ADN 140 Health Promotion
A nurse is assessing a pregnant client in the clinic. In the course of the assessment, the nurse learns that the client smokes one pack of cigarettes per day. The first step the nurse should take to help the woman stop smoking is to
assess the client's readiness to stop.
The nursing instructor informs the students that there are many factors that affect a person's health. Which of the following does she tell the students is something that is essential and must be met for physiological health and survival?
Basic human needs
A nurse in a primary care physician's office has a 73-year-old female client who is interested in learning things she can do to maintain movement and flexibility while coping with osteoporosis. In what situation would this client still be considered healthy even though she has been diagnosed with a chronic disease?
Clients with a chronic illness can still achieve a high quality of life within the limits of the illness if they are physiologically stable and mentally healthy.
A nurse is preparing a health promotion program for teenagers focusing on lifestyle choices. Which of the following methods used by the nurse will best ensure the success of the program?
Creating a safe environment for sharing information
Food choices and how frequently a person eats are often determined by
Cultural and/or religious beliefs and practices.
The nurse is performing a routine assessment of a male patient who has an artificial arm as a result of a small plane crash many years earlier. How should the nurse best understand this patient's health?
Despite the loss of his limb, the patient may consider himself to be healthy.
A registered nurse is providing community-based healthcare for a client and family. Which of the following would be most important for the nurse to do?
Encourage active participation of the client and family in healthcare decisions
Which of the following nursing actions best exemplifies the nurse's role in promoting health?
Encouraging a group of junior high school students to engage in regular physical activity.
When examining school-age and adolescent clients, the nurse routinely screens for scoliosis. Which statement accurately summarizes how to perform this screening?
Have the client stand firmly on both feet and bend forward at the hips, with the trunk exposed.
Which of the following best describes a steady state within the body?
Homeostasis
Nonadherence to therapeutic regimens is a significant problem especially in the elderly population, leading to which of the following outcomes?
Increased cost of treatment
A nurse is planning care for a 16-year-old adolescent in the prenatal clinic. Adolescents are prone to which complication during pregnancy?
Iron-deficiency anemia
Which of the following is accurate regarding wellness? (1)
It is the result of adopting lifestyle behaviors for the attainment of one's highest potential.
Which of the following is accurate regarding wellness? (2)
It requires a conscious commitment.
Which of the following would be a role of the school nurse?
Monitoring immunization status
A student is reading the medical record of an assigned patient and notes the patient has been afebrile for the past 12 hours. What does the term "afebrile" indicate?
Normal body temperature
Which of the following is accurate regarding wellness? (3)
One tries to maximize one's own health.
Which of the following is a leading health indicator used to measure the health of the nation?
Overweight and obesity
Which health screening diagnostic test is recommended for women 19 to 39 years of age?
Pap test
When taking a health history, which of the following would most likely be the primary source of information?
Patient
Your community outreach class is giving a presentation on seat belts and child safety seats at the local firehouse every weekend in October. What level(s) of health promotion is this an example of?
Primary
The nurse is collecting health data and avoids using closed-ended questions such as (3)
"Is there any chance you might be pregnant?"
A nurse who provides care on the palliative unit of a hospital is aware of the importance of spiritual assessment and the integration of spirituality into patients' care. What assessment question should the nurse use in an effort to determine patients' spiritual beliefs?
"Are there any spiritual or religious beliefs or practices that are important to you?"
The nurse is collecting health data and avoids using closed-ended questions such as (1)
"Are you ready to get out of bed?"
The nurse is collecting health data and avoids using closed-ended questions such as (2)
"Do you smoke cigarettes?"
The nurse is collecting health data and avoids using closed-ended questions such as (4)
"Does it hurt when I touch you here?"
After teaching the students about health and wellness, the nursing instructor identifies a need for further instruction when one of the students makes which of the following statements?
"Health means the same to every person."
A nurse is conducting a cancer risk screening program. Which client is at greatest risk for skin cancer?
60-year-old mountain biker
The nurse is teaching a client about risk factors associated with atherosclerosis and how to reduce the risk. Which risk factor is the client unable to modify?
Age
A client experiencing symptoms of cold is referred to the specialist for diagnosis and consultation. Consultation and diagnostic tests are included in which level of the health care system?
Secondary care
An example of a behavior that facilitates health includes which of the following?
Self-monitoring for signs and symptoms of illness
Research has shown that the incidence of chronic conditions is increasing. What lifestyle factor has been shown to contribute to this increase?
Smoking
A client has had a total knee replacement and is receiving care that includes learning to walk with a walker. What level of prevention is most applicable to this client?
Tertiary prevention
When chronic illnesses and disabilities are present, individuals benefit most from what kind of activities?
Those that help them maintain independence.
Primary health promotion is an integral part of health care. What is the purpose of primary health promotion?
To promote health and prevent disease or injury.
The nurse learns during the assessment of a client that the client has difficulty falling asleep, wakes up early, and does not feel refreshed in the morning. This client is most likely experiencing
disturbed sleeping pattern
