Ch 04: Health Education and Health Promotion (4)

A nurse is planning a smoking-cessation program for a client and incorporates stages from the Transtheoretical Model of Change in the program. For the client to be successful, the client follows the stages in this order from steps 1 to 5: pg. 57

1. Thinks about smoking cessation 2. Makes a plan to cease smoking 3. Takes steps to stop smoking 4. Works to prevent relapse of smoking 5. Resists relapsing into smoking

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

Evaluation

A client with a cognitive disability needs discharge instructions prior to leaving the hospital. Which educational strategy will the nurse implement that will best promote learning for this client? pg. 53

Give clear, written information.

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 nurse is preparing teaching for a client with an auditory perceptual disorder. Which educational strategy will be most effective? pg. 53

Repeat and reinforce words frequently.

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

When providing discharge instructions, the nurse recognizes that which client is most likely to comply with the therapeutic treatment regimen?

The client with pneumonia who requires 1 week of oral antibiotics

The termination stage of the Transtheoretical Model of Change occurs when: pg. 57

The person has the ability to resist relapse back to unhealthy behavior.

The termination stage of the Transtheoretical Model of Change begins when which action occurs? pg. 57

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

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

Use of slow, directed, and deliberate speech

A client has been reporting regularly to the health care unit for blood pressure monitoring. The health care provider diagnoses the client with essential hypertension after analyzing the readings over two or more sessions. What options will the nurse use to inform the client about next steps for blood pressure care? Select all that apply. pg. 49

- Advise the client to begin an exercise regimen based on the approval of the health care provider. - Ask the client to follow a diet that is low in saturated fats and sodium and high in fiber. - Advise the client to purchase a self-monitoring cuff or use an automatic cuff at a local pharmacy. - Educate the client about the correct position to measure blood pressure, as the position may affect readings.

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

Which health promotion model does the nurse identify is the reason some people choose actions to foster health and others refuse to participate? pg. 56

Health Belief Model

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? pg. 50

Motivation

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 home care nurse educator is providing training to staff nurses on the importance of compliance to medication regimens. What demographic variables may lead to the decrease in compliance of medication regimens? Select all that apply. pg. 49

- Age - Gender - Race - Socioeconomic status

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

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

The nurse is planning to teach a client who was recently diagnosed with migraine headaches. It is best to teach the client pg. 52

In a quiet room

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.