Health promotion PREPU

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? A.) 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. B.) Clients with a chronic illness can never be considered healthy. C.) Clients with a chronic illness can be considered healthy only if they carefully follow their physician's advice regarding medications, activity, and diet. D.) Clients with a chronic illness are considered healthy only until the point at which primary body systems begin to lose function.

A.) 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.

Which of the following nursing actions best exemplifies the nurse's role in promoting health? A.) Encouraging a group of junior high school students to engage in regular physical activity. B.) Facilitating a support group for the friends and families of patients affected by stroke. C.) Performing deep suctioning on a patient who has a tracheotomy and copious secretions. D.) Administering a beta-adrenergic blocker and diuretic to a patient who has a history of hypertension.

A.) Encouraging a group of junior high school students to engage in regular physical activity.

Which of the following is accurate regarding wellness? Select all that apply. A.) One tries to maximize one's own health. B.) It requires a conscious commitment. C.) It is the result of adopting lifestyle behaviors for the attainment of one's highest potential. D.) It just happens. E.) Is the same for every person.

A.) One tries to maximize one's own health. B.) It requires a conscious commitment. C.) It is the result of adopting lifestyle behaviors for the attainment of one's highest potential.

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? A.) Primary B.) Secondary C.) Tertiary D.) All three levels

A.) Primary

An example of a behavior that facilitates health includes which of the following? A.) Self-monitoring for signs and symptoms of illness B.) Noncompliance with a medication regimen C.) A sedentary lifestyle D.) Recreational drug use

A.) Self-monitoring for signs and symptoms of illness

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: A.) assess the client's readiness to stop. B.) suggest that the client reduce the daily number of cigarettes smoked by one-half. C.) provide the client with the telephone number of a formal smoking cessation program. D.) help the client develop a plan to stop.

A.) assess the client's readiness to stop.

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? A.) creating a safe environment for sharing information B.) reviewing data about common teenage lifestyle choices C.) disclosing and explaining personal lifestyle choices D.) validating the current lifestyle choices of the teenagers

A.) creating a safe environment for sharing information

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? A.) normal body temperature B.) decreased body temperature C.) increased body temperature D.) fluctuating body temperature

A.) normal body temperature

A mother tells the nurse that her toddler does not want to go to bed at night and keeps getting back up when she is put to bed. What recommendations would the nurse make to this mother to foster sleep in the toddler? A.) Place the child in her bed, tell her goodnight, and then lock the door. B.) Read the child a book in bed and take time to calm the child down before turning out the lights. C.) Instruct the toddler to stay in bed or she will have her favorite stuffed animal taken away from her. D.) If she does not want to go to sleep at her normal bedtime, let her stay up for a little while longer.

B.) Read the child a book in bed and take time to calm the child down before turning out the lights.

The advance practice nurse is preparing to write a grant for a local homeless shelter. Based on the nurse's knowledge of a growing population of homeless people, the nurse includes funding for which of the following topics? A.) Immunizations B.) Skin cancer C.) Obesity D.) Driver's education

A.) Immunizations

Nonadherence to therapeutic regimens is a significant problem especially in the elderly population, leading to which of the following outcomes? A.) Increased cost of treatment B.) Decreased morbidity C.) Decreased chronic illness D.) Increased compliance with medical regimen

A.) 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? A.) Iron-deficiency anemia B.) Varicosities C.) Nausea and vomiting D.) Gestational diabetes

A.) Iron-deficiency anemia

When examining school-age and adolescent clients, the nurse routinely screens for scoliosis. Which statement accurately summarizes how to perform this screening? A.) Have the client stand firmly on both feet and bend forward at the hips, with the trunk exposed. B.) Listen for a clicking sound as the client abducts the hips. C.)Have the client run the heel of one foot down the shin of the other leg while standing. D.) Have the client shrug the shoulders as the nurse applies mild pressure to the shoulders.

A.) Have the client stand firmly on both feet and bend forward at the hips, with the trunk exposed.

Food choices and how frequently a person eats are often determined by A.) Cultural and/or religious beliefs and practices. B.) Perception of one's class in society. C.) Level of education completed. D.) Status within the cultural or familial hierarchy.

A.) Cultural and/or religious beliefs and practices.

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? A.) "Health is more than just the absence of illness." B.) "Health is an active process." C.) "Health means the same to every person." D.) "Health is dynamic and ever-changing."

C.) "Health means the same to every person."

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? A.) Ensure that the client is categorized as healthy if no disease is detected B.) Acknowledge that the client's health issues are independent of social issues C.) Encourage active participation of the client and family in healthcare decisions D.) Determine outcomes that are based primarily on technologic imperatives

C.) Encourage active participation of the client and family in healthcare decisions

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? A.) Primary prevention B.) Secondary prevention C.) Tertiary prevention D.) Residual prevention

C.) Tertiary prevention

A nurse is conducting a cancer risk screening program. Which client is at greatest risk for skin cancer? A.) 45-year-old health care worker B.)15-year-old high school student C.) 30-year-old butcher D.) 60-year-old mountain biker

D.) 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? A.) diabetes B.) age C.) exercise level D.) dietary preferences

B.) age

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: A.) increased sleep. B.) disturbed sleep pattern. C.) ineffective coping. D.) activity intolerance.

