Question 1

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

Accepted Answer

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

Question 2

The personal values and beliefs in one's ability to achieve health behavior changes is known by what term?

Accepted Answer

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

Question 3

A patient requires teaching about a newly prescribed medication. The nurse recognizes that to support the learning process, the teaching process should include what?

Accepted Answer

A)   All interested parties should be included in the teaching process.
B)   Only immediate family members can be legally included in the teaching process.
C)   The preferred communication style is determined by the preference of the nurse.
D)   The primary focus is the American cultural recognition of learning needs. A

Question 4

A obsess patient is admitted to the hospital for shortness of breath. Which of the following statements by the nurse reflects Bandura's social theory?

Accepted Answer

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

When conducting an initial assessment, a patient 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?

Accepted Answer

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

Question 6

A patient has just completed an alcohol detoxification program. The patient has recently experienced the loss of his wife and has been having difficulties at work. The patient has some serious health effects from long-term alcohol abuse, including elevated serum liver enzymes. The patient states, "Alcohol is ruining my life; I will do anything to quit drinking." What is the nurse's primary, initial intervention while the client is in the preparational stage of change?

Accepted Answer

A)   Asking the patient what kinds of changes will be needed in order to stop the abuse of alcohol.
B)   Discussing the patient's elevated serum liver enzymes and the predictive consequences of serious health problems, including premature death.
C)   Asking the patient to describe what life would be like without alcohol.
D)   Reminding the patient that abstinent from drinking, allows liver tests to significantly improve.

Question 7

A patient, who is recovering from a second myocardial infarction refuses to give up smoking, stating, "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?

Accepted Answer

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

Question 8

Which of the following is an example of tertiary prevention?

Accepted Answer

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

Question 9

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

Accepted Answer

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

Question 10

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

Accepted Answer

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

Question 11

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

Accepted Answer

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

Question 12

A patient visits the wound clinic for treatment of an infected non-healing leg ulcer. The nurse recognizes the patient is in the precontemplation stage of change. When interacting with this patient, the nurse should include which intervention?

Accepted Answer

A)   Providing the patient with informational feedback to raise awareness of the health problem and health risks involved.
B)   Allowing open discussion related to the pros and cons of changing the patient's current behavior towards wound healing.
C)   Assisting the patient in justifying a positive commitment toward making healthier lifestyle changes.
D)   Helping the patient in choosing the best course of action to take in resolving the current problem.

Question 13

Which guideline for teaching should the nurse implement when working with a low-literacy patient?

Accepted Answer

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

Question 14

A 3-year-old child is having surgery tomorrow. What preoperative teaching strategy should the nurse use to ensure effective learning?

Accepted Answer

A)   Encouraging self-directed learning.
B)   Involving parents in teaching.
C)   Allowing the child to touch and play with all equipment.
D)   Incorporating previous life experience.

Question 15

What intervention should the nurse include in the plan of care for a patient newly diagnosed with diabetes who requires teaching about self-administration of insulin?

Accepted Answer

A)   Encourage passive involvement of the learner during instruction.
B)   Delay practicing essential skills until patient expresses an interest in such.
C)   Implement visual demonstration as the primary method of instruction.
D)   Encourage teach-back feedback when demonstrating new skills.

Question 16

The concept of well-being consists entirely of what personal ability?

Accepted Answer

A)   Producing an income.
B)   Performing activities of daily living.
C)   Possessing life satisfaction.
D)   Partnering with a health professional.

Question 17

Which strategy in health education does the U.S. Preventive Services Task Force recommend?

Accepted Answer

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 18

When caring for patients, the nurse recognizes that which statement is true related to developmental level?

Accepted Answer

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

Exam 14: Communication Strategies for Health Promotion, and Disease Prevention