonstrating concepts of wellness,self-responsibility,and decision making through which of the following actions?
1)Planning a menu that includes large portions of an assortment of foods from each of the food groups.
2)Decreasing the number of cigarettes smoked from 3 packs per day to 1.5 packs per day.
3)Practicing sexual abstinence or using a condom during sexual intercourse.
4)Walking at a pace of 3 to 4.5 mph for 15 minutes 3 times per week.

Question 27

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 CDC.The best goal for this client is:
1)The client will bicycle at 10 mph for 1 hour or more every day.
2)The client will jog for 15 minutes per day 5 days per week.
3)The client will walk at least 5 mph for 15 minutes per day.
4)The client will swim for 15 minutes per day 5 days per week.

Question 28

The parents of a 7-month-old child,being seen at the clinic for the administration of a hepatitis B vaccine,ask if their child be can also be given a vaccine to prevent the chickenpox during this visit.The best response by the nurse is:
1)"It will be less stressful to administer both shots during this visit."
2)"The additional injection will make your child run a fever."
3)"You really should wait and come back next month for this immunization."
4)"This immunization is not offered until after the age of 12 months."

Question 29

During the admission assessment of a new client,which of the following factors should alert the nurse to possibility that the client is depressed and further evaluation is necessary?
1)The client reports a history of rheumatoid arthritis and type 2 diabetes,which are both well controlled.
2)The client has been late for work several times due to oversleeping during the last month.
3)The client reports a family history of depression.
4)The client has had difficulty falling asleep for the last 7 days.
5)The client reports a generalized feeling of muscle aches that have occurred over the last 3 weeks.