TEST BANK
Journey Across the Life Span: Human Development and Health
Promotion
Elaine U. Polan, and Daphne R. Taylor
7th Edition
,Table of Contents
Chapter 01: Healthy Lifestyles 1
Chapter 02: Communication 14
Chapter 03: Culture 27
Chapter 04: The Family 40
Chapter 05: Theories of Growth and Development 53
Chapter 06: Prenatal Period to 1 Year 67
Chapter 07: Toddlerhood 80
Chapter 08: Preschool 93
Chapter 09: School Age 106
Chapter 10: Puberty and Adolescence 119
Chapter 11: Early Adulthood 132
Chapter 12: Middle Adulthood 146
Chapter 13: Late Adulthood 159
Chapter 14: Death and Dying 172
,______________________________________________________________________________________________
Test Bank - Journey Across the Life Span: Human Development and Health Promotion, 7th Edition (Polan, 2024)
Chapter 1: Healthy Lifestyles
MULTIPLE CHOICE
1. You are reviewing the history of bacterial infections for a community health fair. Which
information would you include in the presentation about bacteriology?
A. Medical students during the 6th century focused their study on bacteria.
B. Few people were killed during plagues and epidemics during the Middle Ages.
C. Diet, exercise, and hygiene were incorporated into medical treatment during the
21st century.
D. Improvements in sanitation enhanced the quality of life in people with bacterial
infections during the 20th century.
ANS: D
Chapter: Chapter 1, Healthy Lifestyles
Page: 2
Integrated Processes: Teaching and Learning
Patient Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A That is not correct. Collaboration is working with others to help a patient achieve
health care goals and outcomes. Collaboration, however, is not the foundation
for all aspects of a patient’s care.
B That is correct. Communication is the foundation for the nursing process in order
to provide compassionate, quality care to a patient.
C That is not correct. Critical thinking is a skill that is used when providing care;
however, it is not the foundation for all aspects of a patient’s care.
D That is not correct. Clinical judgment is a skill that is used when providing care;
however, it is not the foundation for all aspects of a patient’s care.
2. You receive notice of an endemic in one country in South America. In which way would
you describe this disease outbreak?
A. The disease affects only a particular country.
B. There is an illness that spreads over several countries.
C. There is an illness that spreads over several continents.
D. The disease affects a large number of people living in a community.
ANS: A
Chapter: Chapter 1, Healthy Lifestyles
Page: 2
Integrated Processes: Communication and Documentation
Patient Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Easy
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1|Page
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Test Bank - Journey Across the Life Span: Human Development and Health Promotion, 7th Edition (Polan, 2024)
Feedback
A That is not correct. Staring at the patient could cause anxiety.
B That is correct. Touch is a tool to convey human emotion. Touching the patient’s
hand would communicate caring.
C That is not correct. Crossing the arms over the chest is a closed posture. This
nonverbal technique communicates coldness, disinterest, and nonacceptance.
D That is not correct. Standing at the foot of the bed would convey authority and
control.
3. You are reviewing the leading health indicators for Healthy People 2030. Which indicator
would you identify as applicable for patients of all ages?
A. Increase employment
B. Reduce cigarette smoking
C. Reduce food insecurity and hunger
D. Increase treatment for depression
ANS: C
Chapter: Chapter 1, Healthy Lifestyles
Page: 5
Integrated Processes: Clinical Problem-Solving Process (Nursing Process)
Patient Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A That is correct. Nonverbal communication is the most accurate method of
sending a message. Sitting with the hands in the lap and the legs uncrossed is
considered an open posture that indicates a willingness to communicate.
B That is not correct. Staring out the window while answering questions would
indicate shyness, embarrassment, or nervousness.
C That is not correct. Waving the hands around when responding to questions
would communicate feelings about the topic. This gesture does not indicate if
the patient is willing to communicate verbally.
D That is not correct. Shaking the head is a nonverbal gesture that indicates “no.”
Using gestures to answer questions is a nonverbal communication technique;
however, it does not indicate that the patient is willing to communicate verbally.
4. The Community Health Nurse is reviewing the social determinants of health. Which action
would the nurse take to address neighborhoods and built environments?
