Chapter 08: Community Health Education Nies: Community/Public Health Nursing, 7th Edition

1. A nurse has instructed a client several times what he needs to do to get better, but the client has not followed these instructions. Which offers the best explanation for this behavior? a. Barriers prevent action. b. The client does not understand. c. The client does not really care. d. Barriers prevent desire to change. ANS: A Often the patient is blamed and labeled as being noncompliant. It is more helpful to wonder what barriers interfered with the patient’s ability to engage in appropriate action. It is unlikely that the client doesn’t understand or doesn’t care, rather the barriers are preventing action from being taken. Barriers may prevent the change, but not necessarily the desire to change. DIF: Cognitive Level: Apply (Application) 2. Which best describes one of the most fundamental nursing principles suggested by Nightingale? a. Be open to the patient’s preferences and priorities. b. Engage in health teaching. c. Keep the focus on individualized care for each person. d. Meet physical needs, such as air, food, and water, first. ANS: B Although Nightingale would probably agree with each of the listed suggestions, she emphasized that health teaching is one of the most fundamental nursing principles. DIF: Cognitive Level: Understand (Comprehension) 3. Which best describes why health education in the community is more effective than health education in a hospital or clinic? a. Being in the patient’s home emphasizes the importance of the teaching. b. It is easier to focus on the nurse’s words and demonstrations outside of health settings. c. The setting is familiar and comfortable to participants. d. There are too many interruptions in hospitals and clinics. ANS: C There can be interruptions and distractions anywhere, including in a patient’s home. In the community, the setting is familiar and comfortable. DIF: Cognitive Level: Understand (Comprehe