NURS 6645 WEEK 6 MIDTERM EXAM EXAM
Q&A 2026 STUDY GUIDE FULL SOLUTION
UPDATED 2026
◉ A client requests help to stop smoking. Which of the following
methods would be the best for the nurse to suggest to the client?
a. A combination of interventions, beginning with changing the
environment
b. Acupuncture to reduce the nicotine cravings
c. Behavior modification through hypnosis
d. Nicotine replacement products. Answer: a. A combination of
interventions, beginning with changing the environment
◉ A nurse is reviewing with a client the importance of the diabetic
diet to maintaining control of blood glucose levels. The client states,
"I went to the classes and learned how to count carbohydrates. I
have even started to write down what I eat for each meal." Which of
the following would be most appropriate response from the nurse?
a. "I'm so glad you're beginning to recognize the need to control your
blood sugar."
b. "Now you just have to make sure you don't give that habit up!"
,c. "Sounds like you're not ready to really plan your eating yet."
d. "That is great. You've started to take action and make changes.".
Answer: d. "That is great. You've started to take action and make
changes."
There are five stages of change: (1) precontemplation—or resisting
that there is a problem, (2) contemplation—or thinking about the
problem, (3) preparation—preparing for action and taking some
initial steps, (4) action—or making modification in behavior and
environment, and (5) maintenance—or preventing relapse. The
client prepares for action by learning to recognize the importance of
eating and needed changes. Therefore, the nurse should encourage
and recognize that the client has begun serious change. This
comment by the client demonstrates readiness to take action and
needs to be encouraged by the nurse.
◉ At a county board meeting, a nurse reports statistics related to the
increasing problem of substance abuse in the county. The nurse then
requests funding for an after-school recreation program that
promotes age-appropriate fun activities and sports. Which of the
following objectives is the nurse attempting to meet through this
action?
a. Help prevent obesity and boredom.
b. Offer alternatives to being "on the streets."
,c. Prevent children from getting in trouble before their parents get
home from work.
d. Promote healthy lifestyles with physical activity.. Answer: d.
Promote healthy lifestyles with physical activity.
The nurse is engaging in primary prevention efforts against
substance abuse by helping to promote healthy lifestyles and
resiliency factors. The purpose of the nurse requesting this funding
is to address the problem of substance abuse, not obesity. This
program may offer an alternative to children and keep them safe and
off the streets; however, the primary objective is to address the
overall healthy lifestyle of these youth.
◉ A school health nurse is conducting drug screening to detect drug
use by students before serious problems develop. Which of the
following levels of prevention does this action represent?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Primary and secondary prevention. Answer: b. Secondary
prevention
One means of secondary prevention is to institute early detection
(screening) programs in schools, workplace, and other areas in
, which people gather to determine the presence of substance abuse.
Primary prevention involves education before a problem occurs.
Tertiary prevention occurs after the problem has occurred and aims
to assist the client to the highest level of functioning. It is not likely
for a single intervention to be both primary and secondary in
prevention foci.
◉ A mother is concerned that her daughter may be considering
experimentation with drugs and alcohol. Which of the following
strategies would the nurse suggest the mother implement? (Select
all that apply.)
a. Provide opportunities for her daughter to develop her talents.
b. Provide realistic feedback to the daughter about her performance
at school.
c. Encourage her daughter to become involved in extracurricular
activities.
d. Encourage her daughter to develop new friendships.
e. Encourage her to discuss her dreams for the future.. Answer: a.
Provide opportunities for her daughter to develop her talents.
b. Provide realistic feedback to the daughter about her performance
at school.
c. Encourage her daughter to become involved in extracurricular
activities.
e. Encourage her to discuss her dreams for the future.
Q&A 2026 STUDY GUIDE FULL SOLUTION
UPDATED 2026
◉ A client requests help to stop smoking. Which of the following
methods would be the best for the nurse to suggest to the client?
a. A combination of interventions, beginning with changing the
environment
b. Acupuncture to reduce the nicotine cravings
c. Behavior modification through hypnosis
d. Nicotine replacement products. Answer: a. A combination of
interventions, beginning with changing the environment
◉ A nurse is reviewing with a client the importance of the diabetic
diet to maintaining control of blood glucose levels. The client states,
"I went to the classes and learned how to count carbohydrates. I
have even started to write down what I eat for each meal." Which of
the following would be most appropriate response from the nurse?
a. "I'm so glad you're beginning to recognize the need to control your
blood sugar."
b. "Now you just have to make sure you don't give that habit up!"
,c. "Sounds like you're not ready to really plan your eating yet."
d. "That is great. You've started to take action and make changes.".
Answer: d. "That is great. You've started to take action and make
changes."
There are five stages of change: (1) precontemplation—or resisting
that there is a problem, (2) contemplation—or thinking about the
problem, (3) preparation—preparing for action and taking some
initial steps, (4) action—or making modification in behavior and
environment, and (5) maintenance—or preventing relapse. The
client prepares for action by learning to recognize the importance of
eating and needed changes. Therefore, the nurse should encourage
and recognize that the client has begun serious change. This
comment by the client demonstrates readiness to take action and
needs to be encouraged by the nurse.
◉ At a county board meeting, a nurse reports statistics related to the
increasing problem of substance abuse in the county. The nurse then
requests funding for an after-school recreation program that
promotes age-appropriate fun activities and sports. Which of the
following objectives is the nurse attempting to meet through this
action?
a. Help prevent obesity and boredom.
b. Offer alternatives to being "on the streets."
,c. Prevent children from getting in trouble before their parents get
home from work.
d. Promote healthy lifestyles with physical activity.. Answer: d.
Promote healthy lifestyles with physical activity.
The nurse is engaging in primary prevention efforts against
substance abuse by helping to promote healthy lifestyles and
resiliency factors. The purpose of the nurse requesting this funding
is to address the problem of substance abuse, not obesity. This
program may offer an alternative to children and keep them safe and
off the streets; however, the primary objective is to address the
overall healthy lifestyle of these youth.
◉ A school health nurse is conducting drug screening to detect drug
use by students before serious problems develop. Which of the
following levels of prevention does this action represent?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Primary and secondary prevention. Answer: b. Secondary
prevention
One means of secondary prevention is to institute early detection
(screening) programs in schools, workplace, and other areas in
, which people gather to determine the presence of substance abuse.
Primary prevention involves education before a problem occurs.
Tertiary prevention occurs after the problem has occurred and aims
to assist the client to the highest level of functioning. It is not likely
for a single intervention to be both primary and secondary in
prevention foci.
◉ A mother is concerned that her daughter may be considering
experimentation with drugs and alcohol. Which of the following
strategies would the nurse suggest the mother implement? (Select
all that apply.)
a. Provide opportunities for her daughter to develop her talents.
b. Provide realistic feedback to the daughter about her performance
at school.
c. Encourage her daughter to become involved in extracurricular
activities.
d. Encourage her daughter to develop new friendships.
e. Encourage her to discuss her dreams for the future.. Answer: a.
Provide opportunities for her daughter to develop her talents.
b. Provide realistic feedback to the daughter about her performance
at school.
c. Encourage her daughter to become involved in extracurricular
activities.
e. Encourage her to discuss her dreams for the future.