A. Prepare information on the use of telehealth
B. Incorporate a job fair with the next community health event
C. Provide financial aid information to the parents of students in high school
D. Attend a city council meeting to advocate for sidewalks in the new housing
communities
ANS: D
Chapter: Chapter 1, Healthy Lifestyles
Page: 4
Integrated Processes: Communication and Documentation
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2|Page
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Test Bank - Journey Across the Life Span: Human Development and Health Promotion, 7th Edition (Polan, 2024)
Patient Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Social Determinants of Health
Difficulty: Difficult
Feedback
A That is not correct. Even though periods of silence may be uncomfortable,
silence before answering a question would not indicate anger.
B That is not correct. Even though periods of silence may be uncomfortable,
silence before answering a question would not indicate evasion.
C That is not correct. Even though periods of silence may be uncomfortable,
silence before answering a question would not indicate rejection.
D That is correct. Even though periods of silence may be uncomfortable, silence
before answering a question would indicate thoughtfulness or thinking about the
response to make.
5. A patient with new health problems reports not having health insurance. Which action
would you take to help this patient?
A. Suggest the patient consider contacting the state to enroll in Medicaid
B. Explain that the hospital follows a preferred provider organization structure
C. Review the benefits of obtaining health insurance through a health maintenance
organization
D. Ask social services to help the patient use the state health care exchange to shop
for health insurance coverage
ANS: D
Chapter: Chapter 1, Healthy Lifestyles
Page: 6
Integrated Processes: Communication and Documentation
Patient Need: Safe and Effective Care Environment: Coordinated Care
Cognitive Level: Application [Applying]
Concept: Health Policy
Difficulty: Difficult
Feedback
A That is correct. Genuineness is being open, honest, and truthful.
B That is not correct. Sitting facing the patient is a component of active listening.
C That is not correct. Using an open posture is a component of active listening.
D That is not correct. Maintaining eye contact is a component of active listening.
6. A patient states that living with in-laws and grandchildren is creating financial issues. As
which type of health status would you categorize this information?
A. Social
B. Cognitive
C. Psychological
D. Environmental
ANS: A
Chapter: Chapter 1, Healthy Lifestyles
Page: 7
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3|Page
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Test Bank - Journey Across the Life Span: Human Development and Health Promotion, 7th Edition (Polan, 2024)
Integrated Processes: Communication and Documentation
Patient Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Easy
Feedback
A That is not correct. A plan of care is developed during the working phase of the
therapeutic relationship.
B That is correct. Asking the patient for the name they prefer is completed during
the orientation phase of the therapeutic relationship.
C That is not correct. Determining if the patient has been helped is completed
during the termination phase of the therapeutic relationship.
D That is not correct. Identifying the patient’s coping mechanisms is completed
during the working phase of the therapeutic relationship.
7. The Public Health Nurse receives a report on the number of adults in the state who were
admitted for substance abuse treatment. Which location would the nurse recommend for
education to address this health concern?
A. Churches
B. Workplaces
C. High schools
D. Senior living centers
ANS: B
Chapter: Chapter 1, Healthy Lifestyles
Page: 8
Integrated Processes: Teaching and Learning
Patient Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Easy
Feedback
A That is not correct. Reviewing the activities that will occur is a part of the
working phase of the relationship.
B That is not correct. The location for the therapeutic relationship should be
private and free from noise and distraction. The waiting room would not be
private or free from noise or distraction.
C That is not correct. Asking “why” questions are accusing and would cause the
patient to become defensive. This will not support the development of a
therapeutic relationship.
D That is correct. Sitting and talking with the patient in an examination room is the
most appropriate action. Sitting and talking conveys interest. An examination
room is private and free from noise and distraction.
8. You are discussing treatment options with a patient who has been diagnosed with a new
health problem. Which statement would indicate that the patient is empowered to make an
informed decision?
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4|Page
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Test Bank - Journey Across the Life Span: Human Development and Health Promotion, 7th Edition (Polan, 2024)
A. “I can’t deal with this right now.”
B. “I will do whatever my doctor suggests.”
C. “I am so confused with everything that is happening.”
D. “I think taking the medication would be the best treatment for me.”
ANS: D
Chapter: Chapter 1, Healthy Lifestyles
Page: 9
Integrated Processes: Teaching and Learning
Patient Need: Health Promotion and Maintenance
Cognitive Level: Analysis [Analyzing]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A That is correct. Defending is a response with a statement of justification or a
counterreply to a verbal attack. The statement, “I’m doing the best that I can,”
demonstrates defensiveness.
