Nokea
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.
You may also like to solve these questions
A nurse is planning an educational event for a local group of citizens who live with a variety of physical and cognitive disabilities. What variable should the nurse prioritize when planning this event?
- A. Health-promotion needs of the group
- B. Relationships between participants and caregivers
- C. Wellness state of each individual
- D. Learning needs of caregivers
Correct Answer: A
Rationale: The nurse must be aware of the participants specific health-promotion needs when teaching specific groups of people with physical and mental disabilities. This is a priority over the relationships between participants and caregivers, each persons wellness state, or caregivers learning needs.
A nurse who provides care at the campus medical clinic of a large university focuses many of her efforts on health promotion. What purpose of health promotion should guide the nurses efforts?
- A. To teach people how to act within the limitations of their health
- B. To teach people how to grow in a holistic manner
- C. To change the environment in ways that enhance cultural expectations
- D. To influence peoples behaviors in ways that reduce risks
Correct Answer: D
Rationale: The purpose of health promotion is to focus on the persons potential for wellness and to encourage appropriate alterations in personal habits, lifestyle, and environment in ways that reduce risks and enhance health and well-being. The other options are incorrect because the purpose of health promotion is not to teach people how to grow in a holistic manner, to accommodate their limitations, or to change the environment in ways that enhances cultural expectations.
A nurse is working with a teenage boy who was recently diagnosed with asthma. During the current session, the nurse has taught the boy how to administer his bronchodilator by metered-dose inhaler. How should the nurse evaluate the teaching-learning process?
- A. Ask the boy specific questions about his medication.
- B. Ask the boy whether he now understands how to use his inhaler.
- C. Directly observe the boy using his inhaler to give himself a dose.
- D. Assess the boys respiratory health at the next scheduled visit.
Correct Answer: C
Rationale: Demonstration and practice are essential ingredients of a teaching program, especially when teaching skills. It is best to demonstrate the skill and then give the learner ample opportunity for practice. By observing the patient using the inhaler, the nurse may identify what learning needs to be enhanced or reinforced. Asking questions is not as an accurate gauge of learning. Respiratory assessment is a relevant, but indirect, indicator of learning. Delaying the appraisal of the patients technique until a later clinic visit is inappropriate because health problems could occur in the interval.
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.