Question 1

A nurse is explaining a behavioral contract with the patient.Which statement by the nurse is most accurate? "A behavioral contract:

Accepted Answer

Both the patient and nurse are involved in planning and evaluating the contract and selecting the goals.There are both intrinsic and extrinsic rewards in a good contract, and both the patient and nurse agree upon them.The nurse and patient mutually decide on the time frame of a contract.Good data collection and recording are part of a behavioral contract and can include things such as a food log.

Question 2

Before providing written information or behavioral contracts to a patient, a nurse should ascertain that the patient:

Accepted Answer

High numbers of Americans are functionally illiterate, or read at the third or fourth grade level, so the nurse must assess that the patient can read and understand written information before giving the patient printed materials or contracts.It is important to assess a patient's access to resources for change, but this does not specifically relate to written material.It is important to assess whether a patient is ready to make changes, but this does not specifically relate to written material.It is important to assess whether a patient wants to make changes, but this does not specifically relate to written material.

Question 3

A nurse using the health promotion model assesses for the best predictors of behaviors that promote health, including: (Select all that apply.)

Accepted Answer

According to the health promotion model, the best predictors of engaging in health-promoting behaviors are perceived self-efficacy, perceived barriers, and prior behavior.Perceived benefits and perceived wellness are not predictors of health-promoting behavior according to this model.

Question 4

The faculty member explains to students that the Healthy People documents: (Select all that apply.)

Accepted Answer

The Healthy People documents highlight the disparities in health care among Americans.The written goals of Healthy People initiatives help guide planning for public health programs.Written objectives exist for both health promotion and disease prevention that are clear and measurable.Healthy People documents do not rate physicians and hospitals based on patient satisfaction.Healthy People documents do not assess willingness to engage in health-related changes.

Question 5

When working with patients on changing health-related behaviors, the nurse understands that the first priority is to:

Accepted Answer

Establishing a collaborative relationship with the patient is the priority when working with patients to make health-related behavior changes, because many people have had negative experiences with health care providers in the past and hold unfavorable views of them.Assessing prior knowledge is important but is not the priority.Determining motivation, including what factors can serve as motivators, would be important, but this is not the priority.Planning goals and interventions would come after establishing a collaborative relationship and assessing the patient's knowledge.

Question 6

A nurse is planning a community health assessment event using a tool called a health risk appraisal (HRA).For best results, which other activities should the nurse plan to include in this event? (Select all that apply.)

Accepted Answer

Laboratory testing is an important adjunct to the use of HRAs in health assessment events.Objective data lend support to findings from the tool.Physical measurements are an important part of screening events using HRAs.Blood pressure, height and weight, and body mass index are all physical measurements that can lend support to findings from the HRA.Education tailored to the risks that are uncovered with the HRA, laboratory testing, and physical measurements allows the practitioner to design wellness interventions for each participant.Exercise compliance is better with home-based programs than with other types of routines.Gym memberships are not typically part of an HRA event.Support group interaction is typically not associated with HRAs.

Question 7

A nurse planning events related to Healthy People 2020 goals would include activities related to: (Select all that apply.)

Accepted Answer

Healthy People 2020 documents are the nation's roadmap to better health.Some of the goals in this document are decreasing childhood obesity and tobacco use and improving the number of adults who say their providers explain things in a way they can understand.Improving cultural competence is not one of its goals.

Question 8

A patient who smokes has decided to cut down on the number of cigarettes smoked each day and not to go outside with other smokers during work breaks.The nurse can conclude, according to Prochaska's transtheoretical model of change, that this patient is in the stage of:

Accepted Answer

In the action stage, a person adopts goals for behavior change, attempts to enact the behavior change, and works to modify the environment to support the change.The maintenance stage consists of working to prevent reverting to the old behaviors.In the precontemplation stage, individuals do not see their behavior as a problem and have no intentions of changing their behavior.In the preparation stage, individuals make a decision to change behaviors in the next month and may take some very small steps to begin the process.

Question 9

A grant-awarding organization is reviewing a nurse-led program promoting weight loss and healthy eating habits in a minority population.The program has a high success rate.The organization's members might conclude that:

Accepted Answer

Culture plays a huge role in people's understandings and beliefs about health and wellness.Before designing programs offered to minority populations, the nurse would be wise to consult with community leaders to ensure that interventions are culturally appropriate.This measure is associated with a high success rate in such programs.It may be true that members of the cultural group have specific health needs that the program helps meet, but this cannot be assumed from the high success rate.The success rate of one program alone cannot determine whether nurse-run programs have better outcomes than those led by other providers.The success of the program cannot prove that this cultural group is well assimilated or that it uses Western medical practices.

Question 10

A patient needs to make a health-related behavior change, and the nurse using the health beliefs model is working with the perceived severity factor.Which action by the nurse is most appropriate?

Accepted Answer

Illustrating the consequences of not changing the behavior addresses the perceived severity factor by helping the patient understand the seriousness of the potential outcomes if the behavior is not changed.

Question 11

A patient needs to lose weight.The nurse has assessed the patient to be in the contemplation stage of Prochaska's transtheoretical model of change.Which intervention by the nurse would be most appropriate?

Accepted Answer

At this stage, the patient realizes that weight is a problem and is thinking about changing some associated behaviors.However, the patient is not yet ready to change.Providing information could encourage the patient to move on to the next stage in the model.The patient is not yet ready to take action in this stage, so giving a referral would probably not be beneficial because the patient most likely would not go.The patient is not yet ready to take action at this point and would probably not be willing to maintain a food log.The patient is not yet ready to take action in this stage, so instructions on specific behavior changes would not be helpful.

Quiz 15: Health and Health Promotion