Ch 04: Health Education and Health Promotion (2)

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

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

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

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 - Promoting health - Health education and maintenance

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

Lipid panel

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 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? pg. 52

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

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

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

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 is teaching an elderly client about heart failure. What action will the nurse do to enhance learning? pg. 52

frequently repeat the provided information

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

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

Which of the following is the goal of patient and family education? pg. 49

Improvement of 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

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 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

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

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