B That is not correct. Suggesting the patient watch television is a response that
gives advice.
C That is not correct. Recommending the patient rub the area around the wound is
a response that gives advice.
D That is not correct. Saying that the patient is better and medication may not be
needed is disagreeing that the patient needs pain medication.
9. You are caring for patients in a community health clinic. Which intervention would you
categorize as primary prevention?
A. Mammogram
B. Immunization
C. Physical therapy treatment
D. Adjusting blood pressure medication
ANS: B
Chapter: Chapter 1, Healthy Lifestyles
Page: 10
Integrated Processes: Clinical Problem-Solving Process (Nursing Process)
Patient Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A That is not correct. A statement that acknowledges the patient talking about
funeral plans is a supportive response that demonstrates empathy.
B That is correct. Talking about the patient’s upcoming birthday while the patient
is discussing funeral plans is an example of changing the subject. This
minimizes the patient’s feelings and makes the patient feel that their concern is
not important.
C That is not correct. Asking if the patient has shared their thoughts with the
family might be interpreted as probing by seeking information beyond what is
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Test Bank - Journey Across the Life Span: Human Development and Health Promotion, 7th Edition (Polan, 2024)
necessary.
D That is not correct. Asking if the patient needs any assistant with planning is
supportive and would not block further communication.
10. You visit the home of an adolescent patient with obesity. Which action would you take to
promote the health of this patient?
A. Involve the entire family in healthy eating
B. Provide the adolescent with an eating plan
C. Explain the health problems the adolescent is going to develop
D. Review ways for the family to provide separate meals for the adolescent
ANS: A
Chapter: Chapter 1, Healthy Lifestyles
Page: 11
Integrated Processes: Teaching and Learning
Patient Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A That is not correct. Saying that something is “silly” is a belittling response.
B That is correct. Giving false reassurance is making a statement of reassurance
without sincerity or justification. Telling the patient, “Don’t worry about it,” is
false reassurance.
C That is not correct. Asking a “why” question increases the patient’s uneasiness
by demanding an immediate answer.
D That is not correct. Asking the patient about weekend plans is changing the
subject.
11. A patient has a spouse with a chronic condition and two children with different health
issues. Which recommendation would you make to help the patient create a healthy meal
plan for the entire family?
A. Select a variety of foods from the major food groups
B. Use the spouse’s diet as the base and alter it for the children
C. Make one meal that includes a protein, carbohydrate, and fat
D. Encourage the family members to eat the foods they prefer
ANS: A
Chapter: Chapter 1, Healthy Lifestyles
Page: 12
Integrated Processes: Teaching and Learning
Patient Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A That is not correct. Focusing is directing the conversation to a topic to gain more
information.
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Test Bank - Journey Across the Life Span: Human Development and Health Promotion, 7th Edition (Polan, 2024)
B That is not correct. Restating is using the same words that the patient has said.
C That is correct. Validating is making a statement or asking a question that
attempts to verify the patient’s verbal or nonverbal message.
D That is not correct. Making an observation acknowledges thoughts and feelings.
The statement, “You are shivering,” then followed by, “Tell me how you are
feeling,” is an example of making an observation.
12. A patient seeks medical attention for an injury obtained while participating in an extreme
sport over the weekend. Which teaching would you provide to support the patient’s need for
regular exercise?
A. Plan to exercise 60 minutes every day
B. Consider a different sport to participate in during the weekends
C. Wait until the injury heals before engaging in any physical activity
D. Schedule 30 minutes of moderate physical activity most days of the week
ANS: D
Chapter: Chapter 1, Healthy Lifestyles
Page: 12
Integrated Processes: Teaching and Learning
Patient Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A That is not correct. Clarifying is used to clear up possible misunderstandings.
B That is not correct. Asking broad questions encourages the patient to share
feelings.
C That is not correct. Paraphrasing or restating helps you to understand what the
patient means.
D That is correct. Giving information is used to explain the purpose of the
communication process.
13. A patient is having a routine physical examination. Which emotional response would cause
you to the check the patient for stress?
