Nokea
A nurse recognizes that individuals of different ages have specific health promotion needs. When planning to promote health among young adults, what subject is most likely to meet this demographic groups learning needs?
- A. Family planning
- B. Management of risky behaviors
- C. Physical fitness
- D. Relationship skills training
Correct Answer: A
Rationale: Because of the nationwide emphasis on health during the reproductive years, young adults actively seek programs that address prenatal health, parenting, family planning, and womens health issues. The other options are incorrect because they are not health promotion classes typically sought out by young adults.
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A public health nurse is assessing the nutritional awareness of a group of women who are participating in a prenatal health class. What outcome would most clearly demonstrate that the women possess nutritional awareness?
- A. The women demonstrate an understanding of the importance of a healthy diet.
- B. The women are able to describe the importance of vitamin supplements during pregnancy.
- C. The women can list the minerals nutrients that should be consumed daily.
- D. The women can interpret the nutrition facts listed on food packaging.
Correct Answer: A
Rationale: Nutritional awareness involves an understanding of the importance of a healthy diet that supplies all of the essential nutrients. The other options are incorrect because vitamin supplements are not necessary for a healthy diet, a certain amount of all minerals need to be eaten daily, and understanding what constitutes the recommended daily nutrients is not necessary for nutritional awareness.
A 20-year-old man newly diagnosed with type 1 diabetes needs to learn how to self-administer insulin. When planning the appropriate educational interventions and considering variables that will affect his learning, the nurse should prioritize which of the following factors?
- A. Patients expected lifespan
- B. Patients gender
- C. Patients occupation
- D. Patients culture
Correct Answer: D
Rationale: One of the major variables that influences a patients readiness to learn is the patients culture, because it affects how a person learns and what information is learned. Other variables include illness states, values, emotional readiness, and physical readiness. Lifespan, occupation, and gender are variables that are usually less salient.
Research has shown that patient adherence to prescribed regimens is generally low, especially when the patient will have to follow the regimen for a long time. Which of the following individuals would most likely benefit from health education that emphasizes adherence?
- A. An older adult who is colonized with methicillin-resistant Staphylococcus aureus (MRSA)
- B. An 80-year-old man who has a small bowel obstruction
- C. A 52-year-old woman who has a new diagnosis of multiple sclerosis
- D. A child who fractured her humerus in a playground accident
Correct Answer: C
Rationale: Many patients do not adhere to their prescribed regimens; rates of adherence are generally low, especially when the regimens are complex or of long duration (e.g., therapy for tuberculosis, multiple sclerosis, and HIV infection and hemodialysis). This is less likely in a person with MRSA, an arm fracture, or a bowel obstruction.
An adult patient will be receiving outpatient intravenous antibiotic therapy for the treatment of endocarditis. The nurse is preparing to perform health education to ensure the patients adherence to the course of treatment. Which of the following assessments should be the nurses immediate priority?
- A. Patients understanding of the teaching plan
- B. Quality of the patients relationships
- C. Patients previous medical history
- D. Characteristics of the patients culture
Correct Answer: D
Rationale: Before beginning health teaching, nurses must conduct an individual cultural assessment instead of relying only on generalized assumptions about a particular culture. This is likely a priority over previous medical history and relationships, though these are relevant variables. The teaching plan would not be created at this early stage in the teaching process.
A public health nurse is preparing to hold a series of health-promotion classes for middle-aged adults that will address a variety of topics. Which site would best meet the learning needs of this population?
- A. A well-respected physicians office
- B. A large, local workplace
- C. The local hospital
- D. An ambulatory clinic
Correct Answer: B
Rationale: The workplace has become a center for health-promotion activity. Health-promotion programs can generally be offered almost anywhere in the community, but the workplace is often more convenient for the adult, working population. This makes this option preferable to a hospital, doctors office, or ambulatory clinic.