Deck 1: Health Promotion and Disease Prevention

Question 1

The nurse using the World Health Organization (WHO) description of health bases care on the premise that health is

A) a gift from a higher being.
B) any disease-free condition.
C) complete mental, physical, and social well-being.
D) high-level functioning despite illness.

Answer 1

complete mental, physical, and social well-being.

Question 2

A nurse is teaching women breast self-examination (BSE). When designing a teaching program, the nurse is aware that the biggest barrier to women doing BSE is

A) better screening tools like mammograms.
B) discomfort and pain when doing the exam.
C) lack of confidence when performing the exam.
D) realization that breast cancer is not a leading cause of cancer death in women.

Answer 2

lack of confidence when performing the exam.

Question 3

A nurse is presenting information at a community forum related to pneumonia. The nurse informs the audience that people who should receive the pneumococcal vaccine include those who (select all that apply).

A) are over age 65 and had a vaccination more than 5 years ago.
B) are under age 65 and are alcoholics.
C) are under age 65 with chronic illnesses.
D) are over age 65 and have never had pneumococcal pneumonia before.
E) are over the age of 65.

Answer 3

are over age 65 and had a vaccination more than 5 years ago.
are under age 65 and are alcoholics.
are under age 65 with chronic illnesses.
are over age 65 and have never had pneumococcal pneumonia before.

Question 4

The nurse recognizes the activity that reflects primary prevention is

A) a self-initiated walking regimen.
B) collaboration with a physical therapist.
C) physician-prescribed exercise after a heart attack.
D) tuberculosis screening.

Question 5

A holistic belief system by the nurse would be most evident if the nurse

A) accepts death as an outcome of life.
B) encourages behavior modification programs.
C) incorporates client perceptions of health when planning care.
D) supports goal-directed learning to improve health.

Question 6

Suggestions that a home health nurse could make to an elderly client with cataracts to reduce the risk of falls in his home would include

A) arranging scatter rugs to prevent slipping on the hardwood floor.
B) using lower-illumination bulbs to prevent eyestrain.
C) using night lights in every room.
D) wearing soft-soled house shoes indoors.

Question 7

Place the steps for breast self-examination (BSE) in the order a nurse should teach a client to do them (select all that apply).

A) Feel both breasts while lying down.
B) Feel both breasts while sitting or standing.
C) Gently squeeze each nipple to look for discharge.
D) Look at your breasts in the mirror with your arms on your hips.
E) Look at your breasts in the mirror with your arms raised.

Question 8

During a nursing history before a physical exam, a nurse identifies a client as being in a violent relationship. The most important intervention by the nurse at this time is to

A) ask the physician to order a series of x-rays to look for old broken bones.
B) call the police if the abusive partner is in the waiting room.
C) help the woman develop an individual plan to diminish future abuse.
D) refer her to the local battered women's shelter.

Question 9

A client is having a physical examination and asks the nurse if his father, age 76, should have the same prostate cancer screening that he is having. The nurse bases her answer on knowledge that

A) a simple blood test is all that is required for prostate cancer screening.
B) all men, regardless of age, need routine prostate cancer screening.
C) men over age 70 generally do not need routine prostate screening.
D) only members of certain high-risk ethnic groups need regular screening.

Question 10

The nurse can "empower" a client in adjusting to the changes associated with the chronic effects of non-insulin-dependent diabetes mellitus by

A) explaining that concerns about vision changes are premature at this point.
B) explaining the pathophysiology of the disease.
C) informing the client about the different types of insulin.
D) teaching the client how to minimize complications.

Question 11

When the nurse encourages a Native American to seek health counsel from the tribe's shaman, the nurse is following the tenets of

A) King.
B) Leninger.
C) Pender.
D) Rogers.

Question 12

The nurse is caring for a 35-year-old client at risk for cardiovascular disease. The client states he is aware that he must "maintain a low-fat diet." Using the Transtheoretical Model and Stage of Change, the nurse assesses that this client is at the stage of

A) action.
B) contemplation.
C) maintenance.
D) pre-contemplation.

Question 13

Strategies a nurse should use when teaching a client include (select all that apply)

A) using plain, lay language.
B) providing comprehensive information at each session.
C) having the client "teach back" what has been taught.
D) using written material written at a low literacy level.

Question 14

The nurse explains that the belief advancing the idea that disease is a result of an organically caused disorder is the

A) biomedical model.
B) biopsychosocial theory.
C) Dunn's high-level wellness model.
D) Travis' health model.

Question 15

The nurse planning a health promotion program with clients in the community will focus least on

A) assisting the clients to make informed decisions.
B) organizing methods to achieve optimal mental health.
C) providing information and skills to maintain lifestyle changes.
D) reducing genetic risk factors for illness.

Question 16

The nurse is developing a teaching plan for a 60-year-old man who experienced a cerebrovascular accident (CVA). The nurse works with the client to prevent aspiration when eating. This is an example of

A) epidemiologic prevention.
B) primary prevention.
C) secondary prevention.
D) tertiary prevention.

Question 17

The nurse is planning a community STD (sexually transmitted disease) screening fair. This activity would be considered

A) epidemiologic prevention.
B) primary prevention.
C) secondary prevention.
D) tertiary prevention.

Question 18

The nurse explains that the client's ability to cope with stress dynamically will play a significant role in the client attaining maximum potential. This approach is most consistent with the model of

A) King.
B) Leninger.
C) Levine.
D) Neuman.

Question 19

The nurse understands that the document he/she can use to plan community teaching projects addressing the federal population-based health objectives is

A) Healthy People 2010.
B) Nursing's Agenda for Healthcare.
C) the federal Medicare/Medicaid Acts.
D) the Goldmark Report.

Question 20

The nurse is counseling an overweight young man on entry into a weight reduction and exercise program. The nurse is aware that the client is most likely to begin and maintain the program if he

A) can envision himself as thinner.
B) feels competent about making the change.
C) has read about the program.
D) is aware of being overweight.

Question 21

A nurse teaching a client using self-management support strategies would include measures to help the client increase his/her (select all that apply)

A) compliance with recommendations.
B) decision-making abilities.
C) health literacy.
D) problem-solving skills.
E) resource utilization