Chapter 15: Health and Health Promotion

Chapter 15: Health and Health Promotion

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A nurse is frustrated because a patient does not make any needed health changes despite ongoing and comprehensive education on the health-related topic. The best action by the nurse would be to

a.	ask the patient if he or she really wants to make changes.
b.	assess for barriers to implementing the knowledge.
c.	continue trying to education the patient on the topic.
d.	find out whether the patient learns in a different way.

 

 

ANS:  B

If the patient has the knowledge needed to make changes but does not, something is inhibiting the patient’s ability or willingness to make the change. The nurse would be wise to assess for things that are keeping the patient from changing.

Asking the patient whether he or she really wants to make changes will most likely sound challenging to the patient and might result in the patient’s being defensive.

More education is not the key unless the patient does not have enough information.

Patients do learn in different ways, and tailoring the education to the patient’s strengths is a good idea, but in this case, the nurse needs to determine whether something is keeping the patient from making the needed changes.

 

DIF:    Cognitive Level: Apply                   TOP:   Nursing Process: Assessment

MSC:  NCLEX Client Needs: Health Promotion and Maintenance

 

2. The word holism was first used in print by

a.	Dorothea Orem.
b.	Halbert Dunn.
c.	Jan Smuts.
d.	Martha Rogers.

 

 

ANS:  C

Jan Smuts wrote about holism in a 1926 book, describing holism as a dynamic striving toward integration.

Dorothea Orem, a nursing theorist, developed a nursing theory around patients’ self-care agency.

Halbert Dunn coined the phrase “high level wellness.”

Martha Rogers developed a nursing theory of people as unitary human beings who are more than the sum of their parts.

 

DIF:    Cognitive Level: Remember            REF:   271

TOP:   Integrated Process: Teaching/Learning

MSC:  NCLEX Client Needs: Health Promotion and Maintenance

 

3. The nursing faculty member explains that dissatisfaction with the power imbalance in health care in part led to

a.	new ethical and professional standards.
b.	requirements for patient education.
c.	strict regulations on patient consent.
d.	the consumer wellness movement.

 

 

ANS:  D

The consumer wellness movement was a direct result of dissatisfaction with paternalistic health care and occurred at a time when consumers of health care were becoming better educated.

New ethical and professional standards did not emerge from dissatisfaction with power imbalances in health care.

Requirements for patient education did not change as a result of dissatisfaction with power imbalances in health care.

New regulations on patient consent did not emerge from dissatisfaction with power imbalances in health care.

 

DIF:    Cognitive Level: Understand            REF:   271

TOP:   Integrated Process: Teaching/Learning

MSC:  NCLEX Client Needs: Health Promotion and Maintenance

 

4. The nursing policy analyst explains to a class of nursing students that the consumer wellness movement helped create

a.	a surge in wellness and fitness centers across the nation.
b.	market-based competition for customer services.
c.	new types of health care insurance.
d.	self-care focus in health policies and public health initiatives.

 

 

ANS:  D

As a result of the influence of the consumer wellness movement, federal policies and initiatives began incorporating self-care education for the general public.

A surge in wellness and fitness centers was not the direct result of the consumer wellness movement, although in recent years, fitness center membership has grown, especially among affluent individuals.

Market-based competition for health care services was not the direct result of the consumer wellness movement.

New categories of insurance were not the direct result of the consumer wellness movement.

 

DIF:    Cognitive Level: Understand            REF:   271

TOP:   Integrated Process: Teaching/Learning

MSC:  NCLEX Client Needs: Health Promotion and Maintenance