Question 1

The faculty member explains to students that the Healthy People documents (Select all that apply. )

Accepted Answer

A)  focus on health disparities among Americans.
B)  guide the planning of public health programs.
C)  have specific,measurable health-related objectives.
D)  rate hospitals and physicians based on patient satisfaction.
E)  routinely assess peoples' willingness to make healthy changes. A,B,C

Question 2

A nurse is frustrated because a patient does not make any needed health changes despite ongoing and comprehensive education on the health-related topic.The best action by the nurse would be to

Accepted Answer

A)  ask the patient if he or she really wants to make changes.
B)  assess for barriers to implementing the knowledge.
C)  continue trying to education the patient on the topic.
D)  find out whether the patient learns in a different way. B

Question 3

A nurse planning events related to Healthy People 2020 goals would include activities related to (Select all that apply. )

Accepted Answer

A)  creating screening programs for childhood obesity.
B)  developing health literacy programs for adults.
C)  implementing classes on cultural competence for nurses.
D)  planning smoking prevention classes for middle school children.
E)  teaching healthy nutrition and eating to children. A,B,D,E

Question 4

A nurse has worked to teach patients disease prevention strategies and is frustrated by the low level of compliance.This nurse would most likely conclude that

Accepted Answer

A)  it is hard to convince people that they can attain higher wellness levels.
B)  most people have very low levels of motivation to make changes.
C)  patients do not like being told that good health requires deprivation.
D)  the information being given is too difficult for patients to follow.

Question 5

The nurse who is interested in the eudaemonistic model of health would likely assess patients regarding their position related to

Accepted Answer

A)  a broad range of feelings about health.
B)  ease of making health care changes.
C)  Maslow's level of self-actualization.
D)  the importance of health in their lives.

Question 6

A nurse is working with a patient on an exercise regimen.Which outcome,as written by the nurse,is most likely to encourage compliance with a newly established exercise regimen? The patient will

Accepted Answer

A)  increase exercise by 10% a week for 10 weeks.
B)  participate in an exercise class three times weekly.
C)  swim for 30 minutes a day five times a week.
D)  walk for 10 minutes a day three times a week.

Question 7

The nursing policy analyst explains to a class of nursing students that the consumer wellness movement helped create

Accepted Answer

A)  a surge in wellness and fitness centers across the nation.
B)  market-based competition for customer services.
C)  new types of health care insurance.
D)  self-care focus in health policies and public health initiatives.

Question 8

A nurse tailors smoking cessation and smoking prevention activities toward teenagers because the nurse knows

Accepted Answer

A)  adolescents can become "captive audiences" in school programs.
B)  smoking as a teenager is a strong predictor of smoking as an adult.
C)  teenagers are more amenable to messages about good health habits.
D)  the health risks associated with smoking are worse for adolescents.

Question 9

A nurse wishes to encourage a patient to begin an exercise program.Drawing on past research,to increase the likelihood of long-term compliance,the nurse suggests that the patient

Accepted Answer

A)  create a list of possible long-term health benefits.
B)  exercise in the home or around the neighborhood.
C)  invest in expensive and durable fitness equipment.
D)  join an exercise class at the local fitness center.

Question 10

A nurse is planning a community health assessment event using a tool called a Health Risk Appraisal (HRA).For best results,which other activities should the nurse plan to include in this event? (Select all that apply. )

Accepted Answer

A)  Gym memberships
B)  Laboratory testing
C)  Physical measurements
D)  Support group interaction
E)  Tailored education

Question 11

A nurse is helping an obese patient alter dietary habits,but the patient does not seem to follow through with agreed-upon recommendations.Which action by the nurse would be most beneficial?

Accepted Answer

A)  Ask the patient about foods that have special meanings.
B)  Describe the health risks of not staying on the regimen.
C)  Encourage the patient to keep a food log during the day.
D)  Review dietary teaching to see what is not understood.

Question 12

A nurse assessing a patient with the role performance model of health in mind would add which question to the nursing assessment as a priority?

Accepted Answer

A)  "Are you able to meet your needs when you are sick?"
B)  "How has this illness affected your daily activities?"
C)  "How much stress do you have in your life right now?"
D)  "When did the symptoms first become bothersome?"

Question 13

A faculty member explains to a student that when a person has self-care agency,the person

Accepted Answer

A)  believes in personal control of his or her life and its consequences.
B)  controls his or her own health care practices instead of relying on others for this.
C)  has an innate sense of direction and sets goals for the future.
D)  thinks he or she is able to accomplish things and is willing to try them.

Question 14

When working with patients on changing health-related behaviors,the nurse understands that the first priority is to

Accepted Answer

A)  assess the patient's knowledge about the behavior.
B)  determine how motivated the patient is to change.
C)  establish a collaborative relationship with the patient.
D)  plan interventions and set goals for behavior change.

Question 15

A nurse using the health promotion model assesses for the best predictors of behaviors that promote health,including (Select all that apply. )

Accepted Answer

A)  perceived barriers.
B)  perceived benefits.
C)  perceived wellness
D)  prior behavior.
E)  self-efficacy.

Question 16

A patient needs to make a health-related behavior change,and the nurse using the health beliefs model is working with the perceived severity factor.Which action by the nurse is most appropriate?

Accepted Answer

A)  Assist the patient to identify the benefits associated with the wanted change.
B)  Help the patient determine the barriers that prevent changing this behavior.
C)  Illustrate some of the consequences of not changing the selected behavior.
D)  Inform the patient about the morbidity associated with current behavior.

Question 17

A patient needs to lose weight.The nurse has assessed the patient to be in the contemplation stage of Prochaska's transtheoretical model of change.Which intervention by the nurse would be most appropriate?

Accepted Answer

A)  Give the patient a referral to a dietician for teaching.
B)  Help the patient devise a log to record all food eaten.
C)  Provide information on the benefits of losing weight.
D)  Teach the patient small,simple steps for weight loss.

Question 18

A nurse is beginning discharge teaching when the patient states,"I just don't know if I can follow this diet at home.What difference will it make?" In further refining the discharge teaching plan,the nurse should

Accepted Answer

A)  ask the patient to help set nutritional goals.
B)  give the patient clear written directions.
C)  provide the patient with a list of websites.
D)  tell the patient when to return to the clinic.

Question 19

The word holism was first used in print by

Accepted Answer

A)  Dorothea Orem.
B)  Halbert Dunn.
C)  Jan Smuts.
D)  Martha Rogers.

Question 20

A patient who smokes has decided to cut down on the number of cigarettes smoked each day and not to go outside with other smokers during work breaks.The nurse can conclude,according to Prochaska's transtheoretical model of change,that this patient is in the stage of

Accepted Answer

A)  action.
B)  maintenance.
C)  precontemplation.
D)  preparation.

Exam 15: Health and Health Promotion