Health Promotion Final

A nurse is caring for a client with liver failure due to alcoholism in the inpatient medical unit. Which of the following should the nurse include in their plan of care? Select all that apply. a. Administering benzodiazepines to manage anxiety b. Collaborating with the client to develop a relapse prevention plan c. Encouraging the client to attend Alcoholics Anonymous meetings d. Providing education on the importance of moderate alcohol consumption c. Monitoring for signs of alcohol withdrawal Missed Option - Incorrect

a. Administering benzodiazepines to manage anxiety b. Collaborating with the client to develop a relapse prevention plan c. Encouraging the client to attend Alcoholics Anonymous meetings

A nurse is caring for a client who has a serious mental illness and reports having challenges maintaining consistent work. Which of the following client statements indicates to the nurse that the client is living in a food desert? a. "I cannot always afford ride-share services to get to the nearest store, which is 30 minutes away from where I live" b. "Although I live in the country, my neighbor takes me shopping each week. It takes about 10 minutes for us to drive to the nearest grocery store." c. "I am able to walk to a grocery store that is 5 blocks away from my apartment." d. "Sometimes I get food from the Salvation Army food pantry that is about a half a mile from my house."

a. "I cannot always afford ride-share services to get to the nearest store, which is 30 minutes away from where I live"

A nurse is caring for an adolescent client who has a history of depression and suicidal ideation. Which of the following client statements should the nurse identify as requiring further intervention? a. "I don't have anyone I can talk to about my problems" b. "I think that I missed two math tutoring classes last week, but I can still catch up." c. "I have not used drugs in 6 weeks." d. "I have been participating in my local YMCA after-school dance program again."

a. "I don't have anyone I can talk to about my problems"

A nurse should identify a possible health literacy barrier when a client responds with which of the following statements? a. "I don't like to read; just tell me what I need to know." b. "Let me put my glasses on before I start reading this material." c. "My sibling has the same diagnosis, so I know what to expect." d. "With practice, I am able to learn new skills pertaining to my health."

a. "I don't like to read; just tell me what I need to know."

A nurse is providing education about Medicaid to a client who is pregnant and cannot pay for medical insurance. The nurse should recognize that which of the following statements by the client indicates an understanding of the teaching? a. "When my baby is born, they can receive Medicaid as well." b. "My income level does not impact whether or not I can receive Medicaid." c. "Medicaid is a federal-run health insurance program." d. "Medicaid benefits are the same for everyone in the United States."

a. "When my baby is born, they can receive Medicaid as well."

A nurse manager in a community clinic is planning an in-service to increase staff nurses' knowledge on cultural diversity in health care. Which of the following information should the nurse manager include in the presentation? Select all that apply a. A client's culture may influence their willingness to follow health recommendations b. Cultural groups can have different perceptions of health conditions. c. Clients from different cultures can vary in how they seek health care services. d. In some cultures, health care decisions can be made by more than just the individual client e. Power imbalances between providers and clients assist in bridging cultural differences.

a. A client's culture may influence their willingness to follow health recommendations b. Cultural groups can have different perceptions of health conditions. c. Clients from different cultures can vary in how they seek health care services. d. In some cultures, health care decisions can be made by more than just the individual client

Which of the following is an example of how Healthy People 2030 addresses strategies to reduce health disparities? a. Consider the literacy level of clients using evidence-based interventions and strategies b. Include efforts to gather incorporate historical data on clients. c. Provide snapshots of all disease processes for clients. d. Form workplace collaborations with clients.

a. Consider the literacy level of clients using evidence-based interventions and strategies

A community health nurse should know that individuals with low health literacy might encounter which of the following while navigating the health system? a. Difficulty managing chronic conditions b. Ability to understand the correlation between unhealthy behaviors and their health. c. Difficulty seeking emergency care d. Giving an inaccurate health history to their provider e. Difficulty filling out health forms

a. Difficulty managing chronic conditions d. Giving an inaccurate health history to their provider e. Difficulty filling out health forms

A client is admitted to an inpatient psychiatric unit with a diagnosis of major depressive disorder. What is the priority nursing intervention for mental health promotion in this client? a. Facilitating therapeutic communication and active listening b. Limiting physical activity to conserve energy c.Administering antidepressant medication as prescribed d. Encouraging social isolation to avoid stressors

a. Facilitating therapeutic communication and active listening

A nurse should identify which of the following as ways to make a positive impact in reducing health disparities in the clients they care for? Provide gun safety information to individuals when requested. a. Inquire about school performance of all school-age children in the acute setting. b. Screen clients for intimate partner violence in the acute setting. c. Provide parenting support information to parents seen in the emergency department. d. Assume older adult clients are safe when in an assistant living facility. e. Provide gun safety information to individuals when requested.

a. Inquire about school performance of all school-age children in the acute setting. b. Screen clients for intimate partner violence in the acute setting. c. Provide parenting support information to parents seen in the emergency department.

