Chapter 27: Health Promotion

Chapter 27: Health Promotion

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.         A client informs the nurse that he has quit smoking because his father died from lung cancer 3 months ago. Based on his motivation, smoking cessation should be recognized as an example of which of the following?

1)

Healthy living

2)

Health promotion

3)

Wellness behaviors

4)

Health protection

 

ANS:   4

Although health promotion and health protection may involve the same activities, their difference lies in the motivation for action. Health protection is motivated by a desire to avoid illness. Health promotion is motivated by the desire to increase wellness. Smoking cessation may also be a wellness behavior and may be considered a step toward healthy living; however, neither of these addresses motivation for action.

 

PTS:    1          DIF:    Moderate         REF:    p. 879

KEY:   Nursing process: Assessment | Client need: HPM | Cognitive level: Comprehension

 

 

 

____    2.         A patient with morbid obesity was enrolled in a weight loss program last month and has attended four weekly meetings. But now he believes he no longer needs to attend meetings because he has “learned what to do.” He informs the nurse facilitator about his decision to quit the program. What should the nurse tell him?

1)

“By now you have successfully completed the steps of the change process. You should be able to successfully lose the rest of the weight on your own.”

2)

“Although you have learned some healthy habits, you will need at least another 6 weeks before you can quit the program and have success.”

3)

“You have done well in this program. However, it is important to continue in the program to learn how to maintain weight loss. Otherwise, you are likely to return to your previous lifestyle.”

4)

“You have entered the ‘determination stage’ and are ready to make positive changes that you can keep for the rest of your life. If you need additional help, you can come back at a later time.”

 

ANS:   3

Prochaska and Diclemente identified four stages of change: the contemplation stage, the determination stage, the action stage, and the maintenance stage. This patient demonstrates behaviors typical of the action stage. If a participant exits a program before the end of the maintenance stage, relapse is likely to occur as the individual resumes his previous lifestyle.

 

PTS:    1          DIF:    Moderate         REF:    pp. 881-882

KEY:   Nursing process: Interventions | Client need: PSI | Cognitive level: Application

 

 

 

____    3.         The school nurse at a local elementary school is performing physical fitness assessments on the third-grade children. When assessing students’ cardiorespiratory fitness, the most appropriate test is to have the students:

1)

Step up and down on a 12-inch bench.

2)

Perform the sit-and-reach test.

3)

Run a mile without stopping, if they can.

4)

Perform range-of-motion exercises.

 

ANS:   3

Field tests for running are good for children and can be utilized when assessing cardiorespiratory fitness. The step test is appropriate for adults. The 12-inch bench height is too high for young children. The sit-and-reach test as well as range-of-motion exercises would be appropriate when assessing flexibility.

 

PTS:    1          DIF:    Moderate         REF:    pp. 884-885

KEY:   Nursing process: Assessment | Client need: HPM | Cognitive level: Application

 

 

 

____    4.         In the Leavell and Clark model of health protection, the chief distinction between the levels of prevention is:

1)

The point in the disease process at which they occur.

2)

Placement on the Wheels of Wellness.

3)

The level of activity required to achieve them.

4)

Placement in the Model of Change.

 

ANS:   1

Leavell and Clark identified three levels of activities for health protection: primary, secondary, and tertiary. Interventions are classified according to the point in the disease process in which they occur.

 

PTS:    1          DIF:    Difficult          REF:    p. 879

KEY:   Nursing process: N/A | Client need: HPM | Cognitive level: Analysis

 

 

 

____    5.         The muscle strength of a woman weighing 132 pounds who is able to lift 72 pounds would be recorded as 0.55. The nurse explains this to the client as the

1)

Ratio of weight lifted divided by body weight

2)

Measure of weight pushed divided by BMI

3)

Ability of a muscle to perform repeated movements

4)

Ability to move a joint through its range of motion

 

ANS:   3

Muscle strength measures the amount of weight a muscle (or group of muscles) can move at one time. This is recorded as a ratio of weight pushed (or lifted) divided by body weight. A woman weighing 132 pounds who is able to lift 72 pounds has a ratio of 72 divided by 132, or 0.55.

 

PTS:    1          DIF:    Moderate         REF:    pp. 884-885

KEY:   Nursing process: Assessment | Client need: HPM | Cognitive level: Application