NUR 125 PrepU Chapter 3: Health Education and Health Promotion

Which stage of the transtheoretical model occurs when the patient has serious consideration of change, but it is sometime in the future?

Contemplation

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

Evaluation

Which health promotion model does the nurse identify is the reason some people choose actions to foster health and others refuse to participate?

Health Belief Model

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

Increased emphasis on patient involvement in their own care.

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

Ineffective health maintenance

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

Lipid panel

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

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

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?

Maintenance

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

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

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?

Planning

A nurse is preparing teaching for a client with an auditory perceptual disorder. Which educational strategy will be most effective?

Repeat and reinforce words frequently.

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

Resources

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

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

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:

Thinks about smoking cessation Makes a plan to cease smoking Takes steps to stop smoking Works to prevent relapse of smoking Resists relapsing into smoking

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

Use of slow, directed, and deliberate speech

The nurse is discussing health promotion activities with a client. Which client statement indicates a need for further education by the nurse on this topic?

"Older adults benefit the most from these actions."

The nurse is preparing a learning contract for a client to adhere to a prescribed activity schedule. Which content will the nurse include in the contract to motivate the client?

Series of short, measurable goals

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?

Suggest the client purchase a self-monitoring cuff

Which is an example of a direct measurement technique used to evaluate the teaching-learning process?

Behavioral observation

Choose the nursing statement that would best reflect the final component of the "Ask-Tell-Ask-Close" technique of communication and demonstration.

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

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

Appropriateness of teaching techniques

A nurse is teaching a client taking digoxin about checking the pulse rate daily. The client counts her radial pulse as 64 beats/min. The nurse counts at the same time and assesses the rate as 58 beats/min. When evaluating response to treatment, the nurse would chart that the client

Requires another opportunity for practice

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 planning to teach adults aged 65 about congestive heart failure management

The nurse develops outcome criteria for a patient with chronic obstructive pulmonary disease. Which outcome criteria are appropriate for this patient?

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

The nurse is caring for a young adult client with a chronic disease. Which topic will the nurse prioritize when teaching this client?

health promotion practices

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

Improve patient outcomes

The nurse is caring for a 40-year-old female client. Which health promotion screening(s) will the nurse review with this client? Select all that apply.

routine health examination electrocardiogram

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?

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

The nurse is caring for a client who is newly diagnosed with diabetes. Which statement indicates to the nurse that the client is ready to learn about the disease process and treatment?

"I watched my parent check blood sugar levels several times."

What nursing action involves modifying a teaching program if a learner is not experientially ready?

Changing the wording in a teaching pamphlet so that a patient with a fourth-grade reading level can understand it

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

Planning

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?

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 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?

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