A nurse working at a middle school suspects that a student is experiencing physical abuse after performing an assessment on them. Which of the actions should the nurse take next? a. Make a report to child protective services (CPS) b. Call the police and report the suspected abuse c. Call the child's guardian to have the child's pediatrician confirm the suspected abuse d. Alert the school principal of the situation

a. Make a report to child protective services (CPS)

A public health nurse is discussing how to improve client outcomes with county legislators. Which of the following interventions should the nurse recommend to improve outcomes for clients impacted by the cycle of poverty? a. Opening a community health center in an underserved area b. Replacing Medicare programs with Medigap policies c. Eliminating the use of client portals or virtual visits d. Implementing the Teach Back Method when prescribing medication

a. Opening a community health center in an underserved area

A public health nurse has been working with other staff at the health department to complete a community health assessment for their city. As part of their core function of assessment, which of the following should be done with the information? a. Post the analyzed findings on the health department section of the city's website. b. Conduct focus groups with local residents to discuss their usage of public health services. c. Educate members of a vulnerable population identified in the assessment about available public health services. d. Prepare a plan to address a health issue in a specific area of the city.

a. Post the analyzed findings on the health department section of the city's website.

A community health nurse is researching social determinants of health in the differing populations they serve. The nurse should identify that which of the following factors place populations at the highest risk for negative health outcomes? a. Poverty b. Language barriers c. Transportation access d. Genetics

a. Poverty

A home health nurse is caring for an elderly client who has heart failure. Which of the following interventions on the tertiary level of prevention could be included in care? a. Reinforce past teachings on how to read food labels. b. Remind the client to ask for the pneumococcal vaccine during their next provider appointment. c. Review the daily weights the client has collected since the last home visit d. Auscultate the lungs and assess for edema.

a. Reinforce past teachings on how to read food labels

A school nurse is assessing an adolescent client who indicates they have been experiencing depression due to a recent move. Which of the following interventions should the nurse implement? a. Schedule an appointment with a school-based counselor b. Recommend the client obtain a part-time job c. Arrange a visit with a neurologist. d. Encourage the client to engage in more physical activity, such as joining a sports team

a. Schedule an appointment with a school-based counselor

A school nurse is partnering with the local hospital system's tobacco cessation program to give a presentation focused on discouraging tobacco use in high school students. According to the Health Belief Model, which of the following might be included in the presentation? a. The benefits to not smoking when engaging in sports and other activities b. The school's no smoking policy c. The need for social support to abstain from smoking d. The local town ordinance regarding smoking bans in certain public spaces

a. The benefits to not smoking when engaging in sports and other activities

A nurse is teaching a group of adolescents about the dangers of vaping. The nurse is modifying their teaching presentation from the adult teaching done last week. What are some changes that should be made when presenting to adolescents vs adults? a. The language used should reflect the education level of the learners b. Adolescents respond better to active learning like games c. There are no changes needed d. Adults respond better to pictures

a. The language used should reflect the education level of the learners b. Adolescents respond better to active learning like games

A nurse is conducting a health promotion workshop for a group of older adults. which topic is most appropriate for addressing fall prevention? a. Tripping hazards b. Assistive devices c. Heart health d. Vision health

a. Tripping hazards

A nurse is assessing a family to identify potential risk factors. The nurse should recognize that which of the following areas is an example of an environmental risk factor? a. Work stress b. Age c. Sexual practices d. Ethnicity

a. Work stress

A community health nurse is searching for data about health behaviors related to smoking and exercise. Which of the following resources should the nurse use to find data about health behaviors in their local area? a. country health ranking b. Cochrane c. National Institutes of Health (NIH) Office of Disease Prevention (ODP) d. Healthy People 2030

a. country health ranking

A community health nurse is working in a rural area where there are many homes built before the 1970s. To promote good health, which of the following actions should the nurse take? a.Teach residents about the dangers of lead-based paint. b. Advocate for more transportation to health care facilities. c. Partner with local churches and write grants for childcare funding towards affordable daycares in the area. d. Partner with a nonprofit organization for the farmers' market to sell fresh produce twice a week.

a.Teach residents about the dangers of lead-based paint.

