H&C Ch. 4: Health Education and Health Promotion

A) Suggest the client purchase a self-monitoring cuff

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? A) Suggest the client purchase a self-monitoring cuff B) Apply glycemic control C) Advise smoking cessation D) Discuss methods for stress reduction

C) Repeat and reinforce words frequently

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) Avoid medical terminology. C) Repeat and reinforce words frequently. D) Explain important information verbally

B) Anatomically correct model D) 16-French catheters

A client with multiple sclerosis is learning to perform intermittent self-catherizations of the urinary bladder. The nurse obtains the following equipment for teaching. Select all that apply. A) Forceps B) Anatomically correct model C) Syringe with sterile water D) 16-French catheters E) Foley bag

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

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 a group of children about healthy eating B) The nurse planning to teach adults aged 65 about congestive heart failure management C) The nurse planning to teach middle-aged adults about stress management D) The nurse planning to teach teenagers about mononucleosis

A) Input disability

During a teaching session with a client with a new walker, the nurse provides frequent reinforcement to the client to get up from a chair that has arms by holding the top of the chair arm with one hand. Once standing and stable, the client can grasp either the other side of the walker or both sides of the walker. The nurse knows that this educational strategy is most effective with which type of disability? A) Input disability B) Perceptual disability C) Developmental disability D) Output disability

A) Increased cost of treatment

Nonadherence to therapeutic regimens is a significant problem, especially in the elderly population. Nonadherence can lead to which outcome? A) Increased cost of treatment B) Increased compliance with medical regimen C) Decreased morbidity D) Decreased chronic illness

2, 5, 3, 1, 4

Place the following nursing actions in sequence in the nursing process. 1 Putting the teaching plan into action 2 Determining what the patient wants to learn 3 Establishing expected outcomes 4 Identifying alterations that need to be made to the teaching plan 5 Identifying learning needs and etiology

B) Maintenance

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? A) Action B) Maintenance C) Contemplative D) Termination

A) Use of slow, directed, and deliberate speech

Which action would be incorporated in a teaching strategy for a hearing-impaired client? A) Use of slow, directed, and deliberate speech B) Use of large-print materials C) Having the person perform a return demonstration D) Arrangement of materials in a clockwise pattern

A) Increased emphasis on patient involvement in their own care

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

A) Planning

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: A) Planning B) Implementation C) Evaluation D) Assessment

A) Parenting issues

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) Parenting issues B) Bone-density screening C) Mammography D) Values training

A) "Checks of blood glucose level are to be done ac and hs."

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

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

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? A) Instruct the mother to treat the other child for lice in the same manner as the second-grade child B) Perform hand hygiene and notify the second-grade teacher to wash down the classroom C) Provide the mother with a list of credible websites related to the treatment of lice D) Notify the social worker of suspected child neglect and make a referral to child protective services

C) Has tuberculosis and is taking multiple antitubercular medications

A nurse is evaluating education provided to various clients being discharged to home. The nurse assesses that client most likely to be nonadherent with treatment is the one who A) Had abdominal surgery and will be changing the dressing daily B) Has a duodenal ulcer and is prescribed a histamine-2 receptor blocker C) Has tuberculosis and is taking multiple antitubercular medications D) Has pneumonia and is prescribed an oral antibiotic

C) Use a model of the hip

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) Position the hearing-impaired client 8 feet away. C) Use a model of the hip. D) Turn to any client who asks questions.

B) The manner in which the client learns is impacted E) The information in which the client learns is impacted

A nurse is caring for a client from another country. How might the client's culture impact his or her readiness to learn when the nurse attempts teaching? Select all that apply. A) The client's previous life experience impacts learning. B) The manner in which the client learns is impacted. C) The client's present lifestyle impacts learning. D) The severity of disease or injury impacts learning. E) The information in which the client learns is impacted.

C) The client will be less likely to accept health education unless values and beliefs are respected.

