Deck 2: Health Promotion in the Context of Health Assessment

Question 1

During the first meeting with a new patient, the nurse asks the patient about family history to gather information on which social determinant of health?

A)Income
B)Gender
C)Biology and genetics
D)Culture and social considerations

Answer 1

Biology and genetics

Question 2

When reviewing the inequities in health of certain populations in Canada, the nurse recognizes that social and health inequities can increase morbidity as a result of infectious diseases among:

A)The Indigenous population
B)The African Canadian population
C)The South-East Asian Canadian population
D)The Middle-Eastern Canadian population

Answer 2

The Indigenous population

Question 3

To gain information about a patient's use of health services, the nurse can inquire about the patient's:

A)Work environment hazards.
B)Perception of health.
C)Schedule of medical and dental appointments.
D)Health promotion approaches.

Answer 3

Schedule of medical and dental appointments.

Question 4

What are some conditions for which the nurse would normally screen a 75-year-old patient?

A)Literacy and communication skills
B)Falls and loss of hearing and visual acuity
C)Using a helmet when riding a motorcycle
D)Injuries from rock climbing activities

Question 5

To implement primary prevention in practice.The nurse will: (Select all that apply.)

A)Promote routine childhood immunizations.
B)Provide teaching on heart failure management.
C)Encouraging the use of helmets when bicycling.
D)Recommend a mammography for the 55-year-old patient.
E)Discuss weight loss strategies for children diagnosed with obesity.

Question 6

What are some of the factors the nurse should consider when deciding whether to screen the 48-year-old female patient for breast cancer? (Select all that apply.)

A)The prevalence of the disease in the adult female population
B)The patient's family history
C)The patient's presenting symptoms of breast cancer
D)The patient's current diagnosis of breast cancer
E)The benefits of early detection of breast cancer

Question 7

The nurse is working with a five-member family of recent refugees from Afghanistan.During assessment, what information shared by the family might cause the nurse to be concerned about their health?

A)The family is currently living in a two-bedroom apartment with another refugee family of five.
B)The father states that he gets good income from his job.
C)The family recently moved into their new three-bedroom house with a yard.
D)The mother describes recipes of the nutritious meals she cooks for the family.

Question 8

When discussing primary prevention, the nurse recognizes that it is best exemplified as:

A)Recommending lipid screening for the 55-year-old individual.
B)Providing counselling to overcome alcohol addiction.
C)Preventing further deterioration for the individual with congestive heart failure.
D)Promoting healthy eating and regular exercise.

Question 9

A committee of health care professionals is discussing the need for an upstream approach to decrease homelessness in the city.Which statement best describes the concept of an upstream approach?

A)Negotiating lower, more affordable rent for homeless individuals
B)Building more homeless shelters so that the homeless have a place to sleep in
C)Providing homes to homeless individuals who are unable to afford them
D)Focusing on the social and economic factors that put groups at risk for homelessness

Question 10

To implement primary prevention during the influenza season, the nurse will promote:

A)Hospitalization for the individual with influenza.
B)Medication to prevent complications with influenza.
C)Monitoring the individual with influenza-like symptoms.
D)Consistent hand washing and influenza vaccination.

Question 11

The nurse is reviewing health history information with the 48-year-old Indigenous patient.What is a condition for which the nurse might want to screen the patient?

A)Malaria
B)Tuberculosis
C)Sickle cell anemia
D)Breast cancer

Question 12

Why is the concept of health being more than the absence of disease important in nursing practice?

A)It is a reminder that being healthy is not being sick.
B)It supports the perspective that having access to health care services is sufficient for good health.
C)It reinforces the need to consider physical and social environmental influences on health.
D)It promotes consideration of the presence of disease as an indicator of health.

Question 13

The nurse is working with a population of refugees from Syria.What concerns might the nurse have regarding their health? (Select all that apply.)

A)The negative influence of low income on their health
B)The challenges of improved nutrition leading to obesity
C)Health disparities resulting in longer life expectancy
D)The challenges of accessing health care services leading to poor health outcomes
E)Health inequities resulting in higher instances of poor health

Question 14

The nurse is working with families with newborns.What should the nurse include when assessing the babies?

A)Fall risk screening
B)Developmental screening
C)Cancer screening
D)Alcohol use

Question 15

The nurse teaches a 65-year-old patient about using medication safely to prevent polypharmacy.The nurse is promoting health through:

A)Screening.
B)Health education.
C)Sanitation.
D)Cultural sensitivity.

Question 16

During a health encounter with a patient, which statement by the patient demonstrates readiness for a health education intervention?

A)"I visit the dentist annually for a checkup."
B)"I would really like to quit smoking."
C)"My immunizations are up to date."
D)"I really enjoy having a smoke with my beer."

Question 17

When working with young families in a community with limited health services, the nurse uses the Population Health Promotion Model and considers the need to:

A)Reorient health services.
B)Acculturate the families.
C)Build new schools.
D)Develop family counselling groups.

Question 18

A new family is attending the clinic for their first appointment.To practise primary prevention, the nurse will:

A)Discuss the need for smoking cessation.
B)Share information on nutrition and approaches to maintaining present health.
C)Provide patient education on diabetes management.
D)Encourage weight loss strategies for obesity.