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Components of the assessment the nurse needs to complete that are related to health promotuio include: (Select all that apply) A. Health history. B. Physical fitness assessment. C. Physical examination. D. Lifestyle assessment. E. Vital signs assessment.

A. Health history. B. Physical fitness assessment. C. Physical examination. D. Lifestyle assessment

A nurse is preparing to complete a nutritional health assessment for a diabetic client and indifies the most important information to collect as: A. The age and body build of the client B. The client's current blood sugar measurement. C. Family history. D. The client's vital signs

A. The age and body build of the client

8) When performing a health risk assessment, it is important to remember that this assessment is intended to indicate the client's risk over how many years? (1point) A.5 years B.12 years C.2 years D.10 years

Answer(s): 10 years Feedback: Rationale: A health risk assessment is intended to indicate the client's risk over the next 10 years

3) The nurse uses holistic care when: (1point) A.Assessing one area of concern to determine how it affects the whole person. B.Giving individualized care related to the client's primary concern. C.Assessing the family's perception of the client's priority problem. D.Only assessing the priority concern.

Answer(s): Assessing one area of concern to determine how it affects the whole person. Feedback: Rationale: Nurses are concerned with the individual as a whole or complete person, not as an assembly of parts and processes. When applied in nursing, the concept of holism emphasizes that nurses must keep the whole person in mind and strives to understand how one area of concern relates to the whole person

The major goal of Healthy People 2020 reflecting the nation's aging population is the goal to: (1point) A.Attain high quality, longer lives free of preventable disease, disability, injury, and premature death. B.Increase illness-prevention strategies in the general population. C.Create social and physical environments that promote good health for all. D.Increase the number of community health centers.

Answer(s): Attain high quality, longer lives free of preventable disease, disability, injury, and premature death. Feedback: Rationale: The changing demographics reflect the aging population. This is reflected in the goal of increasing quality and years of healthy life

2) A client is admitted with a medical diagnosis of heart failure. The nurse assesses that the client's weak heart function causes blood pressure (BP) to drop and notes that the heart rate increases to pump more blood, which improves BP. The nurse recognizes that the increased heart rate is an example of: (1point) A.Decompensation. B.Self-regulation. C.Equilibrium. D.Compensation.

Answer(s): Compensation. Feedback: Rationale: The compensatory mechanism of increasing the heart rate is the body's way of trying to balance an ineffective cardiac output since the BP has decreased.

11) The nurse understands that the majority of individuals who relapse during a health behavior change return to which stage for reevaluation? (1point) A.Contemplation stage B.Action stage C.Preparation stage D.Maintenance stage

Answer(s): Contemplation stage Feedback: Rationale: The majority of individuals will return to the contemplation stage to think about what they learned and plan for the next action attempt.

17) A nursing action that may increase resistance to change is: (1point) A.Using reflective listening. B.Examining the client's level of confidence to change. C.Defending the change. D.Emphasizing personal choice and control.

Answer(s): Defending the change. Feedback: Rationale: Meeting force with force increases resistance to change. Instead, use reflective listening to try to understand how the client is feeling.

A client has failed to follow the plan that was developed for health promotion. What would be the most effective response by the nurse? (1point) A.Start over at the beginning of the process. B.Discard the idea that the client must change. C.Discharge the client due to noncompliance. D.Inform the physician of the client's lack of motivation

Answer(s): Discard the idea that the client must change. Feedback: Rationale: Understanding that the client may not change is a key for the nurse. However, the nurse can explore a revision of the plan with the client to make the change more successful.

19) The nure differentiates health promotion and health protection behaviors by describing health promotion behavior as motivated by a desire: (1point) A.For wellness. B.To avoid illness. C.To identify cancer in the earliest stages. D.To avoid insults to health and well-being.

Answer(s): For wellness. Feedback: Rationale: Health promotion behavior seeks to expand the individual's positive potential for health and is wellness oriented

20) The nurse identifies health protection behavior of the client as demonstrated by the client: (1point) A.Taking nature walks. B.Training for a marathon. C.Attending a class on stress reduction. D.Having yearly Pap smears

Answer(s): Having yearly Pap smears. Feedback: Rationale: Health protection is behavior motivated by a desire to detect disease early.

22) A nurse provides individualized client care for the adult primarily based upon: (1point) A.Environmental interactions and perceptions of health. B.Behaviors and emotional state. C.The client's uniqueness. D.Family preferences

Answer(s): The client's uniqueness. Feedback: Rationale: In the individualized care context, the nurse becomes acquainted with the client as an individual, using the total care principles that apply to this person at this time and considers all of the components that make the client unique.

