Nokea
A nursing student is collaborating with a public health nurse on a local health promotion initiative and they recognize the need for a common understanding of health. How should the student and the nurse best define health?
- A. Health is an outcome systematically maximizing wellness.
- B. Health is a state that is characterized by a lack of disease.
- C. Health is a condition that enables people to function at their optimal potential.
- D. Health is deliberate attempt to mitigate the effects of disease.
Correct Answer: C
Rationale: Health is viewed as a dynamic, ever-changing condition that enables people to function at an optimal potential at any given time. Health does not necessarily denote the absence of disease, an effort to maximize wellness, or mitigate the effects of disease.
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A nurse has planned a teaching-learning interaction that is aimed at middle school-aged students. To foster successful health education, the nurses planning should prioritize which of the following components?
- A. Pretesting
- B. Social and cultural patterns
- C. Patient awareness
- D. Measurable interventions
Correct Answer: B
Rationale: A patients social and cultural patterns must be appropriately incorporated into the teaching-learning interaction. Pretesting may or may not be used; patient awareness is a phrase that has many meanings, none of which make the teaching-learning interaction successful. Interventions are not measured; goals and outcomes are.
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.
The nurse is planning to teach a 75-year-old patient with coronary artery disease about administering her prescribed antiplatelet medication. How can the nurse best enhance the patients ability to learn?
- A. Provide links to Web sites that contain evidence-based information.
- B. Exclude family members from the session to prevent distraction.
- C. Use color-coded materials that are succinct and engaging.
- D. Make the information directly relevant to the patients condition.
Correct Answer: D
Rationale: Studies have shown that older adults can learn and remember if the information is paced appropriately, relevant, and followed by appropriate feedback. Family members should be included in health education. The nurse should not assume that the patients color vision is intact or that the patient possesses adequate computer skills.
Health promotion ranks high on the list of health-related concerns of the American public. Based on current knowledge, what factor should the nurse prioritize in an effort to promote health, longevity, and weight control in patients?
- A. Good nutrition
- B. Stress reduction
- C. Use of vitamins
- D. Screening for health risks
Correct Answer: A
Rationale: It has been suggested that good nutrition is the single most significant factor in determining health status, longevity, and weight control. A balanced diet that uses few artificial ingredients and is low in fat, caffeine, and sodium constitutes a healthy diet. Stress reduction and screening for health risks are correct answers, just not the most significant factors. Vitamin use is not normally necessary when an individual eats a healthy diet, except in specific circumstances.
You are the clinic nurse providing patient education to a teenage girl who was diagnosed 6 months ago with type 1 diabetes. Her hemoglobin A1C results suggest she has not been adhering to her prescribed treatment regimen. As the nurse, what variables should you assess to help this patient better adhere to her treatment regimen? Select all that apply.
- A. Variables that affect the patients ability to obtain resources
- B. Variables that affect the patients ability to teach her friends about diabetes
- C. Variables that affect the patients ability to cure her disease
- D. Variables that affect the patients ability to maintain a healthy social environment
- E. Variables that affect the patients ability to adopt specific behaviors
Correct Answer: A,D,E
Rationale: Nurses success with health education is determined by ongoing assessment of the variables that affect a patients ability to adopt specific behaviors, to obtain resources, and to maintain a healthy social environment. The patients ability to teach her friends about her condition is not a variable that the nurse would likely assess when educating the patient about her treatment regimen. Type 1 diabetes is not curable.