Nokea
Middle-aged adults are part of an age group that is known to be interested in health and health promotion, and the nurse is planning health promotion activities accordingly. To what suggestions do members of this age group usually respond with enthusiasm? Select all that apply.
- A. How lifestyle practices can improve health
- B. How to eat healthier
- C. How exercise can improve your life
- D. Strategies for adhering to prescribed therapies
- E. Exercise for the aging
Correct Answer: A,B,C
Rationale: Young and middle-aged adults represent an age group that not only expresses an interest in health and health promotion but also responds enthusiastically to suggestions that show how lifestyle practices can improve health; these lifestyle practices include nutrition and exercise. Middle-aged adults may not respond positively to teaching aimed at the aging. Adherence is not noted to be a desired focus in this age group.
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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.
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 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 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.
Nurses who are providing patient education often use motivators for learning with patients who are struggling with behavioral changes necessary to adhere to a treatment regimen. When working with a 15-year-old boy who has diabetes, which of the following motivators is most likely to be effective?
- A. A learning contract
- B. A star chart
- C. A point system
- D. A food-reward system
Correct Answer: A
Rationale: Using a learning contract or agreement can also be a motivator for learning. Such a contract is based on assessment of patient needs; health care data; and specific, measurable goals. Young adults would not respond well to the use of star charts, point systems, or food as reward for behavioral change. These types of motivators would work better with children.