NUR 414A Health Promotion

A nursing student is presenting a clinical conference to peers regarding Freud's psychosexual stages of development, specifically the anal stage. The student explains to the group that which characteristic relates to the anal stage? 1.This stage is associated with toilet training. 2.This stage is characterized by the gratification of self. 3.This stage is characterized by a tapering off of conscious biological and sexual urges. 4.This stage is associated with pleasurable and conflicting feelings about the genital organs.

1

Interrelated concepts regarding patient attributes that a nurse manager would consider when addressing concerns about the quality of health promotion include which type of attribute? 1. Culture 2. Evidence 3. Health policy 4. Nutrition

1

The nurse is preparing discharge resources for a client being discharged to the homeless shelter. When looking at the discharge medication reconciliation form, the nurse determines there is a need for follow-up if which medication was prescribed? 1.Glipizide 2.Lisinopril 3.Metformin 4.Beclomethasone

1

The school nurse incorporates seatbelt and helmet use in a high school class on health promotion as examples of which strategies? 1. Primary prevention 2. Rehabilitation 3. Tertiary prevention 4.Secondary prevention

1

Which action by the nurse will best facilitate adherence to the treatment regimen for a client with a chronic illness? 1.Arranging for home health care 2.Focusing on managing a single illness at a time 3.Communicating with one provider only to avoid confusion for the client 4.Allowing the client to teach a support person about their treatment regimen

1

Which teaching method is most effective when providing instruction to members of special populations? 1.Teach-back 2.Video instruction 3.Written materials 4.Verbal explanation

1

A parent brings her 4-month-old infant to a well-baby clinic for immunizations. The child is up to date with the immunization schedule. The nurse should prepare to administer which immunizations to this infant? 1.Varicella, hepatitis B vaccine (HepB) 2.Diphtheria, tetanus, acellular pertussis (DTaP); measles, mumps, rubella (MMR); inactivated poliovirus vaccine (IPV) 3.MMR, Haemophilus influenzae type b (Hib), DTaP 4.DTaP, Hib, IPV, pneumococcal vaccine (PCV), rotavirus vaccine (RV)

4

An infant receives a diphtheria, tetanus, and acellular pertussis (DTaP) immunization at a well-baby clinic. The parent returns home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. Which intervention should the nurse suggest to the parent? 1.Monitor the infant for a fever. 2.Bring the infant back to the clinic. 3.Apply a hot pack to the injection site. 4.Apply a cold pack to the injection site.

4

Which tertiary prevention measure is included in the plan of care for a patient newly diagnosed with asthma? 1. Safe sex practices 2. Cholesterol screening 3. Glaucoma screening 4. Eliminating allergens

4

what is tertiary prevention

RESTORATIVE and REHABILITATIVE minimizes effects of disease and disability

A primary health care provider has recommended a mammogram and a Papanicolaou (pap) smear for a 50-year-old female patient. In response to questions, the nurse teaches the patient about health promotion activities, describing the mammogram and pap smear as which forms of prevention? 1. Primary prevention 2. Secondary prevention 3. Illness prevention 4. Tertiary prevention

2

The nurse is conducting a dietary assessment on a client who is on a vegan diet. The nurse provides dietary teaching and should focus on foods high in which vitamin that may be lacking in a vegan diet? 1.Vitamin A 2.Vitamin B12 3.Vitamin C 4.Vitamin E

2

The nurse is teaching a patient about the importance of maintaining an ideal body weight. This is an example of which type of prevention? 1. Secondary 2. Primary 3. Tertiary

2

The home health nurse is visiting a patient who was diagnosed with hyperlipidemia. The patient was prescribed a low-fat, low-carbohydrate diet. The patient is refusing instruction and states he will not follow the diet. How should the nurse proceed? 1. Explain that without diet and medication the condition will worsen and serious problems will develop. 2. Emphasize to the patient how important it is to follow the provider's advice. 3. Determine whether any cultural, socioeconomic, or religious values conflict, and thus interfere, with the patient's compliance. 4. Inform the provider that the patient is unable to understand the instructions.

3

The mother of an 8-year-old child tells the clinic nurse that she is concerned about the child because the child seems to be more attentive to friends than anything else. Using Erikson's psychosocial development theory, the nurse should make which response? 1."You need to be concerned." 2."You need to monitor the child's behavior closely." 3."At this age, the child is developing his own personality." 4."You need to provide more praise to the child to stop this behavior."

3

The nurse understands that which of the following health promotion activities are associated with increased adherence? 1. Increasing security, by providing psychological comfort 2. Providing comfort and support 4. Increasing self-esteem, by promoting independence and learning 5. Increasing physiological well-being.

3

What is the process of enabling people to increase control over and improve their health? 1. Community care 2. Primary prevention 3. Health promotion 4. High-level wellness

3

The nurse working in a community outreach program for foster children plans care knowing that which health conditions are common in this population? Select all that apply. 1.Asthma 2.Claustrophobia 3.Sleep problems 4.Bipolar disorder 5.Aggressive behavior 6.Attention-deficit hyperactivity disorder (ADHD)

3, 4, 5, 6

what is health promotion

the process of enabling pts to increase control over and improve their health

The nurse is volunteering with an outreach program to provide basic health care for homeless people. Which finding, if noted, should be addressed first? 1.Blood pressure 154/72 mm Hg 2.Visual acuity of 20/200 in both eyes 3.Random blood glucose level of 206 mg/dL (11.47 mmol/L) 4.Complaints of pain associated with numbness and tingling in both feet

4

The nurse planning care for a military veteran should prioritize nursing interventions targeted at managing which condition, if present, that commonly occurs in this population? 1.Hypertension 2.Hyperlipidemia 3.Substance abuse disorder 4.Post-traumatic stress disorder

4

what is primary prevention

optimizing health and disease PREVENTION can include: optimal nutrition, exercise, immunizations, safe living and work environment, hygiene and sanitation, protection from environmental hazards, etc

what is secondary prevention

involves SCREENINGS can include: opportunity to cure, limit disability, delay consequences