Health Education Chapter 3 Study Quiz

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Questions and Answers

What factor has most influenced nurses' abilities to play the vital role in promoting activities that foster well-being?

Nurses have long-established credibility with the public. (correct)

Nurses possess a baccalaureate degree as the entry to practice.

Nurses possess an authentic desire to help others.

Nurses are seen as nurturing professionals.

Why is the nurse justified in emphasizing disease prevention as a component of health promotion?

The external environment affects the outcome of most disease processes.

International organizations emphasize prevention as the main criterion of health care.

Prevention is emphasized as the link between personal behavior and health. (correct)

Most individuals die of preventable causes.

What teaching method is most likely to be effective for a client needing self-catheterization instruction?

A short video providing useful information and demonstrations

A list of clear instructions written at a sixth-grade level

A discussion and demonstration between the nurse and the client (correct)

An audio-recorded version of discharge instructions that can be accessed at home

Which component of the teaching plan should the nurse prioritize when teaching tracheostomy care?

Determining the client's readiness to learn new information Signup and view all the answers

Which health promotion program is the occupational health nurse most likely to develop?

Cholesterol screening Signup and view all the answers

In teaching about the relationship between stress levels and health outcomes, which types of conditions should be included?

Traumatic injuries Signup and view all the answers

When should health promotion initiatives begin?

Before birth Signup and view all the answers

How should the nurse best evaluate the teaching-learning process for a client using a bronchodilator?

Directly observe the client using the inhaler to self-administer a dose. Signup and view all the answers

What is the nurse's ethical obligation to clients on an obstetric unit that offers therapeutic abortions?

The nurse should make the choice to decline this position and pursue a different nursing role. Signup and view all the answers

What implication should the nurse recognize when an 80-year-old client states, 'I have a living will'?

This document specifies the client's wishes before hospitalization. Signup and view all the answers

Which action would be considered a violation of the ethical principle of nonmaleficence?

Refusing to administer pain medication as prescribed. Signup and view all the answers

Which organization is responsible for developing the taxonomy of nursing diagnoses?

North American Nursing Diagnosis Association (NANDA) Signup and view all the answers

What is the most important rationale for documenting the client's care?

It provides continuity of care. Signup and view all the answers

The nurse has an obligation to a client with AIDS based on which of the following?

International Council of Nurses (ICN) Code of Ethics for Nurses Signup and view all the answers

What framework should the nurse adopt for prioritizing client problems?

Maslow hierarchy of needs Signup and view all the answers

How can the nurse best exemplify the ethical principle of beneficence in palliative care?

The nurse tactfully regulates the number and timing of visitors as per the client's wishes. Signup and view all the answers

What must precede the determination of a nursing diagnosis of Ineffective Health Maintenance related to alcohol use?

Collecting and analyzing data that corroborate the diagnosis Signup and view all the answers

The provider's arrangement for an amniocentesis for a client who does not want the procedure violates which ethical principle?

Autonomy Signup and view all the answers

How does the presence of a living will influence a client's care?

The client may nullify the living will during the hospitalization. Signup and view all the answers

What aspect of nursing care would constitute part of the planning phase in nursing for a client with pneumonia?

Achieve SaO2 92% at all times. Signup and view all the answers

When is a nurse performing an interdependent nursing intervention?

Administering an IV bolus of normal saline to a client with hypotension Signup and view all the answers

To which client should restraints not be applied?

A client with urosepsis who is ringing the call bell incessantly to use the bedside commode. Signup and view all the answers

What is the nurse's best response when a client is distressed about not understanding the informed consent document?

The research study is in place and there is no way to know now. Signup and view all the answers

What is the most likely outcome of a health informatics program if it is successful?

Rapid access to client information by everyone involved in the client's care Signup and view all the answers

Using the Maslow hierarchy of needs, which nursing diagnosis should be given the highest priority for a client with chronic obstructive pulmonary disease?

Ineffective airway clearance Signup and view all the answers

Which need has most contributed to the expansion of nursing roles?

The need to decrease the cost of health care Signup and view all the answers

Which statement is an example of a nursing intervention for a client with mobility issues?

Ambulate with the client twice a day. Signup and view all the answers

Which activity best demonstrates the principles of health promotion?

Creation of a smoking prevention program undertaken in a middle school Signup and view all the answers

Which activity would be an example of the nurse navigator role for a client transitioning from the hospital to a rehabilitation facility?

Educating the client on the goals of rehabilitation Signup and view all the answers

Which type of care are students most likely to provide during home care rotation?

Skilled nursing care Signup and view all the answers

How should a nurse best implement infection control during a home visit?

Perform hand hygiene before and after giving direct client care. Signup and view all the answers

When should a client's discharge planning begin following a transmetatarsal amputation?

