Deck 8: Health Promotion and Illnessdisability Prevention

Question 1

The nurse has the greatest impact on a client's health promotion when:

A)evaluating a diabetic client's ability to administer his insulin injections.
B)encouraging an obese client to limit both fat and carbohydrate intake.
C)volunteering to take blood pressures at a community health fair.
D)educating the client about the importance of both vitamin D and calcium when discussing healthy bones preventing bone loss.

Answer 1

educating the client about the importance of both vitamin D and calcium when discussing healthy bones preventing bone loss.

Question 2

During a home visit, a home health nurse is assessing the nutritional awareness of an older adult client who lives alone.The nurse is most effective in obtaining objective information when:

A)asking to see what types of foods the client keeps readily available.
B)reviewing the components of a healthy diet with the client.
C)asking the client to describe what he ate for all three meals yesterday.
D)observing the client eat a meal that he has prepared.

Answer 2

observing the client eat a meal that he has prepared.

Question 3

An older adult client has recently experienced some difficulty with sustaining an erection as a result of medication he has been prescribed.The nurse best assesses the client's perception of his own sexuality by asking:

A)"How are you and your wife coping with your sexual dysfunction?"
B)"What problems has your sexual dysfunction caused between you and your wife?"
C)"What impact has this dysfunction had on your ability to be intimate with your wife?"
D)"Are you and your wife prepared to deal with this dysfunction over the long term?"

Answer 3

"What impact has this dysfunction had on your ability to be intimate with your wife?"

Question 4

A nurse planning primary disease prevention interventions for a 64-year-old client includes which of the following? Select all that apply.

A)Giving an influenza vaccination in early autumn of each year
B)Suggesting the client attend "Cooking to Manage Hypertension" classes taught by a registered dietician
C)Giving a pneumococcal vaccination to celebrate the client's 65th birthday
D)Identifying several local smoking cessation support groups
E)Providing the client with a take-home occult stool screening kit

Question 5

The nurse admitting an 89-year-old client to an assisted living facility notes that the client is currently taking numerous prescribed and over-the-counter medications.The nurse's initial intervention is to:

A)confirm with the client's physician that all of the medications are required.
B)evaluate the client's understanding of why he is taking each medication.
C)explain to the client that dangers of taking so many different medications.
D)review the listed medications for possible interactions.

Question 6

When assessing the older adult for bowel health, the nurse is most effective in obtaining subjective data when asking:

A)"Would you describe your bowel movements as usually normal?"
B)"Do you have a problem with constipation?"
C)"How often do you usually have a bowel movement?"
D)"Have your bowel movements changed recently?"

Question 7

Financial considerations are a major barrier to the older adult's participation in health promotion because:

A)most older adults have accepted poor health as a part of growing older.
B)Medicare does not often cover the cost of preventive services.
C)many already have been diagnosed with chronic illnesses.
D)they generally place more value on saving their disposable income.

Question 8

When the home health nurse assists the older adult client with rearranging furniture within the home to prevent the client from falling, the nurse is demonstrating:

A)health promotion.
B)health protection.
C)health prevention.
D)disease prevention.

Question 9

The primary focus of the Health Belief Model of health promotion is addressed when the nurse:

A)accompanies the assisted living residents on a walk before dinner.
B)asks a senior citizen group what free health screening they want made available to them.
C)plans a health education program on cooking with diabetic friendly meals in cooperation with a dietician.
D)asks the client if he believes smoking puts him at risk for lung cancer.

Question 10

In order to engage the older adults who frequently attend a senior citizen's center in primary disease prevention, the nurse:

A)immunizes those attending a weekly luncheon against the H1N1 virus.
B)arranges for a colorectal cancer screening at the center.
C)schedules a speaker to discuss cooking for diabetic clients.
D)surveys the members to identify health issues of interest to them.

Question 11

The nurse is discussing an older adult's past marital history during the admission assessment.The nurse can best determine that the client has a healthy ability to cope with emotional stressors when she states:

A)"After my husband died, I managed to raise and educate our two children by myself."
B)"Since my husband's death, I've grown even closer to my sisters."
C)"It's been hard since my husband died but you manage to go on somehow."
D)"After my husband died, I married a good man who was there for me and my children."

Question 12

When assessing a client's ability to manage existing health problems, the nurse displays an understanding of effective questioning by asking the diabetic client:

A)"Can you tell me why it's important to test your blood glucose level at least daily?"
B)"What were the results of your most recent A1C blood test?"
C)"Which pharmacy do you use when your insulin prescription needs to be refilled?"
D)"Have you been experiencing pain in your feet?"