NUR 302: Ch 4 Health Education and Promotion

The home health nurse reviews a medication administration calendar with an elderly patient. In order to consider sensory changes that occur with aging, how should the nurse proceed?

Print directions in large, bold type, preferably using black ink.

Select the nursing action that is least likely to motivate a person to learn.

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

Which of the following is a nursing diagnosis related to health education?

Ineffective health maintenance

The nurse is preparing to teach a client about a newly prescribed medication. The client lacks insurance. The medication costs approximately $100 per month. The client states, "I can't afford it." The nurse assesses a variable to successful education and health promotion for this client based on the Health Belief Model is

Resources

The nurse is preparing to educate a patient about the home care of an abdominal wound. What patient behaviors does the nurse notice that demonstrate readiness to learn? (Select all that apply.)

The patient shows the motivation to learn. The patient has accepted the therapeutic regimen. The patient requests a contact number if there are questions.

The nurse is providing discharge instructions to an elderly client. The nurse hands the client a paper about a new medication. The client cannot read. Learning does not occur. In this situation the nurse has failed to assess the

Appropriateness of teaching techniques

The planning component of the teaching-learning process is organized in a sequential manner. Which of the following is the first step for the nurse?

Develop the planned goals for the learning outcome.

Which of the following is an example of adherence to treatment? Select all that apply.

Maintaining a healthy diet Self-monitoring for signs and symptoms of illness Taking prescribed medications Increasing daily activities

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

Parenting issues

A nurse developed a program of increased ambulation for a patient with an orthopedic disorder. This goal setting is a component of the nursing process known as:

Planning

The nurse develops a program of increased ambulation for a patient with an orthopedic disorder. This is an example of what component of the nursing process?

Planning

The termination stage of the Transtheoretical Model of Change begins when which action occurs?

The person has the ability to resist relapsing 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. The best action of the nurse is to

Use a model of the hip.

Which of the following would be incorporated as a teaching strategy for a hearing-impaired person?

Use slow, directed, and deliberate speech

Through which action does the nurse demonstrate the step of the nursing process that determines whether the client understands the health teaching that is provided?

Watching a return demonstration of insulin administration from a client newly diagnosed with diabetes

The termination stage of the Transtheoretical Model of Change occurs when

the person has the ability to resist relapsing back to unhealthy behavior.

A recommended approach to planning health teaching is applying the trans-theoretical model, which considers the stages of behavioral change. The stage in which the patient engages in calorie counting to reduce weight is called:

Action

A nurse is aware of both the importance of health education and the fact that it is an independent function of nursing practice. Under which of the following circumstances should a nurse consider providing health education?

During each contact that the nurse has with a health care consumer

The nurse is planning to teach a client who was recently diagnosed with migraine headaches. It is best to teach the client

In a quiet room

Outcome criteria are expressed as specific outcomes of patient behavior resulting from teaching strategies. Which of the following is an example of outcome criteria?

The ability to climb a flight of stairs without experiencing difficulty in breathing

The nurse identifies a patient's inability to pour a liquid medication into a measuring spoon. This is an example of what part of the nursing process?

Assessment

There are many goals for health teaching. Which of the following is the primary goal of family and patient education?

Improve patient outcomes

A client has been reporting regularly to the health care unit for blood pressure monitoring. The physician diagnoses the client with essential hypertension after analyzing the readings over two or more sessions. Which options would the nurse use first to inform the patient about next steps? Select all that apply.

Advise the client to begin an exercise regimen based on the approval of the physician. Inform the client about the various methods that are available to assist with smoking cessation. Ask the client to follow a diet that is low in saturated fats and sodium and high in fiber.

A nurse is aware of the fact that nonadherence to prescribed therapy is both common and harmful. How can a nurse best promote adherence to therapeutic regimens among patients?

Help individuals be aware of the benefits of adhering to their prescribed therapy

When a person works to prevent relapse and to sustain the gains made from actions taken, he or she is in which stage of the Transtheoretical Model of Change?

Maintenance

Which of the following is a leading health indicator to be used to measure the health of the nation?

Overweight and obesity

A nursing student observes the home care nurse provide education to a client with congestive heart failure (CHF). The nurse teaches the client how to read food labels and calculate sodium content. The nursing student recognizes that the home care nurse is aware of which basic principle of patient education?

Patient instruction related to self-care activities promotes patient independence

The school nurse informs the mother of a second-grade student that lice were found in the child's hair. The mother explains to the nurse that she has another child to pick up and cannot stay to receive education related to the treatment of lice at this time. The mother reassures the nurse that she will "look up treatment options on the Internet and take care of the child." What would be the best action of the school nurse in this situation?

Provide the mother with a list of credible websites related to the treatment of lice

A 27-year-old client is a regular smoker, has diabetes, and has been diagnosed with hypertension. The client says it is cumbersome and time consuming to visit the doctor regularly just for a blood pressure check. Which aspect of patient teaching would the nurse use with this client?

Suggest the client purchase a self-monitoring cuff

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?

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.