The day that the client is admitted Signup and view all the answers

What is the rationale for ensuring the health care agency has a copy of the nurse's daily schedule before home visits?

It supports safety precautions for the nurse when making a home care visit. Signup and view all the answers

What is the primary funding source for many home health care expenditures?

Medicare Signup and view all the answers

What is the most important documentation for a nurse caring for a client who is a Medicaid recipient?

The client's homebound status and the specific need for skilled nursing care Signup and view all the answers

When applying the principles of critical thinking to care planning, what characteristic should the nurse exemplify?

Openness to various viewpoints Signup and view all the answers

What assessment should the nurse prioritize during the initial nursing assessment in the home for a client needing a walker after a total knee replacement?

Characteristics of the home environment Signup and view all the answers

How can a home health nurse best protect a client's right to confidentiality?

Keep the client's medical record secured at all times. Signup and view all the answers

In what role is a nurse functioning if employed in a health clinic with an advanced degree in primary care for a pediatric population?

Nurse practitioner Signup and view all the answers

The nurse cites a list of skills that support critical thinking in clinical situations. Which skills should the nurse describe?

Interpretation Signup and view all the answers

What is necessary for accurate documentation in nursing?

Ensures proper reimbursement for the agency. Signup and view all the answers

What characteristic of critical thinking is used in determining the best response to an SaO2 of 89%?

Interpretation Signup and view all the answers

Which role is a master's degree–prepared nurse helping other nurses integrate evidence and research into their practice?

Clinical nurse leader Signup and view all the answers

What question should a nurse consider to evaluate future care for a client with a chronic condition?

Is the client's family willing to participate in care? Signup and view all the answers

Which domain should a nurse assess using the Outcome and Assessment Information Set (OASIS)?

Functional status Signup and view all the answers

What is the nurse achieving by asking supplementary open-ended questions during a client assessment?

Validating what the client has said Signup and view all the answers

Why might the care plans be different for two clients post knee replacement?

Individual clients are seen as unique and dynamic, with individual needs Signup and view all the answers

What indicates effective use of crutches by a client?

Moving the affected leg first when descending stairs. Signup and view all the answers

After receiving a referral for a home health visit, what should the nurse do first?

Call the client to obtain permission. Signup and view all the answers

How should the nurse address a situation where family members are in conflict about a client's treatment?

Involve the institution's ethics committee Signup and view all the answers

Which aspects of care will genetic testing affect for a client undergoing treatment for cancer?

Screening for genetic mutations Signup and view all the answers

What should a nurse do to work therapeutically with a client who smokes?

Convey respect for the client's beliefs. Signup and view all the answers

How should students best understand the concept of ethics?

The formal, systematic study of moral beliefs Signup and view all the answers

Who is ultimately responsible for promoting a client's health?

The client. Signup and view all the answers

What resource should the nurse prioritize when identifying expected outcomes for a new client?

Nursing Outcomes Classification (NOC) Signup and view all the answers

What is the most likely factor causing an older adult client not to adhere to the therapeutic regimen?

Costs of the prescribed regimen. Signup and view all the answers

What strategy should a nurse adopt to best assist an older adult in adhering to wound care?

Demonstrate a dressing change and allow practice. Signup and view all the answers

What is the best definition of health according to the WHO?

The state of being connected in body, mind, and spirit Signup and view all the answers

When planning educational interventions for a client learning to self-administer insulin, what factor should a nurse prioritize?

Client's culture. Signup and view all the answers

What topic would the nurse likely address in a self-care education program?

Management of illness Signup and view all the answers

How can a nurse best enhance an older client's ability to learn about medication administration?

Make information relevant to the client's condition. Signup and view all the answers

Which concept of wellness should the nurse utilize when planning a wellness program for seniors?

A person needs to be proactive in achieving wellness Signup and view all the answers

What characteristic of quality improvement programs should the nurse cite?

These programs emphasize the need for evidence-based practice Signup and view all the answers

What nursing diagnosis should be prioritized to educate an older adult with chronic diseases?

Ineffective health maintenance. Signup and view all the answers

What project best demonstrates health promotion teaching?

Discussing STI prevention to high school students. Signup and view all the answers

What should the nurse's priority action be when admitting a client transferred from the emergency department?

Meeting the urgent needs of the client Signup and view all the answers

Which competencies are key to interprofessional collaboration?

Evidence-based practice Signup and view all the answers

What factor should a nurse prioritize to promote health and control weight in clients?

Good nutrition. Signup and view all the answers

Which situation is an example of critical thinking by the nurse?

Working with the client to find a nonpharmacologic pain relief measure Signup and view all the answers

According to Maslow's hierarchy of needs, what dimension of care is primary for a dying client?