6) The important thing for nurses hosting a wellness clinic to remember is: (1point) A.The clinic should address the needs of the clients they will see. B.All ages and types of clients can receive care. C.All types of care will be provided. D.All nurses must have expertise in community affairs.

Answer(s): The clinic should address the needs of the clients they will see. Feedback: Rationale: Wellness clinics can be held anywhere. The important thing for the people hosting the wellness clinic to remember is that the clinic should address the specific needs of the clients that the clinic will serve.

7) Healthy People 2020 believes that individual health is linked to: (1point) A.The client's family. B.The client's socialization practices. C.Developmental stages. D.The community.

Answer(s): The community. Feedback: Rationale: Healthy People 2010 promotes the belief that individual health is based in relationship to the community.

5) The nurse understands that many people prefer a group approach for health promotion and health protection activities because: (1point) A.They find it more motivating and enjoy the socializing and support. B.They appreciate the privacy that comes with being part of a group. C.The focus of the activity is specifically on them. D.They want to socialize more than they want to address health issues.

Answer(s): They find it more motivating and enjoy the socializing and support. Feedback: Rationale: Many people prefer a group approach, and find it motivating and supporting. Examples include support groups for spouses of Alzheimer's clients.

The nurse relates human needs essential to survival according to Maslow as including: (Select all that apply) A. Love and belonging needs. B. Safety and security needs. C. Physiologic needs. D. Self-esteem needs. E. Self-actualization needs

B. Safety and security needs. C. Physiologic needs Rationale: • Physiologic needs, such as air, food, water, or rest are essential to survival. • Safety and security needs are next in terms of importance to survival. They include both physical and psychologic safety needs. • Love and belonging needs are important to the well-being of the individual, but are not essential to survival because the human is capable of existing without them. • Self-esteem needs include the individual's self-esteem and esteem from others. While these needs are not essential to survival, it makes life more enjoyable when they are met. • Many people do not become self-actualized, which occurs when the person's self-esteem needs are met and the individual has an innate need to develop one's maximum potential and realize one's abilities and qualities.

The client states that he enjoys video games. The nurse identifies this as what type of need? A. Physiologic B. Stimulation C. Self-Esteem D. Safety and security

B. Stimulation

Using Maslow's framework, the nurse determines the client with the highest priority need is the client who says: A. "I feel so stupid because I cannot learn how to give myself an insulin injection." B. "It is lonely in this isolation room by myself. Cloud I be moved to another room?" C. "Nurse, my pain is severe.... Is it time for my shot?" D. "I'm afraid to go home because there been so many robberies in my neighborhood

C. "Nurse, my pain is severe.... Is it time for my shot?"

The nurse understands that the self-actualized client will be able to: A. Show emotional liability. B. Delegate all activities or daily liven (ADLs ) to family members. C. Take care of all his or her own wants every day. D. Verbalize needs and limitations

D. Verbalize needs and limitations.

10) The nurse explains that the assumptions of the health promotion model (HPM) include: (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected. (1point) A.Individuals need to be monitored to regulate behavior. B.Individuals have the capacity for reflective self-awareness, including assessment of their own competencies. C.Individuals, in all their biopsychosocial complexity, interact with the environment, progressively being transformed by the environment over time. D.Health professionals constitute a part of the interpersonal environment, which exerts influence on individuals throughout their life span. E.Individuals value growth in directions viewed as positive and attempt to achieve a personally acceptable balance between change and stability

Answer(s): Individuals have the capacity for reflective self-awareness, including assessment of their own competencies., Individuals value growth in directions viewed as positive and attempt to achieve a personally acceptable balance between change and stability. and Health professionals constitute a part of the interpersonal environment, which exerts influence on individuals throughout their life span. Feedback: Rationale: Individuals have the self-awareness to assess their own competencies. Individuals have the ability to grow and accept a balance between change and stability. Individuals are self-regulating and do not need to be monitored. Individuals, in all their biopsychosocial complexity, interact with the environment, progressively transforming the environment and being transformed over time. Health professionals constitute a part of the interpersonal environment, which exerts influence on individuals throughout their life span.

12) The nurse recognizes that the client in the precontemplation stage of the Transtheoretical Model (TTM) will: (1point) A.Not think about changing his or her behavior for the next 6 months. B.Decide not to change behavior. C.Think about changing his or her behavior. D.Begin changing some aspects of behavior.

