Fundamentals of Nursing

Nursing

Quiz 16 :

Health Promotion

Quiz 16 :

Health Promotion

Question Type
search
arrow
W., a 50-year-old professional man, has pneumonia and is currently being treated with antibiotics. He smokes two packs of cigarettes a day. Since this bout of pneumonia, he voices concern about his smoking and wonders if he should try to quit again. He states, "I've Med everything and nothing works. The longest I last is about one month." He admits to being 30 pounds overweight and states that his wife and he have started walking for 30 minutes every evening. His Wife has also started making low-fat meals. He is concerned that if he quits smoking he will gain more weight. Mr. W. is in which stage of change relating to his cigarette smoking? What strategies could you, the nurse, consider?
Free
Essay
Answer:

Answer:

According to the information given Mr. W is suffering from pneumonia and is given antibiotics accordingly. The client is unable to give up smoking habits. He had tried to stop it and his weight tends to increase due to it. He admits that he gained about 30 pounds. The patient took necessary steps to quit but has no improvements. He also has started walking 30 minutes every day with his wife.
Mr. W is in the pre-contemplation stage. At this stage, the person does not think about changing his behavior for next 6 months. He has already tried changing, but did not work. At such a stage the person becomes completely hopeless.
People in this stage avoid everything and everyone too. He has tried ways to stop his smoking habits and as they did not work properly he gave up. There are various ways to stop the habit of smoking, but all may not be successful too. Some methods would include nicotine replacement, trigger avoidance, and gradually trying to stop.
In nicotine replacement the person uses the nicotine patch and then can gradually reduce the levels. This way the person will not suffer as much as he suffers during smoking cigars and feels the effect of nicotine too. This therapy works the best and has been very helpful to so many people.

Tags
Choose question tag
close menu
arrow
Which of the following are overarching goals of Healthy People 2020? Select all that apply. 1) Raise the education and literacy level. 2) Increase quality and years of healthy life. 3) Eliminate health disparities. 4) Distribute health-related information. 5) Promote healthy behaviors.
Free
Multiple Choice
Answer:

Answer:

A vision of health promotion was started initially in 1979, which involved health promotion and health prevention; it followed in 1990 as well as provided a framework for national health promotion.
Objectives and strategies are applied to develop them. There is a framework with vision, mission. Partnership is also essential for promoting the health. People should join hands to make a useful awareness to people; taking sponsors and partnership are methods to make it a huge success.
Hence, the options 1 and 4 are incorrect.
There are other goals of health promotion too, but those are not included under overarching goals. There are roles of nurse under the health promotion model and are still carried out productively in many countries. This helps people gaining knowledge about what is happening around the world and how people are infected spreading it to others, diseases are epidemic, pandemic and endemic.
Hence, the correct answers are options
img ,
img and
img .

Tags
Choose question tag
close menu
arrow
W., a 50-year-old professional man, has pneumonia and is currently being treated with antibiotics. He smokes two packs of cigarettes a day. Since this bout of pneumonia, he voices concern about his smoking and wonders if he should try to quit again. He states, "I've Med everything and nothing works. The longest I last is about one month." He admits to being 30 pounds overweight and states that his wife and he have started walking for 30 minutes every evening. His Wife has also started making low-fat meals. He is concerned that if he quits smoking he will gain more weight. Each contact between a nurse and a client is an opportunity for health promotion. Based on the knowledge or key concepts listed above, what question(s) would you ask Mr. W.?
Free
Essay
Answer:

Answer:

The nurse can ask if he had tried any other ways to reduce the smoking habits and if the weight tends to increase, has he seen any doctor for this problem or not. The nurse can ask the client that since when he has started smoking.
Also, about the diet control too, though it is mentioned that his wife makes low fat diet, it may be not working correctly according to the situation. Sometimes, smoking continuously and then suddenly stopping the regular habit can cause the increase in weight. So, the number of times he had tried stopping can be asked.
The nurse can also ask if he regularly works out and if so how many times a day and how many hours of regular exercise is being done by him. These are some important questions a nurse should ask to the client.
The nurse should ask if he feels better by the antibiotics given or is it worse. The interaction with the client is the best way to communicate and to know the problems better. She can also ask general questions about his family, business, and so on

