Module 3 - Chapter 3: Health Education and Promotion

Based on the nurse's knowledge of nonadherence to therapeutic regimens, which nurse needs to place extra emphasis on adherence to the treatment plan? a) The nurse planning to teach adults aged 65 about congestive heart failure management b) The nurse planning to teach middle-aged adults about stress management c) The nurse planning to teach a group of children about healthy eating d) The nurse planning to teach teenagers about mononucleosis

a) The nurse planning to teach adults aged 65 about congestive heart failure management

Health education is important for all patients and families. Of the four groups listed below, which group is most in need of health teaching? a) Patients with a terminal illness, because the process of dying can be managed with dignity b) Patients under 21 years of age, because new behaviors can be practiced for many years c) Patients with chronic illnesses, because life-long interventions and adjustments can improve the quality of life d) Patients who are diagnosed with acute infections, because treatment and future prevention can be immediately addressed

c) Patients with chronic illnesses, because life-long interventions and adjustments can improve the quality of life

Which phase of the nursing process encompasses the establishment of expected outcomes? a) Evaluation b) Assessment c) Planning d) Implementation

c) Planning

The termination stage of the Transtheoretical Model of Change begins when which action occurs? a) The person has the ability to resist relapsing back to unhealthy behavior b) The person takes steps to operationalize the plan of action c) The person constructs a plan to change behavior d) The person is not thinking about making a change

a) The person has the ability to resist relapsing back to unhealthy behavior

Select the nursing action that is least likely to motivate a person to learn. Constructive encouragement when a person has been unsuccessful in the learning process a) The establishment of learning goals based on individual needs b) The creation of an atmosphere in which the patient is encouraged to express anxiety c) Emphasis on negative outcomes as a method to prevent learning incorrect practices d) Constructive encouragement when a person has been unsuccessful in the learning process-

c) Emphasis on negative outcomes as a method to prevent learning incorrect practices

The nurse is concerned that an older adult client with diabetes will have difficulty adhering to an eating plan. Which assessment finding alerted the nurse to question this client's level of health literacy? a) Reported attending diabetes classes last year b) Reported managing the household for a spouse and children c) Mentioned an upcoming podiatrist appointment b) Stated problems with balancing a checkbook

d) Stated problems with balancing a checkbook

What percentage of people older than 65 years of age has one or more chronic disease? a) 50 b) 60 c) 80 d) 70

c) 80

Which is an example of a direct measurement technique used to evaluate the teaching-learning process? a) Attitude surveys b) Patient satisfaction surveys c) Behavioral observation d) Instruments that evaluate specific health status variables

c) Behavioral observation

The nurse notes that a client who was instructed on how to do a prescribed treatment 1 week ago is unable to perform the task. Which action will the nurse take to improve this client's health literacy? a) Report the client's nonadherence to the health care provider. b) Ask the client why the treatment is not being performed as instructed. c) Determine if there is a family member who can provide the treatment. d) Review the material to determine that it is appropriate for the client.

d) Review the material to determine that it is appropriate for the client.

A nurse is preparing teaching for a client with an auditory perceptual disorder. Which educational strategy will be most effective? a) Explain noises associated with procedures. b) Repeat and reinforce words frequently. c) Avoid medical terminology. d) Explain important information verbally.

b) Repeat and reinforce words frequently.

The nurse establishes a learning contract with an overweight client. The contract is best if it: a) is an oral contract between the nurse and the client b) has an overall goal of 30-pound weight loss in six months c) contains an agreement to ingest a well-balanced diet d) includes an incremental goal of 1-2 pound weight loss this week

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

The nurse develops outcome criteria for a patient with chronic obstructive pulmonary disease. Which outcome criteria are appropriate for this patient? a) The patient will have the ability to climb a flight of stairs without experiencing difficulty in breathing. b) The nurse will obtain a pulse oximetry reading twice a day. c) The patient will perform passive range-of-motion exercises once daily. d)The patient will not experience an alteration in skin integrity.

a) The patient will have the ability to climb a flight of stairs without experiencing difficulty in breathing.