Answer(s): Not think about changing his or her behavior for the next 6 months. Feedback: Rationale: In the precontemplation stage, the person does not think about changing his or her behavior in the future 6 months

14) The nurse outlines the five levels of Maslow's hierarchy of needs in ascending order of importance to the individual. (1point) A.Self-actualization needs 5 B.Love and belonging needs 3 C.Self-esteem needs 4 D.Safety and security needs 2 E.Physiologic needs

Answer(s): Physiologic needs - 1, Safety and security needs - 2, Love and belonging needs - 3, Self-esteem needs - 4 and Self-actualization needs - 5 Feedback: Rationale: Maslow's hierarchy of needs in ascending order are: (1) physiologic needs, (2) safety and security needs, (3) love and belonging needs, (4) self-esteem needs, and (5) self-actualization needs

18) The nurse identifies health promotion behavior of the client as demonstrated by the client: (1point) A.Obtaining immunizations. B.Having yearly mammograms. C.Having physical therapy for a knee injury. D.Practicing yoga for meditation.

Answer(s): Practicing yoga for meditation. Feedback: Rationale: Health promotion behavior seeks to expand the individual's positive potential for health with activities such as yoga, which reduces stress and improves flexibility and mobility

9) Click the thumbnail below to see a larger view of the image. Using the box shown, the nurse describes factors that impact health promotion and illness prevention with the older adult, including: (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected. (1point) A.Access to health care. B.Family who live nearby. C.Presence of one or more chronic diseases. D.Change in cognitive status. E.Increase in physical limitations

Answer(s): Presence of one or more chronic diseases., Change in cognitive status., Increase in physical limitations. and Access to health care. Feedback: Rationale: The presence of one or more chronic diseases impacts health promotion and illness prevention. The presence of family members nearby is far less important than the level of support offered by family members. Changes in cognitive status impact the health promotion and illness prevention needs of the older adult. The older adult with increased physical limitations requires different health promotion and illness prevention strategies. Access to health care does not impact the health promotion and illness prevention needs of the client, but it may impact how these needs are met. Inability to access care has a profound effect on client health status.

16) When supporting the client in lifestyle change, actions the nurse can take include: (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected. (1point) A.Providing individual counseling sessions. B.Reviewing and summarizing assessment data. C.Modeling. D.Providing telephone or computer counseling. E.Providing health education

Answer(s): Providing individual counseling sessions., Providing telephone or computer counseling., Modeling. and Providing health education. Feedback: Rationale: Reviewing and summarizing data is an action the nurse takes during the planning phase of lifestyle change, not the implementation phase. Individual counseling sessions are routinely scheduled or provided according to the client's needs. Regular telephone sessions or computer interaction are provided to the client to answer questions, review goals and strategies, and reinforce progress. Through observing a model, the client acquires ideas for behavior and coping strategies. Health education programs can be provided to groups, individuals, or communities

15) The nurse compares Maslow's hierarchy of needs as adapted by Kalish, noting that stimulation needs include: (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected. (1point) A.Exploration. B.Novelty. C.Activity. D.Sex. E.Security.

Answer(s): Sex., Activity., Exploration. and Novelty. Feedback: Rationale: According to Kalish, stimulation needs include sex. According to Kalish, stimulation needs include activity. According to Kalish, stimulation needs include exploration. According to Kalish, stimulation needs include novelty. Security falls between physiologic needs and safety and security needs, and is not a component of stimulation.

13) The nurse identifies that the difference between Maslow's hierarchy of needs and Kalish's hierarchy of needs is that Kalish's includes: (1point) A.Self-esteem needs. B.Stimulation needs. C.Physiologic needs. D.Safety and security needs

Answer(s): Stimulation needs. Feedback: Rationale: A category in Kalish's hierarchy of needs that is not found in Maslow's hierarchy of needs is referred to as stimulation needs.

21) The nurse understands that each client's individual character includes personal: (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected. (1point) A.Values. B.Motives. C.Habits. D.Abilities. E.Homeostasis

Answer(s): Values., Motives., Habits. and Abilities. Feedback: Rationale: Dimensions of individuality include the client's total character, self-identity, and perceptions. The client's total character encompasses values. The client's total character encompasses motives, which are thoughts or beliefs that spur a person to act. The client's total character encompasses habits, which are customs the client is comfortable performing. The client's total character encompasses abilities, which are accomplishments or achievements. Homeostasis does not mold the client's character, but it may be affected by