Health Promotions exam 2

The nurse is conducting community education about stress. Which of the following statements should be made by the nurse? a. "Stress always has a negative effect on the body." b. "A moderate amount of short-term stress can make a person more efficient and goal-focused." c. "Stress always has a positive effect on the body." d. "Long-term stress is useful in helping one to meet goals."

"A moderate amount of short-term stress can make a person more efficient and goal-focused."

A nurse is explaining the relaxation response to a person. Which of the following statements would be most appropriate for the nurse to make? a. "Deep breathing is very effective in relaxing muscle groups and relieving stress." b. "When the relaxation response is used, your sympathetic nervous system is activated and your pulse rate slows down." c. "The relaxation response helps you to become more aware of your surroundings." d. "Holding your breath for 10 to 15 seconds will reduce your blood pressure and pulse rate."

"Deep breathing is very effective in relaxing muscle groups and relieving stress."

A nurse has completed an educational session about touch therapy with a group of adults. Which of the following statements made by an individual would demonstrate understanding of this topic? a. "Touch therapy is effective because deep massage relaxes muscles." b. "During touch therapy the therapist's hands may not actually touch me." c. "Shiatsu is one of the more popular forms of touch therapy." d. "Both statements A and B demonstrate correct understanding."

"During touch therapy the therapist's hands may not actually touch me."

The nurse conducted a community health-education program about the benefits and limitations of alternative therapies. The nurse recognizes that learning has occurred when a participant makes which of the following statements? a. "Herbal products must be used with caution because some can interact with prescription medications." b. "Reiki is a type of massage that can be used to relieve stress." c. "Hypnosis can be safely used by a licensed hypnotist to treat all cases of anxiety." d. "Acupuncture is a technique that can be easily learned and practiced."

"Herbal products must be used with caution because some can interact with prescription medications."

A nurse is counseling a patient about styles of communication commonly used when dealing with conflict involving another person. Which of the following statements illustrates the most appropriate and effective communication style? a. "I am so angry that you are late again that you are grounded for a week." b. "I feel anxious when you do not come home on time because I worry about your safety." c. "When you are late, I am hurt." d. "Because you cannot be on time, you cannot have the car for a week."

"I feel anxious when you do not come home on time because I worry about your safety."

The nurse is assisting an individual who is interested in music therapy. Which of the following statements made by the person indicates an understanding of this type of therapy? a. "Chants, nature sounds, or "spa music" are generally the preferred choices." b. "Music has been shown to decrease pain perception in the hospital." c. "Studies have shown that music therapy affects vital signs especially heart rate." d. "I will select the music carefully. Energetic or rap music is not a good choice."

"Music has been shown to decrease pain perception in the hospital."

A nurse is defining stress to a person. Which of the following statements should the nurse make? a. "Happy events, such as the birth of a child, are rarely as stressful as unhappy events." b. "Stress is a state of threatened homeostasis that triggers an adaptive response." c. "Once stressors are identified, they can be controlled." d. "All stressors create a challenge to health."

"Stress is a state of threatened homeostasis that triggers an adaptive response."

A nurse is assisting a person to cope with stress. Which statement by the nurse would be the most helpful? a. "Tell me what this event means to you." b. "There are many support groups available for you to use." c. "Most people in this situation feel the way you feel." d. "Your family wants to help you through this stressful event. May I call them?"

"Tell me what this event means to you."

According to the physical activity and fitness section of the Healthy People 2020 report, what percentage of adults 18 years of age or older report no leisure-time physical activity? a. 30% b. 46% c. 25% d. 16%

25%

Which type of cases tends to be expressed in terms of incidence? a. Chronic conditions b. Acute conditions c. Conditions where full recovery is expected d. Diseases which target primarily children

Acute conditions

A nurse is performing therapeutic touch with a person. Which of the following would be the first action that the nurse would take? a. Attunement b. Centering c. Movement of hands above the body d. Treatment technique

Centering

A woman is going for a 2-h hike in the Grand Canyon and she asks the nurse about fluid and food intake for purposes of hiking. Which of the following recommendations would be the most appropriate response? a. Do not consume normal meals until at least 2 hours after hiking b. Ideal sports drinks contain electrolytes but not carbohydrates c. Drink 12 - 17 oz of fluids four hours before hiking d. All of the above statements are correct

Drink 12 - 17 oz of fluids four hours before hiking

A nurse is caring for a person who has experienced a minor injury following a fall. Which of the following physiological responses to stress would the nurse anticipate? a. Elevated blood supply to the gut b. Elevated heart rate c. Lowered blood pressure d. Lowered respiratory rate

Elevated heart rate

During a screening, a test with a high specificity and low sensitivity is utilized. Which of the following issues could arise by using this test? a. Cultural issues b. Race issues c. Gender issue d. Ethical issues

Ethical issues

Which of the following statements is correct concerning exercise for persons with arthritis? a. Exercise has moderate positive benefits for arthritis b. Exercise can reverse the ongoing progression of arthritis c. All of the above d. Joint structure is altered only in rheumatoid arthritis

Exercise has moderate positive benefits for arthritis

Which of the following statements concerning the effects of exercise on the immune system is correct? a. Persons with impaired immune systems need to take a cautious approach to exercise. b. Exercise may be protective versus some types of cancer. c. Recommended parameters are that HIV patients limit exercise to 30 minutes weekly. d. All of the above statements are correct.