Physiologic Signup and view all the answers

When exploring the legal basis for the scope of practice, the nurse should consult:

The nurse practice act in the nurse's jurisdiction Signup and view all the answers

What is a primary nursing focus in treating a client with heart failure?

Monitoring intake and output Signup and view all the answers

What change(s) in the American health care system have created an increased need for nurses to practice in community-based settings? (Select all that apply)

Tighter insurance regulations Signup and view all the answers

What factor has most influenced the increased diversity in practice settings for nurses?

Shift of health care delivery into the community Signup and view all the answers

What is the central focus of community nursing?

Promoting and maintaining the health of individuals and families Signup and view all the answers

What is the most important variable in community-based nursing that the nurse should integrate into planning?

Community resources available to clients Signup and view all the answers

What needs to be included with the discharge plan?

Collaboration of referring agency with community resources Signup and view all the answers

What action should the nurse prioritize during the initial visit to assess a new client?

Encourage the client and family to connect with appropriate community resources Signup and view all the answers

What must the case manager make the nurse aware of to ensure safety during home assessments?

The potential for at-risk working environments Signup and view all the answers

What is the best response of a nurse when faced with an abusive situation during a home care visit?

Return to the agency and notify the supervisor Signup and view all the answers

What is the most important request that a community-health nurse should make to ensure safety in a high-crime area?

A colleague to accompany the nurse on the visit Signup and view all the answers

Which action(s) should the nurse perform during medication reconciliation?

Assure the proper frequency of administration Signup and view all the answers

What action best protects the nurse's personal safety during initial visits to clients in a high-crime area?

Do not wear expensive jewelry Signup and view all the answers

Who would be appropriate people to be on the discharge planning team for a client living alone after hip replacement?

Social worker Signup and view all the answers

What should the nurse's best action be if they forget to bring necessary supplies for a wound care visit?

Improvise, if possible, using sterile gauze and adhesive tape Signup and view all the answers

What is the initial action the nurse should take when planning discharge for a client?

Identifying the client's specific needs Signup and view all the answers

What phenomenon should the nurse recognize as the basis for increased demand for medical, nursing, and social services?

The growing number of older adults in the population Signup and view all the answers

What characteristic is necessary in any and every care setting?

Cultural competence Signup and view all the answers

Study Notes

Chapter 3: Health Education and Health Promotion - Study Notes

Client Responsibility for Health: The client is ultimately responsible for maintaining and promoting their own health, even with assistance from healthcare providers.
Factors Influencing Adherence to Treatment: Cost of treatment, complexity of regimen, gender, race, education, illness, and personality of the provider can affect a client's adherence to a treatment plan.
Effective Teaching Strategies for Older Adults: Demonstration and practice are key, especially for clients with learning needs due to age. Avoid overly complex pamphlets or verbal instructions without demonstration. Prioritize practical application for older adults.
Cultural Considerations in Health Education: Culture significantly impacts learning styles and information retention. It's crucial for educators to consider a client's culture when teaching.
Enhancing Learning in Older Adults: Provide instruction that is directly relevant, concise, and engaging, using color-coded materials if appropriate and adjusting pacing to meet individual needs.
Prioritizing Nursing Diagnoses for Education: Ineffective health maintenance related to non-adherence is a critical diagnosis requiring education about adherence to treatment.
Health Promotion vs. Treatment: Health promotion focuses on maintaining a healthy lifestyle (e.g., STI prevention education), while treatment focuses on managing a specific health condition.
Factors Important in Health Promotion: Good nutrition, stress reduction, and understanding the link between lifestyle and health conditions are vital for promotion.
Nurses' Role in Health Promotion: Nurses' credibility and established expertise in health and healthcare makes them vital in educating the public; cultural competence is essential in all settings.
Importance of Disease Prevention: Disease prevention, a key component of health promotion, is linked to reducing negative health outcomes and improving overall well-being. Prevention should begin before birth!
Effective Teaching Methods (Specific examples): For tasks requiring specific skills, like self-catheterization or inhaler use, in-person demonstration and practice are the most effective teaching methods. Written instructions alone are usually not enough.
Assessment for Effective Teaching: Directly observing the client performing a skill (like inhaler use) is crucial for assessing understanding and ensuring safety. Asking clarifying or directed questions about the new skill is also important.
Health Promotion in Occupational Settings: Occupational health nurses prioritize health screenings (e.g., cholesterol) and wellness programs as opposed to instruction on a single disease, such as diabetes.
Factors Influencing Health Outcomes: Stress can be linked to several negative health outcomes, including infectious diseases, some chronic illnesses, and traumatic injuries.

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Explore key concepts from Chapter 3 on Health Education and Health Promotion. This quiz covers client responsibility, treatment adherence factors, effective teaching strategies for older adults, and the role of culture in health education. Test your knowledge and understanding of these important topics.