Week 1: Ch. 4: Health Education and Health Promotion

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

Planning

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?

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 patient teaching would the nurse use with this client?

"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

Motivation of individuals

A community health nurse is organizing community training on healthy behavior change. Which action will the nurse focus on when using the transtheoretical model of change as guidance for the teaching?

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?

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:

"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.

Increased cost of treatment

Nonadherence to therapeutic regimens is a significant problem, especially in the elderly population. Nonadherence can lead to which outcome?

The ability to climb a flight of stairs without experiencing difficulty in breathing

Outcome criteria are expressed as specific outcomes of patient behavior resulting from teaching strategies. Which of the following is an example of outcome criteria?

Emphasis on negative outcomes as a method to prevent learning incorrect practices

Select the nursing action that is least likely to motivate a person to learn.

Repeat the information frequently for reinforcement.

Since normal aging results in changes in cognition, how should the nurse teach an elderly patient to administer insulin?

Assessment

The nurse identifies a patient's inability to pour a liquid medication into a measuring spoon. This is an example of what part of the nursing process?

Lipid panel

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

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

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?

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

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

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

The termination stage of the Transtheoretical Model of Change occurs when:

Improve patient outcomes

There are many goals for health teaching. Which of the following is the primary goal of family and patient education?

Evaluation

Which step of the nursing process determines whether the client understands the health teaching that is provided?

The client with pneumonia who requires 1 week of oral antibiotics

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

Use of slow, directed, and deliberate speech

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

-Age. -Gender. -Race. -Socioeconomic status.

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?

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:

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.

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:

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?

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

The 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 nurse's understanding of health education as a primary nursing responsibility?

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

Educational history and life experience

Which factor refers to a client's experiential readiness to learn?

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?

ineffective health maintenance

Which of the following is a nursing diagnosis related to health education?

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

Which of the following is an example of adherence to treatment?

Planning

Which phase of the nursing process encompasses the establishment of expected outcomes?

Increased emphasis on patient involvement in their own care.

A current trend in health education that significantly influences nursing practice is:

Patient instruction related to self-care activities promotes patient independence

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?

Have the client return demonstrate.

The nurse is teaching a client with diabetes how to perform checks of blood glucose level. To optimize learning, it is best for the nurse to

Routine screening and follow-up appointments

A 42-year-old client displays symptoms that indicate a risk for developing hypertension. Which immediate measures would the nurse recommend?

The client constructs a plan to change behavior.

A nurse is evaluating a client's motivation to make decisions that promote healthy behavior change, using the transtheoretical model of change. Which description best describes the decision making stage of this model?

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

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?

-The patient shows the motivation to learn. -The patient has accepted the therapeutic regimen. -The patient requests a contact number if there are questions.

The nurse is preparing to educate a patient about the home care of an abdominal wound. What patient behaviors does the nurse notice that demonstrate readiness to learn?