A. Irritability
B. Weight loss
C. Forgetfulness
D. Increased blood pressure
ANS: A
Chapter: Chapter 1, Healthy Lifestyles
Page: 14
Integrated Processes: Clinical Problem-Solving Process (Nursing Process)
Patient Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Stress and Coping
Difficulty: Difficult
Feedback
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Test Bank - Journey Across the Life Span: Human Development and Health Promotion, 7th Edition (Polan, 2024)
A That is not correct. The amount of time needed to complete a health history
should not be limited.
B That is not correct. The nurse should be positioned at eye level with the patient.
C That is not correct. Closed questions should not be used because they encourage
one-word answers.
D That is correct. Leaning forward when listening demonstrates interest and
concern.
14. A parent is concerned because their hospitalized 7-year-old child is wetting the bed. In
which way would you categorize the child’s incontinence?
A. Protest
B. Despair
C. Regression
D. Detachment
ANS: C
Chapter: Chapter 1, Healthy Lifestyles
Page: 15
Integrated Processes: Clinical Problem-Solving Process (Nursing Process)
Patient Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing0
Concept: Psychosocial Integrity
Difficulty: Moderate
Feedback
A That is not correct. Offering self is used when the patient will not talk or when
the situation is emotional and words cannot be found to convey the message.
B That is not correct. Stating or making an observation helps to acknowledge the
patient’s feelings.
C That is correct. Using general leads encourages the patient to continue talking.
D That is not correct. Focusing is a way to direct the conversation to a specific
topic.
15. A patient is informed that a biopsy has tested positive for a terminal illness. Which finding
indicates to you that the patient is experiencing moderate anxiety?
A. Confusion
B. Restlessness
C. Heart palpitations
D. Inability to communicate
ANS: C
Chapter: Chapter 1, Healthy Lifestyles
Page: 17
Integrated Processes: Clinical Problem-Solving Process (Nursing Process)
Patient Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Stress and Coping
Difficulty: Moderate
Feedback
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8|Page
Journey Across the Life Span: Human Development and Health
Promotion
Elaine U. Polan, and Daphne R. Taylor
7th Edition
,Table of Contents
Chapter 01: Healthy Lifestyles 1
Chapter 02: Communication 14
Chapter 03: Culture 27
Chapter 04: The Family 40
Chapter 05: Theories of Growth and Development 53
Chapter 06: Prenatal Period to 1 Year 67
Chapter 07: Toddlerhood 80
Chapter 08: Preschool 93
Chapter 09: School Age 106
Chapter 10: Puberty and Adolescence 119
Chapter 11: Early Adulthood 132
Chapter 12: Middle Adulthood 146
Chapter 13: Late Adulthood 159
Chapter 14: Death and Dying 172
,______________________________________________________________________________________________
Test Bank - Journey Across the Life Span: Human Development and Health Promotion, 7th Edition (Polan, 2024)
Chapter 1: Healthy Lifestyles
MULTIPLE CHOICE
1. You are reviewing the history of bacterial infections for a community health fair. Which
information would you include in the presentation about bacteriology?
A. Medical students during the 6th century focused their study on bacteria.
B. Few people were killed during plagues and epidemics during the Middle Ages.
C. Diet, exercise, and hygiene were incorporated into medical treatment during the
21st century.
D. Improvements in sanitation enhanced the quality of life in people with bacterial
infections during the 20th century.
ANS: D
Chapter: Chapter 1, Healthy Lifestyles
Page: 2
Integrated Processes: Teaching and Learning
Patient Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A That is not correct. Collaboration is working with others to help a patient achieve
health care goals and outcomes. Collaboration, however, is not the foundation
for all aspects of a patient’s care.
B That is correct. Communication is the foundation for the nursing process in order
to provide compassionate, quality care to a patient.
C That is not correct. Critical thinking is a skill that is used when providing care;
however, it is not the foundation for all aspects of a patient’s care.
D That is not correct. Clinical judgment is a skill that is used when providing care;
however, it is not the foundation for all aspects of a patient’s care.
2. You receive notice of an endemic in one country in South America. In which way would
you describe this disease outbreak?
