Chapter 4: Health Education and Promotion

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What percentage of people older than 65 years of age has one or more chronic disease?

80

Which factor refers to a client's experiential readiness to learn?

Educational history and life experience

The nurse establishes a learning contract with an overweight client. The contract is best if it

includes an incremental goal of 1-2 pound weight loss this week

A nurse is evaluating a client's motivation to make decisions that promote healthy behavior change, using the transtheoretical model of change. Which description best describes the decision making stage of this model?

The client constructs a plan to change behavior.

The nurse is providing preoperative information about hip replacement to a group of clients scheduled for this surgery. One of the clients is slightly hearing impaired. What is the best action of the nurse?

Use a model of the hip.

A client with a cognitive disability needs discharge instructions prior to leaving the hospital. Which educational strategy will the nurse implement that will best promote learning for this client?

Give clear, written information.

Which item is considered the single most important factor in assisting the health professional in arriving at a diagnosis or determining the client's needs?

History of present illness

A patient with a visual impairment would benefit from which of the following teaching strategies?

Magnifying lenses

A nurse is providing feedback to a client who demonstrates how to use an incentive spirometer. What primary role does feedback have in the adult learning process?

Motivates learning

A community health nurse is organizing community training on healthy behavior change. Which action will the nurse focus on when using the transtheoretical model of change as guidance for the teaching?

Motivation of individuals

A 42-year-old client displays symptoms that indicate a risk for developing hypertension. Which immediate measures would the nurse recommend?

Routine screening and follow-up appointments

Therapeutic touch should be used in which situation?

When a client is sensory deprived

What nursing action involves modifying a teaching program if a learner is not experientially ready?

Changing the wording in a teaching pamphlet so that a patient with a fourth-grade reading level can understand it

The nurse is educating the client about management of diabetes. Which statement by the student would indicate to the nurse that further teaching is necessary?

Checks of blood glucose level are to be done ac and hs.

Which stage of the transtheoretical model occurs when the patient has serious consideration of change, but it is sometime in the future?

Contemplation


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