H,I,&W prep u
Which factor is a leading health indicator used to measure the health of the nation?
Overweight and obesity Leading health indicators used to measure the health of the nation include overweight and obesity, physical activity, and mental health. Intelligence, cultural awareness, and religion are not leading health indicators.
A client tells the nurse that her doctor just told her that her new diagnosis of rheumatoid arthritis is considered to be a "chronic condition." She asks the nurse what "chronic condition" means. What would be the nurse's best response?
"Chronic conditions are defined as health problems that require management of several months or longer." Chronic conditions are often defined as medical conditions or health problems with associated symptoms or disabilities that require long-term management (3 months or longer). Chronic diseases are usually managed in the home environment. They are not always cyclical or predictable.
An 85-year-old man is being transferred from his house to a nursing home by his wife. What is the first action the nurse should take to help reduce the stress of relocation on the client?
Assess the client's usual lifestyle and daily activities. Assessment of the client's usual lifestyle and daily activities to incorporate them into his new life at the nursing home is the first action the nurse should take. Providing opportunities for the client to assist in decision making, careful explanation of procedures and routines before they occur, and frequent reorientation of the new location will reduce the stress of relocation on the elderly client
Which activities would the nurse consider to be lifestyle risk factors for the development of health problems? Select all that apply.
Avoiding exercise Participating in extreme sports Maintaining a stressful job A sedentary lifestyle, high stress, and participation in risky sports are all examples of lifestyle-related risk factors for disease and illness. A family history of an illness is a genetic risk factor. Pollution is an environmental consideration.
A parent brings a 2-year-old child for a well-baby visit. Which actions address primary prevention strategies for the nurse to discuss with the parent? Select all that apply.
Discussing healthy meal choices for a 2-year-old child Adhering to the immunization schedule Reviewing appropriate discipline for a 2-year-old child Using a child safety seat appropriately Discussing healthy meal choices, adhering to the immunization schedule, reviewing appropriate discipline, and using a child safety seat are primary prevention activities. Performing a lead screening is a secondary prevention activity.
The nurse is conducting a community education program on malignant melanoma. The nurse knows that the participants understand the teaching when they identify which characteristic as a risk factor?
Family history of pancreatic cancer A family history of pancreatic cancer is a risk factor for malignant melanoma. Additional risk factors include fair skin, freckles, blue eyes, blond hair, Celtic or Scandinavian descent, history of sunburns, previous melanoma, family history of melanoma, and a family or personal history of multiple atypical nevi.
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 Client adherence is low when the treatment plan is complex or of long duration. The client with tuberculosis will take multiple antitubercular medications for 9 to 10 months. The other clients are experiencing disturbances and treatments of short duration.
Which of the following is a nursing diagnosis related to health education?
Ineffective health maintenance Diagnoses related to health education may include ineffective health maintenance, health-seeking behaviors, deficient knowledge, and readiness for enhanced knowledge. The other nursing diagnoses do not related to health education.
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?
Motivation The most influential factor that enables complete adherence of a health regimen is client motivation. The other answer choices may influence a client's motivation, but these are not the most influential.
A nurse is explaining A1C diagnostic testing to a client with diabetes. What level of health care delivery does this test suggest?
Primary Primary care delivery is provided by the first healthcare provider or agency a person contacts and includes teaching and basic care. Quaternary care is an extension of tertiary care and includes experimental medicine and procedures and highly uncommon, specialized surgeries. Secondary care delivery is when primary caregivers refer clients for consultation and additional testing. Tertiary care is health services provided at hospitals or medical centers that have complex technology and specialists.
The nurse is teaching a client how to self-administer insulin. The client inserts the needle into the abdomen, aspirates, and injects the insulin. What action will the nurse take? Select all answers that apply.
Redemonstrate the correct technique. Acknowledge positive aspects of the technique. Feedback to the client should be positive when the client is successful. The nurse should offer constructive suggestions for improvement when the client is unsuccessful. The nurse redemonstrates the skill and acknowledges positive aspects, because the client did perform part of the skill correctly. The client is not ready to perform the skill independently. The nurse does not point out only negative aspects.
During the patient assessment, the client shares that the family attends church nearly every Sunday. Which function of the family does this represent?
Socialization The family transmits values and beliefs, including those of religion, through socialization. The family provides financial aid to family members, fulfilling the economic function. The family meets physical needs by providing a safe, comfortable environment essential for growth, development, and rest or recuperation. The reproductive function of the family is rearing children.
