Ch 04: Health Education and Health Promotion (3)

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

Which item is considered the single most important factor in assisting the health professional in arriving at a diagnosis or determining the client's needs?

History of present illness

A current trend in health education that significantly influences nursing practice is: pg. 51

Increased emphasis on patient involvement in their own care.

Which of the following is a diagnosis related to health education? pg. 52-53

Ineffective health maintenance

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 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? pg. 50

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.

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.

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.

Which of the following is an example of adherence to treatment? Select all that apply. pg. 49-50

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

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

- Promoting health - Preventing illness - Health education and maintenance

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 pg. 59

Parenting issues

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

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 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? pg. 50

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

The nurse is caring for a 12-year-old client. When teaching the client, what tone of teaching should the nurse implement? pg. 58

Relevant

Which action would be incorporated in a teaching strategy for a hearing-impaired client? pg. 52

Use of slow, directed, and deliberate speech

Health education of a client by the nurse pg. 48

is an independent function of nursing practice.

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

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

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

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

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