CLASSROOM ID: A CLASSROOM Name: ______________________ Class: _________________ Date: _________ Health Education & Promotion Exam ____ CLASSROOM

CLASSROOM ID: A CLASSROOM Name: ______________________ Class: _________________ Date: _________ Health Education & Promotion Exam ____ CLASSROOM 1. A nurse has been working with Mrs. Griffin, a 71-year-old patient whose poorly controlled type 1 diabetes has led to numerous health problems. Over the past several years Mrs. Griffin has had several admissions to the hospital medical unit, and the nurse has often carried out health promotion interventions. Who is ultimately responsible for maintaining and promoting Mrs. Griffin's health? A) The medical nurse B) The community health nurse who has also worked with Mrs. Griffin C) Mrs. Griffin's primary care provider D) Mrs. Griffin ____ ____ ____ 2. An elderly female patient has come to the clinic for a scheduled follow-up appointment. The nurse learns from the patient's daughter that the patient is not following the instructions she received upon discharge from the hospital last month. What is the most likely factor causing the patient not to adhere to her therapeutic regimen? A) Ethnic background of health care provider B) Costs of the prescribed regimen C) Presence of a learning disability D) Personality of the physician 3. A gerontologic nurse has observed that patients often fail to adhere to a therapeutic regimen. What strategy should the nurse adopt to best assist an older adult in adhering to a therapeutic regimen involving wound care? A) Demonstrate a dressing change and allow the patient to practice. B) Provide a detailed pamphlet on a dressing change. C) Verbally instruct the patient how to change a dressing and check for comprehension. D) Delegate the dressing change to a trusted family member. 4. A 20-year-old man newly diagnosed with type 1 diabetes needs to learn how to self-administer insulin. When planning the appropriate educational interventions and considering variables that will affect his learning, the nurse should prioritize which of the following factors? A) Patient's expected lifespan B) Patient's gender C) Patient's occupation D) Patient's culture CLASSROOM 1 CLASSROOM CLASSROOM CLASSROOM ID: A CLASSROOM Name: ______________________ ____ CLASSROOM 5. The nurse is planning to teach a 75-year-old patient with coronary artery disease about administering her prescribed antiplatelet medication. How can the nurse best enhance the patient's ability to learn? A) Provide links to Web sites that contain evidence-based information. B) Exclude family members from the session to prevent distraction. C) Use color-coded materials that are succinct and engaging. D) Make the information directly relevant to the patient's condition. ____ ____ ____ ____ 6. A nurse is planning care for an older adult who lives with a number of chronic health problems. For which of the following nursing diagnoses would education of the patient be the nurse's highest priority? A) Risk for impaired physical mobility related to joint pain B) Functional urinary incontinence related decreased mobility C) Activity intolerance related to contractures D) Risk for ineffective health maintenance related to nonadherence to therapeutic regimen 7. The nursing instructor has given an assignment to a group of certified nurse practitioner (CNP) students. They are to break into groups of four and complete a health-promotion teaching project and present a report to their fellow students. What project most clearly demonstrates the principles of health-promotion teaching? A) Demonstrating an injection technique to a patient for anticoagulant therapy B) Explaining the side effects of a medication to an adult patient C) Discussing the importance of preventing sexually transmitted infections (STI) to a group of high school students D) Instructing an adolescent patient about safe and nutritious food preparation 8. Health promotion ranks high on the list of health-related concerns of the American public. Based on current knowledge, what factor should the nurse prioritize in an effort to promote health, longevity, and weight control in patients? A) Good nutrition B) Stress reduction C) Use of vitamins D) Screening for health risks 9. The nursing profession and nurses as individuals have a responsibility to promote activities that foster well-being. What factor has most influenced nurses' abilities to play this vital role? A) Nurses are seen as nurturing professionals. B) Nurses possess a baccalaureate degree as the entry to practice. C) Nurses possess an authentic desire to help others. D) Nurses have long-established credibility with the public. 2 CLASSROOM CLASSROOM CLASSROOM CLASSROOM ID: A CLASSROOM Name: ______________________ CLASSROOM ____ 10. The nurse is teaching a local community group about the importance of disease prevention. Why is the nurse justified in emphasizing disease prevention as a component of health promotion? A) Prevention is emphasized as the link between personal behavior and health. B) Most Americans die of preventable causes. C) Health maintenance organizations (HMOs) now emphasize prevention as the main criterion of health care. D) External environment affects the outcome of most disease processes. ____ 11. The nurse is preparing discharge teaching for a 51-year-old woman diagnosed with urinary retention secondary to multiple sclerosis. The nurse will teach the patient to self-catheterize at home upon discharge. What teaching method is most likely to be effective for this patient? A) A list of clear instructions written at a sixth-grade level B) A short video providing useful information and demonstrations C) An audio-recorded version of discharge instructions that can be accessed at home D) A discussion and demonstration between the nurse and the patient ____ 12. You are the nurse planning to