Nokea
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.
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A public health nurse understands that health promotion should continue across the lifespan. When planning health promotion initiatives, when in the lifespan should health promotion begin?
- A. Adolescence
- B. School age
- C. Preschool
- D. Before birth
Correct Answer: D
Rationale: Health promotion should begin prior to birth because the health practices of a mother prior to the birth of her child can be influenced positively or negatively. This makes the other options incorrect.
A team of public health nurses are doing strategic planning and are discussing health promotion activities for the next year. Which of the following initiatives best exemplifies the principles of health promotion?
- A. A blood pressure clinic at a local factory
- B. A family planning clinic at a community center
- C. An immunization clinic at the largest local mall
- D. A workplace safety seminar
Correct Answer: B
Rationale: Health promotion may be defined as those activities that assist people in developing resources that maintain or enhance well-being and improve their quality of life. A family planning clinic meets these criteria most closely. Workplace health and safety would be considered a protection service. A blood pressure clinic and immunization clinic would fall under the category of preventive services.
A gerontologic nurse has observed that patients often fail to adhere to a therapeutic regimen. What strategy should the nurse adopt to best assist an older adult in adhering to a therapeutic regimen involving wound care?
- A. Demonstrate a dressing change and allow the patient to practice.
- B. Provide a detailed pamphlet on a dressing change.
- C. Verbally instruct the patient how to change a dressing and check for comprehension.
- D. Delegate the dressing change to a trusted family member.
Correct Answer: A
Rationale: The nurse must consider that older adults may have deficits in the ability to draw inferences, apply information, or understand major teaching points. Demonstration and practice are essential in meeting their learning needs. The other options are incorrect because the elderly may have problems reading and/or understanding a written pamphlet or verbal instructions. Having a family member change the dressing when the patient is capable of doing it impedes self-care and independence.
Positive patient outcomes are the ultimate goal of nurse-patient interactions, regardless of the particular setting. Which of the following factors has the most direct influence on positive patient-care outcomes?
- A. Patients age
- B. Patients ethnic heritage
- C. Health education
- D. Outcome evaluation
Correct Answer: C
Rationale: Health education is an influential factor directly related to positive patient-care outcomes. The other options are incorrect because ethnicity, the patients age, and outcome evaluation are less influential factors related to positive patient-care outcomes, though each factor should be considered when planning care.
The nursing instructor has given an assignment to a group of certified nurse practitioner (CNP) students. They are to break into groups of four and complete a health-promotion teaching project and present a report to their fellow students. What project most clearly demonstrates the principles of health-promotion teaching?
- A. Demonstrating an injection technique to a patient for anticoagulant therapy
- B. Explaining the side effects of a medication to an adult patient
- C. Discussing the importance of preventing sexually transmitted infections (STI) to a group of high school students
- D. Instructing an adolescent patient about safe and nutritious food preparation
Correct Answer: C
Rationale: Health promotion encourages people to live a healthy lifestyle and to achieve a high level of wellness. Discussing the importance of STI prevention to a group of high school students is the best example of a health-promotion teaching project. This proactive intervention is a more precise example of health promotion than the other cited examples.