B.) disturbed sleep pattern.

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? A.) Despite the loss of his limb, the patient may consider himself to be healthy. B.) The patient may be well, but his loss of limb means that he is unhealthy. C.) The loss of his limb prevents the patient from achieving wellness, though he may be healthy. D.) Because the patient's injury is far in the past, it does not have a bearing on his health or wellness.

A.) Despite the loss of his limb, the patient may consider himself to be healthy.

A nurse is teaching a group of parents about the dangers of Sudden Infant Death Syndrome (SIDS). The nurse recommends that parents place their children on a firm surface laying on their: A.) left side B.) right side C.) abdomen D.) back

D.) back

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? A.) Primary care B.) Secondary care C.) Tertiary care D.) Extended care

B.) Secondary care

Research has shown that the incidence of chronic conditions is increasing. What lifestyle factor has been shown to contribute to this increase? A.) Exercise B.) Smoking C.) Eustress D.) Gastrointestinal disease

B.) Smoking

When chronic illnesses and disabilities are present, individuals benefit most from what kind of activities? A.) Those that help them eat well. B.) Those that help them maintain independence. C.) Those that preserve their social interactions. D.) Those that accomplish financial stability.

B.) Those that help them maintain independence.

Primary health promotion is an integral part of health care. What is the purpose of primary health promotion? A.) To teach people how to act. B.) To teach people how to grow. C.) To change the environment in ways that enhances cultural expectations. D.) To promote health and prevent disease or injury.

D.) To promote health and prevent disease or injury.

The nurse is collecting health data and avoids using closed-ended questions such as (select all that apply): A.) "Are you ready to get out of bed?" B.) "What sorts of things do you do for fun?" C.) "What plans do you have after you are discharged?" D.) "Do you smoke cigarettes?" E.) "Is there any chance you might be pregnant?" F.) "Does it hurt when I touch you here?"

A.) "Are you ready to get out of bed?" D.) "Do you smoke cigarettes?" E.) "Is there any chance you might be pregnant?" F.) "Does it hurt when I touch you here?"

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? A.) "Are there any spiritual or religious beliefs or practices that are important to you?" B.) "If you had to identify yourself as either a religious person or a spiritual person, which would you choose?" C.) "Do you hold a belief in the afterlife?" D.) "Which church do you normally attend?"

A.) "Are there any spiritual or religious beliefs or practices that are important to you?"

A nurse working in a community clinic assists middle adult patients to follow guidelines for health-related screenings and immunizations. What preventive measures would the nurse recommend for this population? (Select all that apply.) A.) A physical exam every year from age 40 on B.) Clinical skin examination every 3 years C.) Breast self-examination every month for women D.) Pelvic examination and Pap exam at least every 3 years for women E.) Prostate-specific antigen (PSA) test every year for men F.) Zoster vaccine, live (Zostavax) for adults 50 years and older

A.) A physical exam every year from age 40 on C.) Breast self-examination every month for women D.) Pelvic examination and Pap exam at least every 3 years for women E.) Prostate-specific antigen (PSA) test every year for men

Which of the following best describes a steady state within the body? A.) Homeostasis B.) Constancy C.) Adaptation D.) Stress

A.) Homeostasis

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? A.) Spiritual needs B.) Basic human needs C.) Monetary needs D.) Educational needs

B.) Basic human needs

An adolescent client visits the school nurse reporting back pain, fatigue, and dyspnea. The nurse suspects scoliosis. Which action does the nurse take before developing a further plan of care? A.) Send the client home for rest. B.) Inspect for uneven shoulder height or hip height. C.) Arrange for urgent spinal X-rays. D.) Ask the parents to see the healthcare provider immediately.

B.) Inspect for uneven shoulder height or hip height.

Which of the following would be a role of the school nurse? A.) Caring for major injuries B.) Monitoring immunization status C.) Discussing a student's school performance D.) Performing comprehensive physical examinations

B.) Monitoring immunization status

Which of the following is a leading health indicator used to measure the health of the nation? A.) Intelligence B.) Overweight and obesity C.) Cultural awareness D.) Religion

B.) Overweight and obesity

Which health screening diagnostic test is recommended for women 19 to 39 years of age? A.) Mammography B.) Pap test C.) Cholesterol and lipid profile D.) Bone mineral density testing

B.) Pap test

When taking a health history, which of the following would most likely be the primary source of information? A.) Patient's spouse B.) Patient C.) Referring physician D.) Medical record

B.) Patient

When a nurse notes that the client appears to be sleeping, is demonstrating irregular respirations, and is showing eye movement, the nurse identifies the stage of sleep the client is experiencing as: A.) Transitional B.) Rapid eye movement (REM) C.) Light sleep D.) Slow wave

B.) Rapid eye movement (REM)