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? a) Reasons for choosing healthy behaviors b) Motivation of individuals c) Determinants of health d) Resources of health

b) Motivation of individuals

The community health nurse is preparing a teaching plan for a middle-aged client with hypertension, hypercholesterolemia, and obesity. (For each of the health teachings provided by the nurse, click to specify whether the information is focused on health promotion or health maintenance.) 1) Take medications as prescribed.(HP / HM) 2) Adhere to scheduled laboratory tests such as lipid profile, basic metabolic panel, and glucose tests.(HP / HM) 3) Exercise for 45 minutes at least three times per week. (HP / HM) 4) Avoid cigarette smoking and alcohol use. (HP / HM) 5) Practice stress reduction techniques such as yoga or meditation. (HP / HM)

1) Take medications as prescribed. (HM, health maintenance) 2) Adhere to scheduled laboratory tests such as lipid profile, basic metabolic panel, and glucose tests. (HM, health maintenance) 3) Exercise for 45 minutes at least three times per week. (HP, health promotion) 4) Avoid cigarette smoking and alcohol use. (HP, health promotion) 5) Practice stress reduction techniques such as yoga or meditation. (HP, health promotion)

The home health nurse is planning teaching for a client with COPD and a history of noncompliance to the medication regimen. Which factor does the nurse recognize as having the most influence on enabling complete adherence to a health regimen? a) Cost of medication b) Motivation c) Education level d) Self-esteem

b) Motivation

The nurse should determine the adult client's learning readiness by assessing Select : (1. intelligence, 2. cultural identification, 3. present experience) followed by Select : (1. education mandates, 2. personal values, 3. societal constraints) , followed by Select : (1. attention to detail, 2. physical status, 3. mobility status) , and followed by Select : (1. financial status, 2. legal mandates, 3. emotions) Complete the following sentence by choosing from the list of options.

The nurse should determine the adult client's learning readiness by assessing cultural identification, followed by personal values, followed by physical status, followed by emotions. 2. cultural identification 2. personal values 2. physical status 3. emotions

The nurse is caring for a client with a chronic illness. Which client statement(s) indicates to the nurse that the client is at risk for nonadherence to the prescribed treatment? Select all that apply. a) "I do not get my check until the beginning of the month." b) "When I feel sick I think it is because of the medication." c) "There are so many pills to take at different times." d) "I really do not understand why I need all these pills." e) "I live with family and they help me around the house."

a) "I do not get my check until the beginning of the month." b) "When I feel sick I think it is because of the medication." c) "There are so many pills to take at different times." d) "I really do not understand why I need all these pills."

Which of the following is accurate regarding wellness? Select all that apply. a) It is the result of adopting lifestyle behaviors for the attainment of one's highest potential. b) Is the same for every person. c) It is a specific health status with the absence of disease. d) One tries to maximize one's own health. e) It requires a conscious commitment.

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

What is the priority responsibility for the nurse providing patient teaching? (Select all that apply.) a) Motivating each person to learn b) Waiting until the patient expresses a desire to learn c) Giving a test at the end of a teaching session d) Presenting information at the level of the learner e) Determining individual needs for teaching

a) Motivating each person to learn d) Presenting information at the level of the learner e) Determining individual needs for teaching

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? a) The client constructs a plan to change behavior. b) The client is thinking about change in the near future. c) The client takes steps to put the plan into action. d) The client works to sustain gains made from actions taken.

a) The client constructs a plan to change behavior.

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? a) "You will need to ingest an 1800-calorie diet every day." b) "Checks of blood glucose level are to be done ac and hs." c) "Exenatide (Byetta) is prescribed twice a day." d) "Avoid alcohol ingestion while taking glimepiride."

b) "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? a) Action b) Contemplation c) Precontemplation d) Maintenance

b) Contemplation

The entire planning phase of the teaching-learning process concludes with which of the following? a) Changes need in teaching plan b) Documentation c) Enhancement of learning d) Response to teaching

b) Documentation

A current trend in health education that significantly influences nursing practice is: a) Increased numbers of health care providers. b) Increased emphasis on patient involvement in their own care. c) Increased emphasis on the diversity of patient needs. d) Improved distribution of health information materials.

b) Increased emphasis on patient involvement in their own care.

