Health Promotion Exam 1

Observing the family member administering enoxaparin sodium to the client.

How will the nurse evaluate the effectiveness of the training after teaching a family member how to administer subcutaneous enoxaparin sodium?

A 56 year old client who had a heart attack last week and is requesting information about exercise

Planning to provide self-care health information for several clients, which client would the nurse anticipate will be most motivated to learn?

"Health behavior changes can be sustained over time." "The client feels the need to integrate the changes into their lifestyle." "This stage can be reached 6 months after engaging in action and continues with the changes indefinitely."

Which points about the characteristics of the maintenance stage of health behavior change are accurate?

Which teaching methods are suitable for preschoolers?

Encouraging questions and offering explanations Using role play, imitation and play to make learning fun

The nurse plans to teach a 7 year old child with recently diagnosed type 1 diabetes how to give insulin injections. Which would be included in the first lesson?

Explaining why insulin is needed Providing a syringe for the child to practice manipulating Seeking a return demonstration of how to give an injection to a doll

Which scenario would contribute to health disparities?

An English-speaking nurse conducts an admission interview of a Puerto Rican immigrant with limited knowledge of English

Which clients are ideal candidates for interpreter services to prevent contributing health disparities?

A non-english speaking client in the emergency department A Spanish speaking client ready to be discharged from the facility An Indian American who does not speak the language used at the facility

Intellectual background

An octogenarian client tells the nurse, "Please do not give me dietary instructions post-surgery. I've had several surgeries in my lifetime, and I know which foods to eat." Which variable influences the client's health beliefs and practices?

Which principle would promote learning in older adults?

Use past experiences while teaching keep the environmental distractions to a minimum use audio, visual and tactile cues to enhance learning

"I should assume that the family is involved."

The nursing student is learning how to educate a client who is having trouble adapting to a new illness. Which statement made by the nursing student indicates the need for further education?

Intellectual background

Which internal variable influences health beliefs and practices?

Which question would the nurse ask to understand the social organization of an individual?

Ask about the individual's expectations from the family Ask about the person who is responsible for making family decisions

Which intervention would the nurse implement when providing health education to an elderly client?

Assess the client for pain before teaching Ensure that the client is not preoccupied or anxious Explain one concept at a time based on the client's interest

Which skill would the nurse develop to help reduce health disparities?

Learning to speak basic medical spanish Learning about the health literacy rate of the community Incorporating the health beliefs of the community in any nursing care plans Learning about and respecting unique beliefs and values among the group

Developing a sequence of goals with the child and parent

The nurse is planning to teach a school-aged child with newly diagnosed type 1 diabetes about self care. After an assessment of what the child knows about diabetes, which is the next nursing intervention?

Determine what the adolescent knows about diabetes

The nurse is planning to teach an adolescent about diabetes and self-administration of insulin. Which would the nurse complete first?

No intention of making any changes in the next 6 months Does not show interest in information related to health behavior changes Becomes defensive when confronted with information regarding current behavior

The nurse would expect a client in the pre contemplation stage of wellness behavior change to exihbit which characteristics?

Which important teaching strategies would the nurse take into consideration to bring a change in the client's lifestyle?

Use written resources at an appropriate reading level Practice active listening and ask the client how they prefer to learn Identify which information the client knows regarding health risks related to lifestyle choices

Value differences, language barrier, lack of health care facility, inadequate health insurance

When compared with their non-hispanic white counterparts, which factors contribute to the health disparities among the older adult hispanic population?

Bananas, Baked potatoes with skins

When the health care provider prescribes a diet high in potassium for a client who is taking a daily diuretic, which foods will the nurse suggest that the client eat?

assess the client's readiness to learn

Which action would the nurse take first when preparing to teach a client about self-injection of epoetin subcutaneously at home?

Encouraging regular dental checkups, Teaching the procedure for breast self-examination

Which activities reflect secondary prevention interventions in relation to health promotion?

Cognitive level Self confidence Emotional readiness

Which characteristics influence the intrinsic factors that determine motivation?

scrambled eggs, baked potato, spinach salad, dried apricots

Which dietary choices by a client with iron deficiency anemia indicate that the nurse's dietary teaching has been effective?

watch the teachers demonstrate infection-control techniques

Which evaluation method is the most effective way for the nurse to evaluate the teachers knowledge of hand-washing techniques after a program for teachers about infection-control and hand-washing techniques?

Personal motivation, previous health care experience

Which healthcare factor creates barriers that prevents older adults from participating in health care promotion and disease prevention?

Focuses on preventing complications of illness Helps client achieve as high a level of functioning as possible Aims at minimizing the effects of long-term disease or disability

Which information would the nurse provide a client about tertiary prevention?

Known as true prevention Applied to clients who are considered physically and emotionally healthy Includes health education programs, immunizations and physical and nutritional fitness activities

Which information would the nurse provide to a student about the primary level of prevention?

Lifestyle choices affect quality of life and well-being Individuals should take responsibility for health and wellness by making proper lifestyle choices Individuals should realize that illness prevention has a positive economic effect on their lives

Which instructions would the nurse provide an individual about the role an individual plays in health and wellness and its effect?

"Internal and External variables are considered when planning care for the client." "The health belief model considers the relationship between a person's health beliefs and health behaviors." "The health promotion model highlights factors that increase individual well-being and self-actualization."

Which key points need to be remembered to maintain health and wellness of a client?

Admission to school

Which lifestyle transition would the nurse prepare the pre-school aged client and family for during this stage of development?

"Curing diseases or other illnesses completely is essential to promote wellness in the older adult." "It is necessary to prevent older adults from taking part in physical activities to keep them from sustaining injuries." "An older adult should live in social isolation to prevent stress."

Which point requires correction regarding wellness promotion in the older adult?

Keep teaching lessons short Encourage them to learn together, using pictures and short stories

Which statement about the teaching methods to be used for adolescents indicates a need for further teaching?

Understand the client's cultural beliefs, values, and practices to determine their specific needs and interventions

Which statement describes the step followed to provide competent care for vulnerable populations?

"I cannot afford expensive medications because I have to take care of my family."

Which statement made by the client is a socioeconomic influence on the client's health beliefs?

"Please do not include chicken in my diet plan because my religion forbids me to consume meat."

Which statement made by the client would the nurse consider to be an external variable influencing the client's beliefs?

Contemplation

While communicating with a client, the nurse determines that the client has realized the harmful effects of alcohol consumption and plans to stop drinking within 6 months. Which stage of transtheoretical model of change would the nurse correlate the client's behavior with?

assess the client's barriers to learning self-injection techniques

While preparing to teach a client about self-injection of insulin, which nurse's action would increase the effectiveness of the teaching session?