Health Education and Health Promotion

A nurse is aware of both the importance of health education and the fact that it is an independent function of nursing practice. Under which of the following circumstances should a nurse consider providing health education?

During each contact that the nurse has with a health care consumer

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

Educational history and life experience

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

Ineffective health maintenance

Health education is important for all patients and families. Of the four groups listed below, which group is most in need of health teaching?

Patients with chronic illnesses, because life-long interventions and adjustments can improve the quality of life

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 planning to teach a client who was recently diagnosed with migraine headaches. It is best to teach the client

In a quiet room

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

Health education of a client by the nurse

is an independent function of nursing practice.

A 36-year-old man who has chewed tobacco since he was a teenager is having a discussion about this habit with his nurse practitioner. What statement would suggest that the man is in the contemplation stage of change?

"I know I have to quit, and I'm sure that I will at some point."

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:

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

What percentage of people older than 65 years have one or more chronic disease(s)?

80

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

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

Behavioral observation

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

Evaluation

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

Has tuberculosis and is taking multiple antitubercular medications

During a teaching session with a client with a new walker, the nurse provides frequent reinforcement to the client to get up from a chair that has arms by holding the top of the chair arm with one hand. Once standing and stable, the client can grasp either the other side of the walker or both sides of the walker. The nurse knows that this educational strategy is most effective with which type of disability?

Input disability

A patient with a visual impairment would benefit from which of the following teaching strategies?

Magnifying lenses

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

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

Which factor is a leading health indicator used to measure the health of the nation?

Overweight and obesity

An example of evidence-based practice would be:

Patients on bed rest are turned every 2 hours to prevent the formation of bedsores.

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:

Planning

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

Planning

A nurse is discussing the need for a client to increase activity level and eat a heart-healthy diet. The client tells the nurse, "I eat just fine and I'm not that fond of exercising." The nurse would identify this client at which stage of change?

Precontemplation

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?

The client constructs a plan to change behavior.

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

The client with pneumonia who requires 1 week of oral antibiotics

Therapeutic touch should be used in which situation?

When a client is sensory deprived

The nurse is using a teaching plan with a client. When will the implementation phase of the teaching-learning process end?

when teaching strategies have been completed

The nurse is developing a teaching plan. What variables significantly influence non-adherence to a prescribed regimen? Select all that apply.

personal attitudes emotional make-up social support self-concept

A nurse is caring for a client who wants to quit smoking. The client tells the nurse he has thrown out all of his cigarettes. Which stage is the client in, according to the transtheoretical model of change?

Action

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

Contemplation

A nurse is providing feedback to a client who demonstrates how to use an incentive spirometer. What primary role does feedback have in the adult learning process?

Motivates learning

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 on enabling complete adherence to a health regimen?

Motivation

A nurse on a postsurgical unit has performed health education on the correct technique for emptying a drain for a woman who will be discharged home with a drain in situ. The nurse has asked the patient to demonstrate the correct technique and will now provide feedback. Which of the following statements provides the most effective feedback for the patient?

"You kept the drain clean when you emptied it, and you restored the negative pressure effectively."

A nurse is preparing an in-service education program for a group of nurses involved in health education. When describing the connection between health teaching and health promotion, which information would the nurse most likely include?

Both are linked by the common goal of achieving high-level wellness.

Part of health promotion in the adolescent population is health screening. What is the goal of health screening in this population?

To detect health problems at an early age, so that they can be treated at this time

A community health nurse is well aware that taking responsibility for oneself is the key to successful health promotion. Which of the following actions by the nurse's patients best demonstrates self-responsibility and health promotion?

A woman takes action to quit smoking cigarettes.

A health care provider asked a nurse to teach a patient how to self-administer subcutaneous insulin. After collecting her assessment data and drafting her plan, the nurse selected the teaching strategy that research has indicated has the highest chance of reinforcing knowledge. Which of the following strategies did the nurse select?

Assisting the patient to perform the skill in a simulated setting

The nurse is providing preoperative information about hip replacement to a group of clients scheduled for this surgery. One of the clients is slightly hearing impaired. What is the best action of the nurse?

Use a model of the hip.

A hospitalized client reports right lower quadrant abdominal pain at a level of 8 on a 0 to 10 scale. The client is scheduled for an appendectomy. The nurse is teaching the client about use of the incentive spirometer postoperatively verbally and by demonstration. The client is on his side, clutching his abdomen. Learning is not occurring. The nurse has primarily failed to consider the client's

Physical readiness

A middle-aged female client is overweight and sedentary, has slightly elevated blood pressure, and is seeking ways to begin exercise. The client wishes to lose weight and improve her blood pressure. The nurse plans an exercise program in which the client

Walks for 30 minutes three times this week and is re-evaluated

The practice of nursing care is multifaceted in its scope and delivery. Which of the following activities describe the role of nursing? Select all that apply.

Health education and maintenance Promoting health Preventing illness

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

Improve patient outcomes

The Healthy People 2030 initiative targets the improvement of health for all. In addition to eliminating health disparities, what are the broad goals of this plan?

Increasing the quality and length of a healthy life

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.

A nurse is teaching an older adult about a medication that the client will take at home. The nurse assesses which of the following factors as promoting adherence to the medication regimen?

The client's daughter is present and provides care to the client at home.

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

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

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

Use of slow, directed, and deliberate speech