A. The disease affects only a particular country.
B. There is an illness that spreads over several countries.
C. There is an illness that spreads over several continents.
D. The disease affects a large number of people living in a community.
ANS: A
Chapter: Chapter 1, Healthy Lifestyles
Page: 2
Integrated Processes: Communication and Documentation
Patient Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Easy
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Journey Across the Life Span: Human Development and Health Promotion, 7th Edition (Polan, 2024)
Feedback
A That is not correct. Staring at the patient could cause anxiety.
B That is correct. Touch is a tool to convey human emotion. Touching the patient’s
hand would communicate caring.
C That is not correct. Crossing the arms over the chest is a closed posture. This
nonverbal technique communicates coldness, disinterest, and nonacceptance.
D That is not correct. Standing at the foot of the bed would convey authority and
control.
3. You are reviewing the leading health indicators for Healthy People 2030. Which indicator
would you identify as applicable for patients of all ages?
A. Increase employment
B. Reduce cigarette smoking
C. Reduce food insecurity and hunger
D. Increase treatment for depression
ANS: C
Chapter: Chapter 1, Healthy Lifestyles
Page: 5
Integrated Processes: Clinical Problem-Solving Process (Nursing Process)
Patient Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A That is correct. Nonverbal communication is the most accurate method of
sending a message. Sitting with the hands in the lap and the legs uncrossed is
considered an open posture that indicates a willingness to communicate.
B That is not correct. Staring out the window while answering questions would
indicate shyness, embarrassment, or nervousness.
C That is not correct. Waving the hands around when responding to questions
would communicate feelings about the topic. This gesture does not indicate if
the patient is willing to communicate verbally.
D That is not correct. Shaking the head is a nonverbal gesture that indicates “no.”
Using gestures to answer questions is a nonverbal communication technique;
however, it does not indicate that the patient is willing to communicate verbally.
4. The Community Health Nurse is reviewing the social determinants of health. Which action
would the nurse take to address neighborhoods and built environments?
A. Prepare information on the use of telehealth
B. Incorporate a job fair with the next community health event
C. Provide financial aid information to the parents of students in high school
D. Attend a city council meeting to advocate for sidewalks in the new housing
communities
ANS: D
Chapter: Chapter 1, Healthy Lifestyles
Page: 4
Integrated Processes: Communication and Documentation
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2|Page
,______________________________________________________________________________________________
Test Bank - Journey Across the Life Span: Human Development and Health Promotion, 7th Edition (Polan, 2024)
Patient Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Social Determinants of Health
Difficulty: Difficult
Feedback
A That is not correct. Even though periods of silence may be uncomfortable,
silence before answering a question would not indicate anger.
B That is not correct. Even though periods of silence may be uncomfortable,
silence before answering a question would not indicate evasion.
C That is not correct. Even though periods of silence may be uncomfortable,
silence before answering a question would not indicate rejection.
D That is correct. Even though periods of silence may be uncomfortable, silence
before answering a question would indicate thoughtfulness or thinking about the
response to make.
5. A patient with new health problems reports not having health insurance. Which action
would you take to help this patient?
A. Suggest the patient consider contacting the state to enroll in Medicaid
B. Explain that the hospital follows a preferred provider organization structure
C. Review the benefits of obtaining health insurance through a health maintenance
organization
D. Ask social services to help the patient use the state health care exchange to shop
for health insurance coverage
ANS: D
Chapter: Chapter 1, Healthy Lifestyles
Page: 6
Integrated Processes: Communication and Documentation
Patient Need: Safe and Effective Care Environment: Coordinated Care
Cognitive Level: Application [Applying]
Concept: Health Policy
Difficulty: Difficult
Feedback
A That is correct. Genuineness is being open, honest, and truthful.
B That is not correct. Sitting facing the patient is a component of active listening.
C That is not correct. Using an open posture is a component of active listening.
D That is not correct. Maintaining eye contact is a component of active listening.
6. A patient states that living with in-laws and grandchildren is creating financial issues. As
which type of health status would you categorize this information?
A. Social
B. Cognitive
C. Psychological
D. Environmental
ANS: A
Chapter: Chapter 1, Healthy Lifestyles
Page: 7
______________________________________________________________________________________________
3|Page
,______________________________________________________________________________________________
Test Bank - Journey Across the Life Span: Human Development and Health Promotion, 7th Edition (Polan, 2024)
Integrated Processes: Communication and Documentation
Patient Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Easy
Feedback
A That is not correct. A plan of care is developed during the working phase of the
therapeutic relationship.
