Ch 04: Health Education and Health Promotion (1)

Which of the following is accurate regarding wellness? Select all that apply. pg. 55

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

A nurse is caring for a client who wants to quit smoking. The client tells the nurse he has thrown out all of his cigarettes. Which stage is the client in, according to the transtheoretical model of change? pg. 57

Action

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. pg. 59

- Look directly at the client when speaking. - Use simple explanations. - Encourage the client to take the medication after brushing his teeth. - Repeat information frequently.

The practice of nursing care is multifaceted in its scope and delivery. Which of the following activities describe the role of nursing? Select all that apply. pg. 48-49

- Preventing illness - Health education and maintenance - Promoting health

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 pg. 50

Appropriateness of teaching techniques

Select the nursing action that is least likely to motivate a person to learn pg. 49

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

Which step of the nursing process determines whether the client understands the health teaching that is provided? pg. 54, 55

Evaluation

The nurse is providing information to a client about the safe use of a newly prescribed medication. The first question the nurse should ask is pg. 51

Is the client ready to learn?

The nurse is caring for a 33-year-old male client. Which clinical screening should the client have, based on his age? pg. 58

Lipid panel

Which phase of the nursing process encompasses the establishment of expected outcomes?

Planning

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 pg. 56

Resources

The nurse is revising a client's plan of care. What is an example of an expected client outcome? pg. 53

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

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? pg. 53

Planning

The nurse is administering a new medication to an elderly male client and begins instruction about the medication. The client states, "Tell my wife. She takes care of all this kind of stuff." The nurse replies pg. 52

"When your wife comes in to visit, I will return and provide the information to both of you."

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: pg. 57

Action

There are many goals for health teaching. Which of the following is the primary goal of family and patient education? pg. 49

Improve patient outcomes

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? Table 4-2

Maintenance

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? pg. 49

Patient instruction related to self-care activities promotes patient independence

A middle-aged female client is overweight and sedentary, has slightly elevated blood pressure, and is seeking ways to begin exercise. The client wishes to lose weight and improve her blood pressure. The nurse plans an exercise program in which the client pg. 1363

Walks for 30 minutes three times this week and is re-evaluated

A nurse is planning a health education program for a group of high school students regarding the dangers of texting and driving. Which action by the nurse illustrates the understanding of health education as a primary nursing responsibility?

The nurse gathers evidenced-based information related to texting and driving and coordinates the education with the school.