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Research has shown that patient adherence to prescribed regimens is generally low, especially when the patient will have to follow the regimen for a long time. Which of the following individuals would most likely benefit from health education that emphasizes adherence?
- A. An older adult who is colonized with methicillin-resistant Staphylococcus aureus (MRSA)
- B. An 80-year-old man who has a small bowel obstruction
- C. A 52-year-old woman who has a new diagnosis of multiple sclerosis
- D. A child who fractured her humerus in a playground accident
Correct Answer: C
Rationale: Many patients do not adhere to their prescribed regimens; rates of adherence are generally low, especially when the regimens are complex or of long duration (e.g., therapy for tuberculosis, multiple sclerosis, and HIV infection and hemodialysis). This is less likely in a person with MRSA, an arm fracture, or a bowel obstruction.
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An occupational health nurse is in the planning stages of a new health promotion campaign in the workplace. When appraising the potential benefits of the program, the nurse should consider that success depends primarily on what quality in the participants?
- A. Desire to expand knowledge
- B. Self-awareness
- C. Adequate time- and task-management
- D. Taking responsibility for oneself
Correct Answer: D
Rationale: Taking responsibility for oneself is the key to successful health promotion, superseding the importance of desire to learn information, self-awareness, or time-management.
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 public health nurse is planning educational interventions that are based on Beckers Health Belief Model. When identifying the variables that affect local residents health promotion behaviors, what question should the nurse seek to answer?
- A. Do residents believe that they have ready access to health promotion resources?
- B. Why have previous attempts at health promotion failed?
- C. How much funding is available for health promotion in the community?
- D. Who is available to provide health promotion education in the local area?
Correct Answer: A
Rationale: Barriers, Beckers second variable, are defined as factors leading to unavailability or difficulty in gaining access to a specific health promotion alternative. The other listed questions do not directly relate to the four variables that Becker specified.
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 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.