B That is correct. Asking the patient for the name they prefer is completed during
the orientation phase of the therapeutic relationship.
C That is not correct. Determining if the patient has been helped is completed
during the termination phase of the therapeutic relationship.
D That is not correct. Identifying the patient’s coping mechanisms is completed
during the working phase of the therapeutic relationship.
7. The Public Health Nurse receives a report on the number of adults in the state who were
admitted for substance abuse treatment. Which location would the nurse recommend for
education to address this health concern?
A. Churches
B. Workplaces
C. High schools
D. Senior living centers
ANS: B
Chapter: Chapter 1, Healthy Lifestyles
Page: 8
Integrated Processes: Teaching and Learning
Patient Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Easy
Feedback
A That is not correct. Reviewing the activities that will occur is a part of the
working phase of the relationship.
B That is not correct. The location for the therapeutic relationship should be
private and free from noise and distraction. The waiting room would not be
private or free from noise or distraction.
C That is not correct. Asking “why” questions are accusing and would cause the
patient to become defensive. This will not support the development of a
therapeutic relationship.
D That is correct. Sitting and talking with the patient in an examination room is the
most appropriate action. Sitting and talking conveys interest. An examination
room is private and free from noise and distraction.
8. You are discussing treatment options with a patient who has been diagnosed with a new
health problem. Which statement would indicate that the patient is empowered to make an
informed decision?
______________________________________________________________________________________________
4|Page
,______________________________________________________________________________________________
Test Bank - Journey Across the Life Span: Human Development and Health Promotion, 7th Edition (Polan, 2024)
A. “I can’t deal with this right now.”
B. “I will do whatever my doctor suggests.”
C. “I am so confused with everything that is happening.”
D. “I think taking the medication would be the best treatment for me.”
ANS: D
Chapter: Chapter 1, Healthy Lifestyles
Page: 9
Integrated Processes: Teaching and Learning
Patient Need: Health Promotion and Maintenance
Cognitive Level: Analysis [Analyzing]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A That is correct. Defending is a response with a statement of justification or a
counterreply to a verbal attack. The statement, “I’m doing the best that I can,”
demonstrates defensiveness.
B That is not correct. Suggesting the patient watch television is a response that
gives advice.
C That is not correct. Recommending the patient rub the area around the wound is
a response that gives advice.
D That is not correct. Saying that the patient is better and medication may not be
needed is disagreeing that the patient needs pain medication.
9. You are caring for patients in a community health clinic. Which intervention would you
categorize as primary prevention?
A. Mammogram
B. Immunization
C. Physical therapy treatment
D. Adjusting blood pressure medication
ANS: B
Chapter: Chapter 1, Healthy Lifestyles
Page: 10
Integrated Processes: Clinical Problem-Solving Process (Nursing Process)
Patient Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A That is not correct. A statement that acknowledges the patient talking about
funeral plans is a supportive response that demonstrates empathy.
B That is correct. Talking about the patient’s upcoming birthday while the patient
is discussing funeral plans is an example of changing the subject. This
minimizes the patient’s feelings and makes the patient feel that their concern is
not important.
C That is not correct. Asking if the patient has shared their thoughts with the
family might be interpreted as probing by seeking information beyond what is
______________________________________________________________________________________________
5|Page
,______________________________________________________________________________________________
Test Bank - Journey Across the Life Span: Human Development and Health Promotion, 7th Edition (Polan, 2024)
necessary.
D That is not correct. Asking if the patient needs any assistant with planning is
supportive and would not block further communication.
10. You visit the home of an adolescent patient with obesity. Which action would you take to
promote the health of this patient?
A. Involve the entire family in healthy eating
B. Provide the adolescent with an eating plan
C. Explain the health problems the adolescent is going to develop
D. Review ways for the family to provide separate meals for the adolescent
ANS: A
Chapter: Chapter 1, Healthy Lifestyles
Page: 11
Integrated Processes: Teaching and Learning
Patient Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A That is not correct. Saying that something is “silly” is a belittling response.