Exercise may be protective versus some types of cancer.

Which of the following statements is correct regarding exercise for persons with low back pain? a. All of the above statements are correct. b. Limit physical therapy referrals to the more severe cases of back pain. c. Unweighted or suspended exercise should be avoided. d. Exercise that strengthens paraspinal muscles has been shown to be effective.

Exercise that strengthens paraspinal muscles has been shown to be effective.

Which of the following statements concerning hobbies is true? a. Attention to hobbies diverts energy which should be used to deal with stressors. b. Hobbies promote perfectionism which, in turn, typically adds to stress. c. Hobbies should be limited to monthly activity until stressor(s) resolves. d. Hobbies can help manage stress and are encouraged.

Hobbies can help manage stress and are encouraged.

Which of the following statements best defines the concept of holistic nursing care? a. Holistic nursing care relies primarily on alternative medicine. b. Holistic nursing care focuses on wellness rather than illness. c. Holistic nursing care is a family-centered approach to care. d. Holistic nursing care takes into consideration all aspects of a person's life.

Holistic nursing care takes into consideration all aspects of a person's life.

Which of the following states is correct concerning Qi gong? a. It is a movement therapy. b. It is a form of energy therapy to balance life energy. c. It is one of the several forms of yoga. d. It originated as a Chinese martial art form.

It is a movement therapy

Which of the following statements is accurate concerning yoga as a form of exercise? a. It is suitable for warm up periods prior to exercise. b. All of the above. c. Too frequent practice will compromise joint flexibility. d. It is too mild a form of exercise to be beneficial.

It is suitable for warm up periods prior to exercise.

A nurse is discussing various types of stress to a group of adults. Which of the following would be used as an example of eustress? a. Increasing alcohol intake to deal with loss of a job b. Avoidance of social activities because of anxiety c. Joining a cardiac rehabilitation exercise program after a myocardial infarction d. Severely limiting food intake as a way to control stress

Joining a cardiac rehabilitation exercise program after a myocardial infarction

A nurse is planning to offer a depression screening at a local community center. Which of the following should be considered prior to implementation of the program? a. Insufficient evidence mental health screening is appropriate b. Limited referral sources in the community c. Limited support groups in the community d. Insufficient evidence that depression screening tools are cost-effective

Limited referral sources in the community

A nurse is discussing holistic health care with an individual. Which of the following explanations should the nurse include in this discussion? a. CAM providers must meet required training, testing, and continuing education to practice. b. Many herbal remedies have side effects and drug interactions. c. FDA requires proof of efficacy and safety for dietary supplements. d. Empirical research has consistently demonstrated the value of alternative/complementary therapy.

Many herbal remedies have side effects and drug interactions.

A nurse is describing adults who are in the "sandwich generation." Which of the following provides the best description of this term? a. Young adults who have several small children b. Middle-aged adults who are caring for children and aging parents c. Young adults who are beginning to find jobs, marry, and start a family d. Middle-aged adults who are starting a family at an older age

Middle-aged adults who are caring for children and aging parents

Which of the following complementary/alternative therapies involves emphasizing healthy lifestyle, strengthening and cleansing the body, and noninvasive treatments? a. Ayurvedic medicine b. Homeopathy c. Naturopathy d. Traditional Chinese medicine (TCM)

Naturopathy

A nurse is planning a comprehensive health-promotion activity to provide community members with a better opportunity to manage their own risk. Which of the following activities would be most appropriate for the nurse to perform? a. All of the above. b. Obtaining blood pressures and discussing the importance of exercise during a screening. c. Obtaining blood pressures and recommending the best medications. d. Obtaining blood pressures and discussing secondary causes of hypertension.

Obtaining blood pressures and discussing the importance of exercise during a screening.

Which of the following statements is correct concerning energy therapy? a. One of the goals of energy therapy is to reduce blockages. b. All of the above statements are correct. c. Body energy is strongly suspected but not yet documented. d. Seasonal affective disorder has been successfully treated with laser energy.

One of the goals of energy therapy is to reduce blockages.

