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Chapter 27: Health Promotion
Terms in this set (25)
A client informs the nurse that he has quit smoking because his father died from lung cancer 3 months ago. Based on his motivation, smoking cessation should be recognized as an example of which of the following?
A patient with morbid obesity was enrolled in a weight loss program last month and has attended four weekly meetings. But now he believes he no longer needs to attend meetings because he has learned what to do. He informs the nurse facilitator about his decision to quit the program. What should the nurse tell him?
By now you have successfully completed the steps of the change process. You should be able to successfully lose the rest of the weight on your own.
Although you have learned some healthy habits, you will need at least another 6 weeks before you can quit the program and have success.
You have done well in this program. However, it is important to continue in the program to learn how to maintain weight loss. Otherwise, you are likely to return to your previous lifestyle.
You have entered the determination stage and are ready to make positive changes that you can keep for the rest of your life. If you need additional help, you can come back at a later time.
The school nurse at a local elementary school is performing physical fitness assessments on the third-grade children. When assessing students cardiorespiratory fitness, the most appropriate test is to have the students:
Step up and down on a 12-inch bench.
Perform the sit-and-reach test.
Run a mile without stopping, if they can.
Perform range-of-motion exercises.
in the Leavell and Clark model of health protection, the chief distinction between the levels of prevention is:
The point in the disease process at which they occur.
Placement on the Wheels of Wellness.
The level of activity required to achieve them.
Placement in the Model of Change.
The muscle strength of a woman weighing 132 pounds who is able to lift 72 pounds would be recorded as 0.55. The nurse explains this to the client as the
Ratio of weight lifted divided by body weight
Measure of weight pushed divided by BMI
Ability of a muscle to perform repeated movements
Ability to move a joint through its range of motion
3 (72 divided by 132= 0.55)
Which is one of the greatest concerns with heavy and chronic use of alcohol in teens and young adults?
A 55-year-old man suffered a myocardial infarction (heart attack) 3 months ago. During his hospitalization, he had stents inserted in two sites in the coronary arteries. He was also placed on a cholesterol-lowering agent and two antihypertensives. What type of care is he receiving?
Health screening activities are designed to:
Detect disease at an early stage.
Determine treatment options.
Assess lifestyle habits.
Identify healthcare beliefs.
Which individuals should receive annual lipid screening?
All overweight children
All adults 20 years and older
Persons with total cholesterol greater than 150 mg/dL
Persons with HDL less than 40 mg/dL
The American Heart Association recommends that all adults age 20 years or older have a fasting lipid panel at least once every 5 years. If total cholesterol is 200 mg/dL or greateror HDL is less than 40 mg/dLfrequent monitoring is required.
A mother of three young children is newly diagnosed with breast cancer. She is intensely committed to fighting the cancer. She believes she can control her cancer to some degree with a positive attitude and feelings of inner strength. Which of the following traits is she demonstrating that is linked to health and healing?
The World Health Organizations definition of health includes which of the following? Choose all that apply.
Absence of disease
2, 3, 4
According to Penders health promotion model, which variables must be considered when planning a health promotion program for a client? Choose all that apply.
Individual characteristics and experiences
Levels of prevention
Behavior-specific cognition and affect
1, 3, 4
Goals for Healthy People 2020 include which of the following? Choose all that apply.
Eliminate health disparities among various groups.
Decrease the cost of healthcare related to tobacco use.
Increase the quality and years of healthy life.
Decrease the number of inpatient days annually.
The nurse is implementing a wellness program based on data gathered from a group of low-income seniors living in a housing project. He is using the Wheels of Wellness as a model for his planned interventions. Which of the following interventions would be appropriate based on this model? Choose all that apply.
Creating a weekly discussion group focused on contemporary news
Facilitating a relationship between local pastors and residents of subsidized housing
Coordinating a senior tutorial program for local children at the housing center
Establishing an on-site healthcare clinic operating one day per week
1, 2, 3, 4
the nurse working in an ambulatory care program asks questions about the clients locus of control as a part of his assessment because of which of the following? Choose all that apply.
People who feel in charge of their own health are the easiest to motivate toward change.
People who feel powerless about preventing illness are least likely to engage in health promotion activities.
People who respond to direction from respected authorities often prefer a health promotion program supervised by a health provider.
People who feel in charge of their own health are less motivated by health promotion activities.
1, 2, 3,
Health promotion programs assist a person to advance toward optimal health. Which of the following activities might such programs include? Choose all that apply.
Changing lifestyle and behavior
Prescribing medications to treat underlying disorders
Environmental control programs
1, 2, 4,
Which of the following actions demonstrate how nurses promote health? select all that apply:
Educating patients and families
1.A middle-aged woman performs breast self-examination monthly. This intervention is considered to be ____________________ prevention.
2.____________________ refers to nursing actions performed to help clients to achieve an optimal state of health.
What is the name of the nursing theorist who defines health as having three elements: a high level of overall physical, mental, and social functioning; a general adaptive-maintenance level of daily functioning; and the absence of illness (or the presence of efforts that lead to its absence)? ____________________
health promotion vs health protection
promotion= desire to increase well being
protection= desire to avoid illness
Level of health protection- detect and treat illness in early stages=
Level of health protection- prevent or slow onset of disease
Level of health protection- stopping disease from progression/returning
Precontemplation, contemplation, determination, action, maintenance
stages of health and behavior change
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