The nursing profession and nurses as individuals have a responsibility to promote activities that foster well-being. What factor has most influenced nurses abilities to play this vital role?
- A. Nurses are seen as nurturing professionals.
- B. Nurses possess a baccalaureate degree as the entry to practice.
- C. Nurses possess an authentic desire to help others.
- D. Nurses have long-established credibility with the public.
Correct Answer: D
Rationale: Nurses, by virtue of their expertise in health and health care and their long-established credibility with consumers, play a vital role in health promotion. The other options are incorrect because they are not the most influential when it comes to health promotion by nursing and nurses.
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Health care professionals are involved in the promotion of health as much as in the treatment of disease. Health promotion has evolved as a part of health care for many reasons. Which of the following factors has most influenced the growing emphasis on health promotion?
- A. A changing definition of health
- B. An awareness that wellness exists
- C. An expanded definition of chronic illness
- D. A belief that disease is preventable
Correct Answer: A
Rationale: The concept of health promotion has evolved because of a changing definition of health and an awareness that wellness exists at many levels of functioning. The other options are incorrect because health promotion has not evolved because we know that wellness exists or a belief that disease is preventable. No expanded definition of chronic illness has caused the concept of health promotion to evolve.
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 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.
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.
A community health nurse has been asked to participate in a health fair that is being sponsored by the local senior center. The nurse should select educational focuses in the knowledge that older adults benefit most from what kind of activities?
- A. Those that help them eat well
- B. Those that help them maintain independence
- C. Those that preserve their social interactions
- D. Those that promote financial stability
Correct Answer: B
Rationale: Although their chronic illnesses and disabilities cannot be eliminated, the elderly can benefit most from activities that help them maintain independence and achieve an optimal level of health. For many older adults, this is a priority over social interaction, finances, or eating well, even though each of these subjects is important.
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