The nurse is discussing an exercise prescription with a person? Which of the following statement is correct? a. All of the above statements are correct b. Exercise prescriptions are controversial for patients with depression c. The prescription should contain at least some vigorous exercise d. Prescriptions should be individualized, at least 30 minutes and performed 3X per week

Prescriptions should be individualized, at least 30 minutes and performed 3X per week

A nurse is using a health-education component when teaching about smoking cessation. Which of the following actions is the nurse implementing? a. Allowing smokers to participate in a smoking cessation program only if they use the patch nicotine replacement system b. Providing education regarding the benefits of smoking cessation c. Setting a quit date for people in a smoking cessation class d. Encouraging attendees of a smoking cessation program to participate in a research study

Providing education regarding the benefits of smoking cessation

The nurse has just discussed reflexology with an individual. Which of the following statements made by the individual would demonstrate that learning has taken place? a. Reflexology uses pressure applied to hand and foot areas to relieve tension. b. Reflexology uses the body's natural reflexes to optimize positive energy flow. c. Reflexology uses massaging and stretching motions to the lower legs and feet to restore a positive energy flow. d. Reflexology uses upper back massage to control tension and stress.

Reflexology uses pressure applied to hand and foot areas to relieve tension.

Which of the following statements concerning spirituality is correct? a. To fully experience spirituality, one needs a religious affiliation. b. Stress always strengthens the quest for spirituality. c. Spirituality is a search for the meaning of existence. d. Spirituality always prevents depression, which is common following a stressful event.

Spirituality is a search for the meaning of existence.

Which of the following is the definition of physical fitness? a. Heart rate and respiratory rate returning to baseline within 30 seconds after exercise b. The ability to perform physical activity without undue fatigue or risk of injury c. Achieving at least 85% of age-specific activity levels d. Painless joint mobility and muscle flexibility when engaging in exercise

The ability to perform physical activity without undue fatigue or risk of injury

Which of the following statements is correct regarding the Pender Health Promotion model? a. All of the above statements are correct. b. The model assists to identify factors which will influence behavioral changes. c. The model avoids asking subjective questions thus is nonthreatening. d. The model is excellent teaching but less well suited for screening.

The model assists to identify factors which will influence behavioral changes.

Which of the following statements regarding childhood obesity is correct according to the 2015-2016 National Health and Nutrition Examination Survey (NHANES)? a. Ten percent (10%) of children and adolescents are obese. b. The prevalence of obese children, adolescents, and adults has increased and is epidemic. c. All of the above statements are correct. d. The rate of childhood obesity shows sex differences.

The prevalence of obese children, adolescents, and adults has increased and is epidemic.

The nurse is teaching imagery as a method to reduce anxiety in preoperative individuals. Which of the following aspects should the nurse stress when teaching this technique? a. Imagery has not been scientifically studied. b. This technique promotes a sense of well-being. c. The benefits of guided imagery are primarily psychological. d. A "prayer circle" is needed for imagery to be most effective.

This technique promotes a sense of well-being.

Which of the following is a disadvantage of screening? a. Lack of patient autonomy b. Negative patient perception c. Some tests have high sensitivity and high specificity d. Uncertainties of scientific evidence

Uncertainties of scientific evidence

Which represents a disadvantage of screening? a. Utilization of multiple test screening b. Utilization of group screening methods c. Utilization of a test with high specificity d. Utilization of a test with low sensitivity

Utilization of a test with low sensitivity

A nurse is developing an exercise program for a person with moderate osteoarthritis of the knees. Which of the following forms of exercise would the nurse include in this program? a. Step aerobics b. Running c. Bike riding d. Water aerobics

Water aerobics

A nurse is helping a person reduce stress disinhibition related to poor dietary choices. Which of the following nursing interventions would be most appropriate? a. Provide the person a copy of the Food Guide Pyramid. b. Give the person a standard list of low-fat, low-calorie foods. c. Work with the person to develop a plan to slowly replace high-fat, high-calorie foods with more healthy choices. d. Encourage the person to eliminate all high-calorie, high-fat foods from the diet as quickly as possible.

Work with the person to develop a plan to slowly replace high-fat, high-calorie foods with more healthy choices.

Which of the following comments best illustrates the technique of active listening? a. I heard your remarks when you addressed the committee last Tuesday. b. You sound upset about the committee's recommendations. c. I noticed that you were listening intently when the chairman was speaking. d. I have been listening to many people speak to the same issues you raise.

You sound upset about the committee's recommendations.

Activity that uses large muscle groups in a repetitive, rhythmic fashion over an extended period to improve the efficiency of the oxidative energy producing system and improve cardiorespiratory endurance is known as a. anaerobic activity. b. muscular fitness. c. flexibility. d. aerobic activity.

aerobic activity

In contrast to holistic health care, Western or allopathic medicine focuses on the a. symptoms and disease. b. environmental impact on health. c. impact of family relationships on health-seeking behaviors. d. mind-body connection.

symptoms and disease