Tags
Choose question tag
close menu
arrow
W., a 50-year-old professional man, has pneumonia and is currently being treated with antibiotics. He smokes two packs of cigarettes a day. Since this bout of pneumonia, he voices concern about his smoking and wonders if he should try to quit again. He states, "I've Med everything and nothing works. The longest I last is about one month." He admits to being 30 pounds overweight and states that his wife and he have started walking for 30 minutes every evening. His Wife has also started making low-fat meals. He is concerned that if he quits smoking he will gain more weight. What information/knowledge is important for the nurse to remember when assisting a client to advance to the next stage of change?
Essay
Answer:
Tags
Choose question tag
close menu
arrow
While hospitalized, a client is very worried about business activities. The client spends a great deal of time on the phone and with colleagues instead of resting. Which principle of need therapy applies to this client? 1) His higher level need cannot be met unless the lower level physiological need is met. 2) His lower level physiological needs are being deferred while higher needs are addressed. 3) The higher need takes precedence and the lower need no longer must be met. 4) It is necessary for someone else to meet his higher level needs so he can focus on the lower level needs.
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
A client who is 46 pounds oven/veight tells you, "I was just born to be fat. I don't have the willpower." Although weight loss occurred while attending two previous programs that "guaranteed" weight loss, the weight returned along with extra pounds after each program. According to the Health Promotion Model, the nurse is most likely to focus on which behavior- specific cognition and affect variable for this client? 1) Perceived barriers to action 2) Perceived self-efficacy 3) Interpersonal influences Situational influences
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
A nurse and a primary care provider inform a client that chemotherapy is recommended for a diagnosis of cancer. Which nursing action is most representative of the concept of holism? 1) Offer to come to the client's home to provide needed physical care. 2) Contact the client's spiritual adviser. 3) Inquire how this will affect other aspects of the client's life. 4) Provide the client with information about how to join a support group.
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
Using Maslow's framework, which statement characterizes the highest level of need? 1) "Nurse, my pain is severe... is it time for my shot?" 2) "I felt welcomed when I first joined the group and I look forward to the monthly meetings." 3) "I'm very proud of receiving the Employee of the Month award." "There have been home break-ins with burglary in our neighborhood. We are thinking of moving."
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
Which is the best response by the nurse if a client fails to follow the information or teaching provided? 1) Give up, because the client doesn't want to change. 2) Develop a tough approach. 3) Reteach the information, because the nurse is the expert. 4) Reassess the client's importance given to the behavior and readiness to change it.
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
The nurse who is assisting a client in the action stage of change would use which strategy? 1) Reinforce the importance of providing rewards for positive behavior. 2) Ask the client if he or she would like information. 3) Guide the client to create a plan of action. 4) Remind the client of previous successes.
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
A client is admitted for heart failure. The nurse assesses that the client's blood pressure is below normal range and the apical pulse is 110 beats/min. The nurse knows that the increase in the client's pulse illustrates which aspect of the client's homeostatic mechanism? 1) Compensation 2) Decompensation 3) Self-regulation 4) Equilibrium
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
A nurse is planning a workshop on health promotion for older adults. Which topic will be included? 1) Prevention of falls 2) Cardiovascular risk factors 3) Adequate sleep 4) How to stop smoking
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
Which statement by the client best represents the contemplation stage of the stages of behavior change? 1) "I currently do not need to exercise and do not intend to start in the next six months." 2) "I have tried several times to exercise 30 minutes three times a week but am seriously thinking of trying again in the next month." 3) "I currently do not exercise 30 minutes three times a week, but I am thinking about starting to do so within the next six months." 4) "I have exercised 30 minutes three times a week regularly for more than six months."
Multiple Choice
Answer:
Tags
Choose question tag
close menu