Deck 3: Health Education and Promotion

Question 1

While planning care for a client, the nurse identifies content that would address the client's diagnosis of Deficient Knowledge. The nurse will ensure time is allocated for client instruction because:

A) the client cannot be discharged without it.
B) it is a legal component of the nursing process.
C) it is a nice thing to do for a client.
D) the physician has written an order for instruction.

Answer 1

it is a legal component of the nursing process.

Question 2

A client is considering several changes in personal habits to improve his health. Which of the following critical thinking strategies can the nurse use to help this client?

A) Ask the client to identify his goals to improve his health.
B) Remind the client that the physician has to approve all changes in his health improvement plan.
C) Suggest the client wait until he is discharged before planning to make personal habit changes.
D) Recommend that immediate changes are made to confuse the body's responses.

Answer 2

Ask the client to identify his goals to improve his health.

Question 3

The nurse is engaged in an information teaching session with a client. Which of the following would be appropriate to instruct during an informal teaching session?

A) Expected effects of a new medication
B) Instruction on leg exercises to be used after surgery
C) How to use an incentive spirometer
D) Diet and medications to manage a new diagnosis of diabetes mellitus

Answer 3

Expected effects of a new medication

Question 4

The nurse is planning client instruction interventions to support critical thinking. Which of the following are characteristics of critical thinking in the client education process? (Select all that apply.)

A) Organized
B) Clearly explained with examples
C) Vague
D) Task-oriented
E) Knowledge-oriented
F) Moral and ethically focused

Question 5

A client is reviewing a videotape without the assistance of the nurse for instruction. The type of teaching strategy this client is using is considered:

A) demonstration.
B) slides.
C) programmed instruction.
D) discussion.

Question 6

The nurse is utilizing the technique of motivational interviewing to instruct a client on ways to limit alcohol intake. Which of the following are techniques used when implementing motivational interviewing? (Select all that apply.)

A) Express empathy
B) Develop discrepancy
C) Avoid arguing
D) Roll with resistance
E) Support self-efficacy
F) Contract for goal achievement

Question 7

The nurse is planning instruction to support health promotion behaviors. Which of the following clients would benefit the most from these instructions?

A) 60-year-old client diagnosed with type 2 diabetes mellitus
B) 83-year-old client with hypertension
C) 75-year-old client recovering from a total hip replacement
D) 35-year-old client desiring to begin an exercise program

Question 8

A client has inadequate resources and impairment of personal support systems. Which nursing diagnosis would apply to this patient?

A) Noncompliance
B) Deficient knowledge
C) Ineffective health maintenance
D) Health-seeking behavior

Question 9

Which of the following teaching strategy would best support a client who needs to learn how to self-administer insulin injections?

A) Discussion
B) Role-playing
C) Demonstration
D) Programmed instruction

Question 10

The nurse is planning a presentation to a group of senior citizens as part of a wellness program. Which of the following topics would be appropriate for the nurse to instruct this client population?

A) Importance of taking medications as prescribed
B) Ways to follow a physician's treatment plan
C) Ease of changing an abdominal dressing
D) Strategies to reduce salt in the diet and increase activity

Question 11

A client tells the nurse that she uses audio CDs in her vehicle when driving to and from work to keep current with educational requirements for her job. The nurse would assess this client as preferring which type of learning style?

A) Auditory
B) Visual
C) Kinesthetic
D) Anesthetic

Question 12

The nurse is instructing a client regarding food safety, injury prevention, and occupational health. Which of the following Healthy People 2010 objectives is the nurse instructing the client?

A) Promote healthy behaviors
B) Promote healthy and safe communities
C) Improve systems for personal health and public health
D) Prevent and reduce diseases and disorders

Question 13

A client is demonstrating behaviors consistent with normal health maintenance. Which of the following has this client demonstrated? (Select all that apply.)

A) Motivation
B) Health encouragement
C) Readiness
D) Maintenance
E) Health activities
F) Perception

Question 14

The nurse is attempting to instruct a client on ways to eliminate smoking. The client tells the nurse that he has no health problems because of smoking and does not understand why he needs to quit. Which of the following is interfering with the nurse's ability to instruct the client in health promotion behaviors?

A) Motivation
B) Perception
C) Self-image
D) Maintenance

Question 15

A client has several identified learning needs. Which of the following should the nurse assess prior to planning instruction for this client?

A) Home address
B) Client's learning style
C) Living arrangements
D) Financial resources

Question 16

The nurse and client have determined that goals established for health maintenance behaviors have not been achieved. In which step of the nursing process are the nurse and client working at this time?

A) Evaluation
B) Assessment
C) Planning
D) Implementation

Question 17

The nurse is planning an instructional session with a client. When planning this session, the nurse should incorporate which teaching/learning principles? (Select all that apply.)

A) Assessment of how the client organizes knowledge
B) Motivation and self-efficacy
C) Setting goals
D) Developmental level of the client
E) Time management
F) Self-engagement

Question 18

Which of the following self-examination techniques is a health maintenance behavior for the nurse to instruct a client? (Select all that apply.)

A) Breast self-examination
B) Capillary blood glucose testing
C) Testicular self-examination
D) Skin examination
E) Application of hydrocortisone cream for a skin disorder
F) Elevating edematous lower extremities