Health Promotion
A parish nurse is describing the relationships between health and physical fitness to a group of older adults who all attend the same church. What potential benefits of a regular exercise program should the nurse describe? Select all that apply. 1. Decreased cholesterol levels 2. Delayed degenerative changes 3. Improved sensory function 4. Improved overall muscle strength 5. Increased blood sugar levels
Decreased cholesterol levels Delayed degenerative changes Improved overall muscle strength
The nurse is teaching a local community group about the importance of disease prevention. Why is the nurse justified in emphasizing disease prevention as a component of health promotion? 1. Prevention is emphasized as the link between personal behavior and health. 2. Most Americans die of preventable causes. 3. Health maintenance organizations (HMOs) now emphasize prevention as the main criterion of health care. 4. External environment affects the outcome of most disease processes.
Prevention is emphasized as the link between personal behavior and health.
During a routine pediatric visit, a 2 month old patient will need which of the following vaccines? 1. MMR (Measles, Mumps, Rubella) 2. Hepatitis A 3. Hepatitis B 4. DtAP (Diptheria, Tetanus, Pertussis) 5. Hib (Haemophilus Influenzae Typre B) 6. Varicella 7. Polio 8. RV (Rotavirus) 9. PCV (Pneumococcal Conjugate Vaccine)
RV, DTaP, Hib, PCV, Hep B
An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy? 1. Teach plant workers about proper lifting techniques. 2. Set up an influenza immunization campaign. 3. Help plant workers identify signs of carpal tunnel syndrome. 4. Collaborate with physical therapists to develop programs for injured employees to return to work.
3. Help plant workers identify signs of carpal tunnel
A nurse is preparing a community health program for adults at risk for cardiovascular disease. Which of the following should the nurse include as a modifiable risk factor? 1. Diagnosis of diabetes mellitus 2. Family history of cardiac disease 3. Increasing age 4. Cigarette smoking
4. Cigarette smoking
A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local health fair. Which of the following instructions should the nurse include? Select all that apply 1. Report any breast dimpling or discharge 2. For those who have a menstrual cycle, perform a BSE every month, about 7 days after menstruation ends 3. Using the palm of the hand, feel for lumps using a circular motion. 4. Breasts can be examined in the shower with soapy hands. 5. Patients should be insfinger pads of the middle three fingers to perform a BSE as instructed
1, 4, 5
A nurse is reinforcing teaching with a group of adolescent females who are pregnant about expected changes related to pregnancy. Which of the following client statements indicates understanding of the teaching? 1. "It is normal to have a white vaginal discharge." 2. "I should recognize fetal movement by 12 weeks." 3. "I will take fluid pills if my ankles begin to swell." 4. "My nipples and areolae will become pale as my breasts enlarge."
1, It is normal to have a while vaginal discharge. 4. My nipples and areolae will become pale as my breasts enlarge.
Middle-aged adults are part of an age group that is known to be interested in health and health promotion, and the nurse is planning health promotion activities accordingly. To what suggestions do members of this age group usually respond with enthusiasm? Select all that apply. 1. How lifestyle practices can improve health 2. How to eat healthier 3. How exercise can improve your life 4. Strategies for adhering to prescribed therapy 5. Exercise for the aging
1. How lifestyle practices can improve health 2. how to eat healthier 3. exercise can improve your life
A community health nurse in a pediatric clinic is reviewing the history of a 12-year-old client. Which of the following immunizations should the nurse expect to administer? 1. Meningococcal conjugate 2. Herpes zoster 3. Rotavirus 4. Pneumococcal polysaccharide
1. Meningococcal conjugate
You are the clinic nurse providing patient education to a teenage girl who was diagnosed 6 months ago with type 1 diabetes. Her hemoglobin A1C results suggest she has not been adhering to her prescribed treatment regimen. As the nurse, what variables do you need to assess to help this patient better adhere to her treatment regimen? Select all that apply. 1. Variables that affect the patient's ability to obtain resources 2. Variables that affect the patient's ability to teach her friends about diabetes 3. Variables that affect the patient's ability to cure her disease 4. Variables that affect the patient's ability to maintain a healthy social environment 5. Variables that affect the patient's ability to adopt specific behaviors
1. Variables that affect the patients ability to obtain resources 2. Variables that affect the patients ability to maintain a healthy social environment 3. Variables that affect the patients ability to adopt specific behaviors
A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should the nurse include? Select all that apply: 1. The client will list foods that are high in calcium, which should be avoided. 2. The client will walk for 30 min 5 days a week. 3. The client will increase calorie intake by 200 cal per day. 4. The client will replace cigarettes with smokeless tobacco products. 5. The client should be instructed to increase calcium and Vitamin D 6. The client should be instructed to decrease caloric intake
2, 5, 6 CDC recommendations include engaging in a moderate exercise, such as walking, for a total of 150 min each week.