teach tracheostomy care to a patient who will be discharged home following a spinal cord injury. When preparing your teaching, which of the following is the most important component of your teaching plan? A) Citing the evidence that underlies each of your teaching points B) Alleviating the patient's guilt associated with not knowing appropriate self-care C) Determining the patient's readiness to learn new information D) Including your nursing colleagues in the planning process ____ 13. A public health nurse is preparing to hold a series of health-promotion classes for middle-aged adults that will address a variety of topics. Which site would best meet the learning needs of this population? A) A well-respected physician's office B) A large, local workplace C) The local hospital D) An ambulatory clinic ____ 14. A nurse has been studying research that examines the association between stress levels and negative health outcomes. Which relationship should underlie the educational interventions that the nurse chooses to teach? A) Stress impairs sleep patterns. B) Stress decreases immune function. C) Stress increases weight. D) Stress decreases concentration. CLASSROOM 3 CLASSROOM CLASSROOM CLASSROOM ID: A CLASSROOM Name: ______________________ CLASSROOM ____ 15. A public health nurse understands that health promotion should continue across the lifespan. When planning health promotion initiatives, when in the lifespan should health promotion begin? A) Adolescence B) School age C) Preschool D) Before birth ____ 16. A nurse is working with a teenage boy who was recently diagnosed with asthma. During the current session, the nurse has taught the boy how to administer his bronchodilator by metered-dose inhaler. How should the nurse evaluate the teaching–learning process? A) Ask the boy specific questions about his medication. B) Ask the boy whether he now understands how to use his inhaler. C) Directly observe the boy using his inhaler to give himself a dose. D) Assess the boy's respiratory health at the next scheduled visit. ____ 17. A team of public health nurses are doing strategic planning and are discussing health promotion activities for the next year. Which of the following initiatives best exemplifies the principles of health promotion? A) A blood pressure clinic at a local factory B) A family planning clinic at a community center C) An immunization clinic at the largest local mall D) A workplace safety seminar ____ 18. You are the oncoming nurse and you have just taken end-of-shift report on your patients. One of your patients newly diagnosed with diabetes was admitted with diabetic ketoacidosis. Which behavior best demonstrates this patient's willingness to learn? A) The patient requests a visit from the hospital's diabetic educator. B) The patient sets aside a dessert brought in by a family member. C) The patient wants a family member to meet with the dietician to discuss meals. D) The patient readily allows the nurse to measure his blood glucose level. ____ 19. A nurse is planning an educational event for a local group of citizens who live with a variety of physical and cognitive disabilities. What variable should the nurse prioritize when planning this event? A) Health-promotion needs of the group B) Relationships between participants and caregivers C) Wellness state of each individual D) Learning needs of caregivers 4 CLASSROOM CLASSROOM CLASSROOM CLASSROOM ID: A CLASSROOM Name: ______________________ CLASSROOM ____ 20. A public health nurse is planning educational interventions that are based on Becker's Health Belief Model. When identifying the variables that affect local residents' health promotion behaviors, what question should the nurse seek to answer? A) “Do residents believe that they have ready access to health promotion resources?” B) “Why have previous attempts at health promotion failed?” C) “How much funding is available for health promotion in the community?” D) “Who is available to provide health promotion education in the local area?” ____ 21. A nursing student is collaborating with a public health nurse on a local health promotion initiative and they recognize the need for a common understanding of health. How should the student and the nurse best define health? A) Health is an outcome systematically maximizing wellness. B) Health is a state that is characterized by a lack of disease. C) Health is a condition that enables people to function at their optimal potential. D) Health is deliberate attempt to mitigate the effects of disease. ____ 22. A parish nurse is describing the relationships between health and physical fitness to a group of older adults who all attend the same church. What potential benefits of a regular exercise program should the nurse describe? Select all that apply. A) Decreased cholesterol levels B) Delayed degenerative changes C) Improved sensory function D) Improved overall muscle strength E) Increased blood sugar levels ____ 23. An occupational health nurse is in the planning stages of a new health promotion campaign in the workplace. When appraising the potential benefits of the program, the nurse should consider that success depends primarily on what quality in the participants? A) Desire to expand knowledge B) Self-awareness C) Adequate time- and task-management D) Taking responsibility for oneself ____ 24. A public health nurse is assessing the nutritional awareness of a group of women who are participating in a prenatal health class. What outcome would most clearly demonstrate that the women possess nutritional awareness? A) The women demonstrate an understanding of the importance of a healthy diet. B) The women are able to describe the importance of vitamin supplements during pregnancy. C) The women can list the minerals nutrients that should be consumed daily. D) The women can interpret the nutrition facts listed on food packaging