A public health nurse is reviewing the records of a group of clients who have a low socioeconomic status. The nurse should identify that which of the following clients are most likely to experience long-term economic stability? a. A young family regularly using public transportation services to acquire goods and services b. A young family regularly using public transportation services to acquire goods and services c. A client who has diabetes mellitus and regularly relies upon a family member for transportation d. A single parent of two children who uses ride-share services

b. A young family regularly using public transportation services to acquire goods and services

A home health nurse is assessing a patient who has heart failure and notes the patient has had a weight gain of 1.8 kg (4 lb), as well as generalized edema, since the last visit 3 days ago. Which of the following actions should the nurse take next? a. Call the health care provider for further instructions. b. Ensure the client has been taking their prescribed diuretic. c.Document the findings and continue with the visit. d. Reinforce the importance of daily weights.

b. Ensure the client has been taking their prescribed diuretic.

The nurse is assessing an elderly patient whose husband died 9 months ago. which indicates ineffective coping with his death? a. Visiting her husbands grave and talking to him every week b. Not getting out of bed, and no intrest in bathing or attending to her appearance. c. Frequently going through old photos albums d. telling friends and family that she is not ready to move on with her life.

b. Not getting out of bed, and no intrest in bathing or attending to her appearance.

A nurse is providing diet education to children who are attending a health fair. This is an example of which of the following levels of disease prevention? a. tertiary b. Primary c. Quarternary (it's probaly not this one since I said you didn't have to know this) d. Secondary

b. Primary

A nurse is preparing a presentation about strategies to decrease health care disparities among vulnerable groups. Which of the following strategies should the nurse include? a. Update client charts to reflect socioeconomic status. b. Reinforce the importance of recognizing discrimination in vulnerable populations with staff. c. Compile a list of resources available in the community d. Provide low-cost medications

b. Reinforce the importance of recognizing discrimination in vulnerable populations with staff.

Which of the following is NOT a way to prevent a toddler from drowning? a. Approve child life jackets b. Taking swimming lesson c. Emptying buckets when not in use d Child resistant pool covers

b. Taking swimming lesson

A nurse is assessing an adolescent in a pediatric clinic who is accompanied by their parent. The client is having trouble sleeping. Which findings would alert the nurse that the client may be a victim of bullying? a. When the nurse asks if the client likes school, they state, "I enjoy seeing my friends every day." b. The client's grades for the past 2 grading quarters have been lower than the first grading quarter. c. The client has been identified as posting negative comments about a classmate. d. The client has lost clothing and school items in the past few months. e. The parent states their child remains in their room after school. f. The client is part of an after-school debate club

b. The client's grades for the past 2 grading quarters have been lower than the first grading quarter. c. The client has been identified as posting negative comments about a classmate. d. The client has lost clothing and school items in the past few months. e. The parent states their child remains in their room after school.

A nurse is discussing the plan of care for a school-age child who was recently diagnosed with diabetes mellitus with the child's parents. The family of three is living on a tight budget because the father's business has been closed due to the COVID-19 disease lockdown. Which of the following factors requires attention from the nurse? a. The family enrolled in the Supplemental Nutrition Assistance Program to receive extra food benefits. b. The elementary school is closed and students are learning remotely. c.The family may not be able to see preferred providers due to increased health insurance costs. d. The power company has issued a lenient notice for back payment of owed money.

b. The elementary school is closed and students are learning remotely.

A nurse is working with community members who are part of minority groups that are disproportionately affected by COVID-19. Which of the following is an example of why members of minority groups are disproportionately affected? a. Not being up to date with immunizations b. The societal factor of racism c. Health illiteracy d. Language barriers

b. The societal factor of racism

A nurse is reviewing the record of a client who has a new diagnosis of diabetes mellitus and an A1C of 9. The client has attended multiple workshops about diabetes management but reports not using the meal plan to assist with nutrition and feels unmotivated to start an exercise regimen. According to the Theory of Reasoned Action/Planned behavior, which of the following explains the likelihood of this client having good outcomes in follow-up clinic visits? a. There's no way to predict how a client will do on a medical regimen. b.There is a higher chance of complications due to poor adherence of the plan. c. The outcomes will be about the same. d. There is a high chance of better outcomes with more education.

b.There is a higher chance of complications due to poor adherence of the plan.

