Nokea
A nurse is counseling a teenager who smokes one pack of cigarettes a day. The teenager states he likes to smoke with his friends and does not recognize the connection between his smoking and his asthma. When planning an intervention for this person, the nurse must first recognize that the teenager is in the:
- A. Precontemplation stage of change
- B. Preparation stage of change
- C. Action stage of change
- D. Maintenance stage of change
Correct Answer: A
Rationale: In the precontemplation stage, the individual is not yet considering change or recognizing the need to change.
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Individualized lifestyle change: What should the nurse stress first?
- A. "Limiting unprotected exposure to sun."
- B. "Starting a smoking cessation program."
- C. "Exercising at least three times a week."
- D. "Scheduling a complete physical and dental exam."
Correct Answer: D
Rationale: A complete physical and dental exam should be conducted first to assess health status before making lifestyle changes.
A 27-year-old woman has not received a Pap test in years. This assessment finding identifies an alteration in which functional pattern?
- A. Health-perception–health-management pattern
- B. Elimination pattern
- C. Activity-rest pattern
- D. Self-perception–self-concept pattern
Correct Answer: A
Rationale: Failing to get a Pap test represents an alteration in health perceptions and management.
Which of the following statements is true with regard to health promotion?
- A. Health promotion efforts are not concerned with addressing environmental obstacles to health.
- B. Advocates of health promotion are not involved in political campaigns against harmful products.
- C. The business of eliminating health disparities is a unique function of Healthy People 2010 goals.
- D. Health promotion involves collaboration of many professional groups.
Correct Answer: D
Rationale: Health promotion involves collaboration across disciplines to improve health and achieve health goals.
Urinary incontinence: Which type is associated with environmental barriers?
- A. "Urge incontinence."
- B. "Stress incontinence."
- C. "Functional incontinence."
- D. "Incontinence with high post-void residual."
Correct Answer: C
Rationale: Functional incontinence occurs when environmental barriers prevent access to the toilet.
Which of the following “investment” themes has been identified by the National Institute of Nursing Research?
- A. Interprofessional collaboration
- B. Improving quality of life
- C. End-of-life care
- D. Increasing physical activity among Americans
Correct Answer: B
Rationale: The National Institute of Nursing Research focuses on improving quality of life and managing symptoms.