Health education is an important part of nursing practice. When challenged with the many needs of patients, families, and communities, the nurse should always remember that the most important nursing responsibility is to:
Stimulate the person's desire to learn. An individual must be motivated to learn, otherwise it makes no difference what is taught, at what time, or where. Without learner receptivity, health teaching cannot be effective.
A nurse is teaching an older adult about a med that the client will take a home. The nurse assesses which of the following factors as promoting adherence to the med regimen?
The client's daughter is present and provides care to the client at home. Older adults may have problems that affect adherence to medication regimens. An adequate support system, such as involvement from family members, will assist with adherence
A home health nurse is visiting a 60-year-old patient. During the initial visit, the patient's husband answers all of the questions. What would the nurse assess based on this behavior?
The husband is the dominant member of the family. To provide culturally competent care, the nurse must take into consideration the role of the family member who makes most decisions. To disregard this fact or to proceed with nursing care that is not approved by this person can result in conflict or disregard for what is being taught.
Based on the nurse's knowledge of nonadherence to therapeutic regimens which of the following nurses needs to place extra emphasis on adherence to the treatment plan?
The nurse planning to teach adults age 65 about congestive heart failure (CHF) management Eighty percent of people older than 65 years of age have one or more chronic illness and many are limited in their activity. These chronic illnesses may be managed with numerous medications and complicated by periodic acute episodes, making adherence to a regimen difficult. Problems of teenagers, generally, are time limited and specific and require promoting adherence to treatment to return to health. In general, the compliance of children to a regimen depends on the compliance of their parents. Middle-aged adults, in general, have fewer health problems, thus promoting adherence to a regimen.
Which of the following would be incorporated as a teaching strategy for a hearing-impaired person?
Use slow, directed, and deliberate speech Explanation: When teaching persons with a hearing impairment, the nurse should use slow, directed, and deliberate speech. Use of large print materials, arrangement of materials in a clockwise position would be used for persons with a visual impairment. Demonstrating information and having the person perform a return demonstration would be appropriate for a person with a developmental disability.
Health education of the pt by the nurse
is an independent function of the nursing practice Health education is an independent function of nursing practice and is included in all state nurse practice acts. Teaching, as a function of nursing, is included in all state nurse practice acts. Health education is a primary responsibility of the nursing profession. Health education by the nurse focuses on: promoting, maintaining, and restoring health; preventing illness; and assisting people to adapt to the residual effects of illness.
The nurse is caring for a pediatric client with leukemia who is very ill. When the nurse enters the room to give medication to the sleeping client, the nurse notices the parent of the client sobbing. What is the best response for the nurse to give in this situation?
"This must be very difficult for you. Would you like to talk about anything?" The most therapeutic response the nurse can offer would be to validate the client's concerns and fears, and follow that with an open-ended question to allow the client's parent to communicate one's thoughts, such as "This must be very difficult for you. Would you like to talk about anything?" This opens the lines of communication to any topic that the client's parent wishes to discuss. The nurse should avoid telling the parent how to feel or act, such as by telling the parent not to cry; crying is ok if that is helpful to that person. The nurse should always avoid making promises that are beyond the nurse's control, such as promising a client will be ok or recover when that is uncertain. Ignoring the parent's fears and concerns is not helpful in this situation, and the nurse should acknowledge the situation rather than ignore it. The nurse should not attempt to tell the client's parent that he or she knows how the parent feels, because the nurse is not in the same situation. Seeing other people's children ill is very different from having one's child be ill, and the parent's emotions should not be trivialized in this manner.
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
Have the client return demonstrate All the options will be included in a teaching program regarding blood glucose monitoring. The nurse should provide the client ample opportunity for practice. Having the client demonstrate the skill will ensure that the client has learned the procedure.
A nurse is giving a talk to a local community group on health promotion and illness prevention. The nurse explains the different levels of promotion. Which of the following does the nurse include when talking about primary promotion? Select all that apply.
Immunization clinics Poison control information Teaching about a healthy diet Primary health promotion is directed toward promoting good health and preventing disease. Examples include immunization clinics, providing poison control information, and accident prevention. Teaching about a healthy diet, regular exercise, and using seat belts are other examples. Secondary health promotion focuses on screening for early detection of diseases with prompt diagnosis. Things included are screenings for blood pressure and cholesterol, recommending gynecologic exams, and recommending mammograms for women at appropriate ages.