Nokea
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.
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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.
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 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.
A recent nursing graduate is aware that the nursing scope of practice goes far beyond what is characterized as bedside care. Which of the following is a nurses primary responsibility?
- A. To promote activities that enhance community cohesion
- B. To encourage individuals self-awareness
- C. To promote activities that foster well-being
- D. To influence individuals social interactions
Correct Answer: C
Rationale: As health care professionals, nurses have a responsibility to promote activities that foster well-being, self-actualization, and personal fulfillment. Nurses often promote activities that enhance the community and encourage self-awareness; however, they are not a nurses central responsibility. As professionals, nurses do not actively seek to influence social interactions.
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.