A patient with a visual impairment would benefit from which of the following teaching strategies? a) Captioned videos b) Magnifying lenses c) Telecommunication devices d) Sign language

b) Magnifying lenses

The nurse is developing a health-promotion program at a company in which many employees are women in their 20s and 30s. For this population, the nurse plans to include information about a) Values training b) Parenting issues c) Mammography d) Bone-density screening

b) Parenting issues

The termination stage of the Transtheoretical Model of Change occurs when: a) The person constructs a plan to change behavior. b) The person has the ability to resist relapse back to unhealthy behavior. c) The person takes steps to operationalize the plan of action. d) The person is not thinking about making a change.

b) The person has the ability to resist relapse back to unhealthy 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? a) Speak in a loud voice. b) Use a model of the hip. c) Turn to any client who asks questions. d) Position the hearing-impaired client 8 feet away.

b) Use a model of the hip.

Which statement made by the client indicates understanding of the Centers for Disease Control and Prevention and U.S. Preventive Services Task Force recommendation for prostate screening frequency? a) "When I turn 50 I will need to have my PSA level checked every 5 years." b) "I will make plans to see you every 6 months to keep an eye on my PSA levels." c) "I will see you next year for my prostate exam." d) "I will schedule my prostate exam every 5 years after I am 50."

c) "I will see you next year for my prostate exam."

Which factor refers to a client's experiential readiness to learn? a) Emotional status b) Ability to focus attention c) Educational history and life experience d) Acceptance of an existing illness

c) Educational history and life experience

Which health promotion model does the nurse identify is the reason some people choose actions to foster health and others refuse to participate? a) Achieving Health for All Model b) Social Learning Theory Model c) Health Belief Model d) Resource Model of Preventive Health

c) Health Belief Model

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? a) Enhances nurse-client relationship b) Increases self-esteem c) Motivates learning d) Decreases questions

c) Motivates learning

A nurse knows that the use of a learning contract increases motivation and increases the likelihood of patient compliance with the treatment regimen. Which client goal best exemplifies a well-designed learning contract? a) The client seeking alcohol treatment agrees to stop drinking all forms of alcohol immediately and plans to chew a stick of gum when they experience the urge to have a drink. b) The client who wishes to lose weight immediately reduces caloric intake to 1000 calories a day and agrees to keep to this diet plan until a 9-kg weight loss has been achieved. c) The client who wishes to stop smoking agrees to cut back on one cigarette a day for the first week of treatment and then decrease smoking by two cigarettes the following week of treatment. d) The client who wants to begin an exercise program agrees to participate in a 10-km run 6 months after starting the new exercise regimen.

c) The client who wishes to stop smoking agrees to cut back on one cigarette a day for the first week of treatment and then decrease smoking by two cigarettes the following week of treatment.

When providing discharge instructions, the nurse recognizes that which client is most likely to comply with the therapeutic treatment regimen? a) The client with kidney failure who requires hemodialysis b) The client with a positive tuberculosis skin test who requires 9 months of isoniazid c) The client with pneumonia who requires 1 week of oral antibiotics. d) The patient with newly diagnosed type 2 diabetes who requires nutritional counseling

c) The client with pneumonia who requires 1 week of oral antibiotics

A 35-year-old client with a developmental age of 10 years is being taught to take medication every morning. The nurse assesses that the client brushes his teeth every morning. For learning to occur, which of the following techniques should the nurse employ? Select all answers that apply. a) Encourage the client to take the medication after brushing his teeth. b) Look directly at the client when speaking. c) Use simple explanations. d) Provide written 8th-grade level information. e) Repeat information frequently.

d) Encourage the client to take the medication after brushing his teeth. b) Look directly at the client when speaking. e) Use simple explanations. c) Repeat information frequently.

There are many goals for health teaching. Which of the following is the primary goal of family and patient education? a) Establish trust b) Motivate people to learn c) Increase knowledge d) Improve patient outcomes

d) Improve patient outcomes