An 18-year-old woman comes to the physician's office for a routine prenatal checkup at 34 weeks gestation. Abdominal palpation reveals the fetal position as right occipital anterior (ROA). At which of the following sites would the nurse expect to find the fetal heart tone? 1. Below the umbilicus on the mother's left side 2. Below the umbilicus, on the mother's right side 3. Above the umbilicus, on the mother's left side 4. Above the umbilicus on the mother's right side 5. Occiput and back are pressing against the right side of mother's abdomen; FHT would be heard below umbilicus on right side
2. Below the umbilicus, on the mother's right side
An occupational health nurse is in the planning stages of a new health promotion campaign in the workplace. When appraising the potential benefits of the program, the nurse should consider that success depends primarily on what quality in the participants? 1. Desire to expand knowledge 2. Self-awareness 3. Adequate time- and task-management 4. Taking responsibility for oneself
4. Taking responsibility for oneself
Health care professionals are involved in the promotion of health as much as in the treatment of disease. Health promotion has evolved as a part of health care for many reasons. Which of the following factors has most influenced the growing emphasis on health promotion? 1. A changing definition of health 2. An awareness that wellness exists 3. An expanded definition of chronic illness 4. A belief that disease is preventable
A changing definition of health
A public health nurse understands that health promotion should continue across the lifespan. When planning health promotion initiatives, when in the lifespan should health promotion begin? 1. Adolescence 2. School age 3. Preschool 4. Before birth
Before birth
An elderly female patient has come to the clinic for a scheduled follow-up appointment. The nurse learns from the patient's daughter that the patient is not following the instructions she received upon discharge from the hospital last month. What is the most likely factor causing the patient not to adhere to her therapeutic regimen? 1. Ethnic background of health care provider 2. Costs of the prescribed regimen 3. Presence of a learning disability 4. Personality of the physician
Cost of prescribed regimen
The nursing instructor has given an assignment to a group of certified nurse practitioner (CNP) students. They are to break into groups of four and complete a health-promotion teaching project and present a report to their fellow students. What project most clearly demonstrates the principles of health-promotion teaching? 1. Demonstrating an injection technique to a patient for anticoagulant therapy 2. Explaining the side effects of a medication to an adult patient 3. Discussing the importance of preventing sexually transmitted infections (STI) to a group of high school students 4. Instructing an adolescent patient about safe and nutritious food preparation
Discussing the importance of preventing sexually transmitted infections (STI) to a group of high school students
A nurse recognizes that individuals of different ages have specific health promotion needs. When planning to promote health among young adults, what subject is most likely to meet this demographic group's learning needs? 1. Family planning 2. Management of risky behaviors 3. Physical fitness 4. Relationship skills training
Family Planning
A team of public health nurses are doing strategic planning and are discussing health promotion activities for the next year. Which of the following initiatives best exemplifies the principles of health promotion? 1. A blood pressure clinic at a local factory 2. A family planning clinic at a community center 3. An immunization clinic at the largest local mall 4. A workplace safety seminar
Family planning clinic at a community center
Health promotion ranks high on the list of health-related concerns of the American public. Based on current knowledge, what factor should the nurse prioritize in an effort to promote health, longevity, and weight control in patients? 1. Good nutrition 2. Stress reduction 3. Use of vitamins 4. Screening for health risks
Good nutrition
Positive patient outcomes are the ultimate goal of nurse-patient interactions, regardless of the particular setting. Which of the following factors has the most direct influence on positive patient-care outcomes? 1. Patient's age 2. Patient's ethnic heritage 3. Health education 4. Outcome evaluation
Health Education
A nursing student is collaborating with a public health nurse on a local health promotion initiative and they recognize the need for a common understanding of health. How should the student and the nurse best define health? 1. Health is an outcome systematically maximizing wellness. 2. Health is a state that is characterized by a lack of disease. 3. Health is a condition that enables people to function at their optimal potential. 4. Health is deliberate attempt to mitigate the effects of disease
Health is a condition that allows people to function at their optimal potential
A nurse has been working with Mrs. Griffin, a 71-year-old patient whose poorly controlled type 1 diabetes has led to numerous health problems. Over the past several years Mrs. Griffin has had several admissions to the hospital medical unit, and the nurse has often carried out health promotion interventions. Who is ultimately responsible for maintaining and promoting Mrs. Griffin's health?
Mrs. Griffin
The nursing profession and nurses as individuals have a responsibility to promote activities that foster well-being. What factor has most influenced nurses' abilities to play this vital role? 1. Nurses are seen as nurturing professionals. 2. Nurses possess a baccalaureate degree as the entry to practice. 3. Nurses possess an authentic desire to help others. 4. Nurses have long-established credibility with the public.
Nurses have long-established credibility with the public.
A nurse has been studying research that examines the association between stress levels and negative health outcomes. Which relationship should underlie the educational interventions that the nurse chooses to teach? 1. Stress impairs sleep patterns. 2. Stress decreases immune function. 3. Stress increases weight. 4. Stress decreases concentration.
Stress decreases immune function.