B That is correct. Giving false reassurance is making a statement of reassurance
without sincerity or justification. Telling the patient, “Don’t worry about it,” is
false reassurance.
C That is not correct. Asking a “why” question increases the patient’s uneasiness
by demanding an immediate answer.
D That is not correct. Asking the patient about weekend plans is changing the
subject.
11. A patient has a spouse with a chronic condition and two children with different health
issues. Which recommendation would you make to help the patient create a healthy meal
plan for the entire family?
A. Select a variety of foods from the major food groups
B. Use the spouse’s diet as the base and alter it for the children
C. Make one meal that includes a protein, carbohydrate, and fat
D. Encourage the family members to eat the foods they prefer
ANS: A
Chapter: Chapter 1, Healthy Lifestyles
Page: 12
Integrated Processes: Teaching and Learning
Patient Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A That is not correct. Focusing is directing the conversation to a topic to gain more
information.
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Test Bank - Journey Across the Life Span: Human Development and Health Promotion, 7th Edition (Polan, 2024)
B That is not correct. Restating is using the same words that the patient has said.
C That is correct. Validating is making a statement or asking a question that
attempts to verify the patient’s verbal or nonverbal message.
D That is not correct. Making an observation acknowledges thoughts and feelings.
The statement, “You are shivering,” then followed by, “Tell me how you are
feeling,” is an example of making an observation.
12. A patient seeks medical attention for an injury obtained while participating in an extreme
sport over the weekend. Which teaching would you provide to support the patient’s need for
regular exercise?
A. Plan to exercise 60 minutes every day
B. Consider a different sport to participate in during the weekends
C. Wait until the injury heals before engaging in any physical activity
D. Schedule 30 minutes of moderate physical activity most days of the week
ANS: D
Chapter: Chapter 1, Healthy Lifestyles
Page: 12
Integrated Processes: Teaching and Learning
Patient Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A That is not correct. Clarifying is used to clear up possible misunderstandings.
B That is not correct. Asking broad questions encourages the patient to share
feelings.
C That is not correct. Paraphrasing or restating helps you to understand what the
patient means.
D That is correct. Giving information is used to explain the purpose of the
communication process.
13. A patient is having a routine physical examination. Which emotional response would cause
you to the check the patient for stress?
A. Irritability
B. Weight loss
C. Forgetfulness
D. Increased blood pressure
ANS: A
Chapter: Chapter 1, Healthy Lifestyles
Page: 14
Integrated Processes: Clinical Problem-Solving Process (Nursing Process)
Patient Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Stress and Coping
Difficulty: Difficult
Feedback
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Test Bank - Journey Across the Life Span: Human Development and Health Promotion, 7th Edition (Polan, 2024)
A That is not correct. The amount of time needed to complete a health history
should not be limited.
B That is not correct. The nurse should be positioned at eye level with the patient.
C That is not correct. Closed questions should not be used because they encourage
one-word answers.
D That is correct. Leaning forward when listening demonstrates interest and
concern.
14. A parent is concerned because their hospitalized 7-year-old child is wetting the bed. In
which way would you categorize the child’s incontinence?
A. Protest
B. Despair
C. Regression
D. Detachment
ANS: C
Chapter: Chapter 1, Healthy Lifestyles
Page: 15
Integrated Processes: Clinical Problem-Solving Process (Nursing Process)
Patient Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing0
Concept: Psychosocial Integrity
Difficulty: Moderate
Feedback
A That is not correct. Offering self is used when the patient will not talk or when
the situation is emotional and words cannot be found to convey the message.
B That is not correct. Stating or making an observation helps to acknowledge the
patient’s feelings.
C That is correct. Using general leads encourages the patient to continue talking.
D That is not correct. Focusing is a way to direct the conversation to a specific
topic.
15. A patient is informed that a biopsy has tested positive for a terminal illness. Which finding
indicates to you that the patient is experiencing moderate anxiety?
A. Confusion
B. Restlessness
C. Heart palpitations
D. Inability to communicate
ANS: C
Chapter: Chapter 1, Healthy Lifestyles
Page: 17
Integrated Processes: Clinical Problem-Solving Process (Nursing Process)
Patient Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Stress and Coping
Difficulty: Moderate
Feedback
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