A nurse is planning discharge instructions for a client from another culture. What does the nurse understand about the relationship of values and beliefs and the client's readiness to learn? A) The client will likely accept health education regardless of values and beliefs. B) The client will likely accept health education, but will take longer to learn. C) The client will be less likely to accept health education unless values and beliefs are respected. D) The client will be less likely to accept health education unless the nurse and client share values and beliefs.

D) Action

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: A) Preparation B) Contemplation C) Maintenance D) Action

A) "Can you repeat for me the information I just reviewed about weighing food portions?"

Choose the nursing statement that would best reflect the final component of the "Ask-Tell-Ask-Close" technique of communication and demonstration. A) "Can you repeat for me the information I just reviewed about weighing food portions?" B) "Is this a good time for me to show you how to irrigate your colostomy?" C) "Here are the written directions for changing your dressings." D) "Do you understand how to take your blood pressure?"

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

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

B) Resources

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 A) Perceptual factors B) Resources C) Demographic and disease factors D) Barriers

D) Appropriateness of teaching techniques

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 A) Physical readiness of the client B) Past experiences of the client C) Client's social and cultural patterns D) Appropriateness of teaching techniques

A) In a quiet room

The nurse is planning to teach a client who was recently diagnosed with migraine headaches. It is best to teach the client A) In a quiet room B) Immediately following a headache experience C) During the headache recovery phase D) With her spouse and children present

C) Planning

Which phase of the nursing process encompasses the establishment of expected outcomes? A) Evaluation B) Implementation C) Planning D) Assessment

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

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? A) The nurse gathers evidenced-based information related to texting and driving and coordinates the education with the school. B) After consulting the literature and preparing the educational program, the nurse contacts the school's medical director for approval of the planned educational program. C) The nurse prepares a permission slip for all students to have signed by their parents, allowing the student to participate in the educational program. D) The nurse obtains the name of the school's medical director and obtains a health care provider's order to conduct the education program.

2, 3, 5, 1

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

B) 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

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 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. B) 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. C) 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. 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.

A) Motivation

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 to enabling complete adherence of a health regimen? A) Motivation B) Self-esteem C) Education level D) Cost of medication

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

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

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

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 A) "It is necessary that you learn about this medication." B) "When your wife comes in to visit, I will return and provide the information to both of you." C) "I will print the information about this medication and leave it with you to give to her." D) "I will have to return when she arrives."

A) Lipid panel

The nurse is caring for a 33-year-old male client. Which clinical screening should the client have, based on his age? A) Lipid panel B) Hemoccult screening C) Colonoscopy D) Electrocardiogram

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

The nurse is revising a client's plan of care. What is an example of an expected client outcome? A) The client will accept the option of attending church on weekdays. B) The client's blood pressure will be stable. C) The client will buy a pair of reading glasses to help with reading. D) The client will have the ability to climb a flight of stairs without experiencing difficulty in breathing.

A) Improve patient outcomes

There are many goals for health teaching. Which of the following is the primary goal of family and patient education? A) Improve patient outcomes B) Motivate people to learn C) Increase knowledge D) Establish trust

D) Overweight and obesity

Which factor is a leading health indicator used to measure the health of the nation? A) Religion B) Intelligence C) Cultural awareness D) Overweight and obesity

C) Health Belief Model

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) Resource Model of Preventive Health C) Health Belief Model D) Social Learning Theory Model

D) Behavioral observation

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

D) Ineffective health maintenance

Which of the following is a nursing diagnosis related to health education? A) Altered nutrition, less than body requirements B) Self-esteem disturbance C) Ineffective airway clearance D) Ineffective health maintenance

A) Maintaining a healthy diet B) Increasing daily activities C) Self-monitoring for signs and symptoms of illness E) Taking prescribed medications

Which of the following is an example of adherence to treatment? Select all that apply. A) Maintaining a healthy diet B) Increasing daily activities C) Self-monitoring for signs and symptoms of illness D) Inability to comply with follow-up appointments E) Taking prescribed medications

A) Contemplation

Which stage of the transtheoretical model occurs when the patient has serious consideration of change, but it is sometime in the future? A) Contemplation B) Maintenance C) Action D) Precontemplation