Deck 14: Communicating to Encourage Health Literacy, health Promotion, and Prevention of Disease

Question 1

When conducting an initial assessment,a client informs the nurse about difficulty getting to doctors' appointments due to lack of transportation.When considering examples of PRECEDE Diagnostic Behavioral Factors,the nurse recognizes this as what type of factor?

A) Reinforcing factor
B) Epidemiologic factor
C) Enabling factor
D) Predisposing factor

Answer 1

Enabling factor

Question 2

A client requires teaching about a newly prescribed medication.The nurse recognizes that in order to support the learning process of the client,the teaching process should include

A) all parties needing information.
B) only immediate family members.
C) the preferred communication style of the nurse.
D) limited cultural recognition of learning needs.

Answer 2

all parties needing information.

Question 3

Precede components of the Precede/Proceed Model of Health Promotion include which of the following?

A) Social diagnosis
B) Epidemiological diagnosis
C) Implementation
D) Outcome evaluation
E) Educational and organizational diagnosis

Answer 3

Social diagnosis
Epidemiological diagnosis
Educational and organizational diagnosis

Question 4

A client who overeats and is overweight is admitted to the hospital for shortness of breath.Which of the following statements by the nurse reflects Bandura's social theory?

A) "Your cardiac studies reveal an enlarged heart. This is a sign of cardiac problems."
B) "I know you love to eat, but your current lifestyle is not conducive to good health."
C) "Can you remember what it was like to get up and go to work every day? Your buddies miss you."
D) "If you were to lose weight, you would no longer experience shortness of breath. Just think about how much better you would feel to breathe normally."

Question 5

The concept of well-being consists entirely of the ability to

A) work at producing an income.
B) perform activities of daily living.
C) define one's subjective experience of life satisfaction.
D) partner with a health professional.

Question 6

The client states,"I have emphysema,so I have enrolled in a smoking cessation program." According to Prochaska's stages of change,the client is in which of the following stages?

A) Action
B) Determination
C) Precontemplation
D) Contemplation

Question 7

The personal values and beliefs in one's ability to achieve health behavior changes is known as

A) social incentive.
B) self-efficacy.
C) cognitive motivator.
D) physical motivator.

Question 8

Which of the following is an example of tertiary prevention?

A) Mammogram
B) Smoking cessation
C) Safe sex counseling
D) Diabetic meal planning class

Question 9

Which of the following strategies in health education does the U.S.Preventive Services Task Force recommend?

A) Using a standardized teaching format
B) Eliminating established behaviors
C) Offering limited information regarding the purpose of interventions
D) Suggesting small changes rather than large ones

Question 10

A client visits the wound clinic for treatment of an infected nonhealing leg ulcer.The nurse recognizes the client is in the precontemplation stage of change.When interacting with this client,the nurse should

A) provide the client with informational feedback to raise awareness of the health problem and health risks involved.
B) allow open discussion related to the pros and cons of changing the client's current behavior.
C) assist the client in justifying a positive commitment toward making healthier lifestyle changes.
D) assist the client in choosing the best course of action to take in resolving the current problem.

Question 11

When caring for a client who is a newly diagnosed diabetic and who requires teaching about self-administration of insulin,the nurse recognizes that teaching will be most effective when

A) passive involvement of the learner is encouraged.
B) there is little focus on practicing essential skills.
C) optimizing engagement in only one sense in the learning process is encouraged.
D) encouraging teach-back feedback when demonstrating new skills.

Question 12

A client who has an elevation in serum cholesterol continues to eat red meat and fried foods.Which stage of change is this client experiencing?

A) Determination
B) Action
C) Precontemplation
D) Contemplation

Question 13

A 3-year-old child is having surgery tomorrow.A preoperative teaching strategy the nurse should use is to

A) encourage self-directed learning.
B) involve parents in teaching.
C) allow child to touch and play with all equipment.
D) incorporate previous life experience.

Question 14

A client who is recovering from her second myocardial infarction refuses to give up smoking.She states,"I've smoked so long now there's no point quitting as the damage is done." This statement is best understood in the context of which of the following?

A) Social learning theory
B) Pender's health promotion model
C) The transtheoretical model of change
D) Healthy People 2010

Question 15

A client has just completed an alcohol detoxification program.The client has recently experienced the loss of his wife and has been having difficulties at work.The client has some serious health effects from long-term alcohol abuse,including elevated serum liver enzymes.The client states,"Alcohol is ruining my life; I will do anything to quit drinking." The nurse should

A) ask the client what kinds of changes will be needed in order to stop drinking.
B) discuss the client's elevated serum liver enzymes and the predictive consequences of serious health problems, including premature death.
C) ask the client what life would be like without alcohol.
D) remind the client that he or she has been abstinent from drinking, allowing liver tests to significantly improve.

Question 16

When caring for clients,the nurse recognizes that which of the following statements is true related to developmental level?

A) Developmental level affects only teaching strategies.
B) All clients are at the beginning level of the learning spectrum.
C) Developmental learning capacity is always age related.
D) Social and emotional development does not always parallel cognitive maturity.

Question 17

The nurse is caring for an older adult client who is newly diagnosed with diabetes and has a low literacy level.Which of the following guidelines for teaching low-literacy clients should the nurse use when working with this client?

A) Teach the largest amount possible in each teaching session.
B) Sequence key behavior information last when teaching the client.
C) Use symbols and images with which the client is familiar.
D) Use words that are abstract and provide teaching in long sentences.

Question 18

Which of the following is the best intervention for a client who is illiterate?

A) Speak loudly and clearly.
B) Use symbols and images.
C) Personalize speech by using first name.
D) Use touch with speech.