A nurse is examining their own personal attitudes about vulnerable populations. Which of the following statements reflects an attempt by the nurse to minimize judgment and bias when caring for clients? a. "I will watch for evidence of bias by members of the health care team." b. "I will review my actions at the end of the day in the team huddle." c. "I will reflect on my responses and thoughts when meeting new clients." d. "I will make all comments in a private setting away from clients."

c. "I will reflect on my responses and thoughts when meeting new clients."

A public health nurse is involved in community-engaged research related to reasons for low immunization rates of children in county public schools. Which of the following situations does the nurse recognize as a potential ethical issue involving recruitment of research participants or confidentiality of information? a. A primary care clinic offers use of their conference room for data collection. b. The owner of a local store donates supplies for data collection. c. A school principal offers to provide immunization records of students. d. The leader of the data collection team delivers supplies to the team members at their homes.

c. A school principal offers to provide immunization records of students.

A nurse should understand that which of the following is an example of the health promotion and self-care family function and structure? a. Parents providing basic needs of food and shelter to their family. b. Parents teaching their children how to fit into the social environment c. Families learning about the importance of taking care of their health d. Families learning about the importance of budgeting

c. Families learning about the importance of taking care of their health

A public health nurse will be administering immunizations at a clinic. Which of the following will the nurse want to ask each client before administering the vaccine to ensure safety? a. If they have a site preference for vaccine administration b. If they have an immunization card for documentation c. If they have had any past issues or allergies to the vaccine d. If there are any questions regarding the clients vaccine schedule

c. If they have had any past issues or allergies to the vaccine

A nurse in an acute pediatric unit is assessing a 5-year-old child following an asthma event. The child's caregiver expects the child to use an inhaler without supervision. The nurse can apply which of the following interventions as protective factors for the child? Select all that apply a. Teach the child how to use the inhaler. Selected Answer b. Provide the child with a pamphlet on how to use an inhaler. c. Provide the caregiver with resources in the community for support. d. Provide information on child development to the caregiver on when a child should be able to use an inhaler without supervision. e. Ask the caregiver, "what worries you about your child?" f. Refer the caregiver to the asthma educator.

c. Provide the caregiver with resources in the community for support. f. Refer the caregiver to the asthma educator.

A client with a history of anxiety is being seen in the out patient clinic. Which nursing intervention is most appropriate for promoting mental health in this client? a. Suggesting isolation during times of increased anxiety b. Encouraging the client to identify and then avoid stressful situations c. Teaching deep-breathing exercises for relazation d. Prescribing an anxiolytic medication

c. Teaching deep-breathing exercises for relaxation

An occupational health nurse is having difficulty implementing evidence-based interventions in a workplace safety program provided by their company. Which of the following statements should the nurse identify as organizational barriers to implementation of evidence-based practice? a. The nurse does not have experience in evaluating statistics. b.The nurse does not know how to conduct advanced searches on evidence-based databases. c. The nurse does not have access to evidence-based databases on their work computer. d. The nurse has limited time related to a heavy workload. e. The nurse has limited information technology skills. f. The nurse was told by a supervisor that management does not support changes in practice.

c. The nurse does not have access to evidence-based databases on their work computer. d. The nurse has limited time related to a heavy workload. f. The nurse was told by a supervisor that management does not support changes in practice.

A nurse is teaching a newly licensed nurse about the needs of clients who are a part of a vulnerable population. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? a. "I will not include the client's cultural traditions as I complete my assessment." b. "I will make sure to do limited assessment that focuses on the client's stated reason for the visit c. "I will avoid asking client for income or financial information, because this is an invasion of privacy." d. "I will address the problem that the client believes is the most significant."

d. "I will address the problem that the client believes is the most significant."

A nurse is providing education to a client with coronary artery disease. What dietary recommendation is most important for promoting heart health? a. Consuming a diet high in saturated fats and low in sodium. b. Restricting all types of fats for weight loss c. Increasing salt in healthy foods to increase desire d. Including fruits, vegetables, and whole grains in diet

d. Including fruits, vegetables, and whole grains in diet

A nurse is conducting a mental health promotion workshop for adolescents. What information is most important to include regarding resilience? a. The importance of avoiding challenges b. Relying solely on family support c. Acceptance of facing failure d. Strategies for developing coping skills

d. Strategies for developing coping skills