Chapter 3--Health Education and Promotion

Chapter 3–Health Education and Promotion

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A client is reviewing a videotape without the assistance of the nurse for instruction. The type of teaching strategy this client is using is considered:

1.	demonstration.
2.	slides.
3.	programmed instruction.
4.	discussion.

 

 

ANS:  3

Programmed instruction is often referred to as “canned” presentation and is intended for use without the nurse. Demonstration, slides, and discussion require a nurse to be present.

 

PTS:   1                    DIF:    Analyze         REF:   Teaching Strategies: Programmed Instruction

 

2. The nurse is instructing a client regarding food safety, injury prevention, and occupational health. Which of the following Healthy People 2010 objectives is the nurse instructing the client?

1.	Promote healthy behaviors
2.	Promote healthy and safe communities
3.	Improve systems for personal health and public health
4.	Prevent and reduce diseases and disorders

 

 

ANS:  2

This objective addresses instruction that focuses on the health and safety of communities such as food safety, prevention of injury, and occupational health. Promoting healthy behaviors would include weight reduction and smoking cessation. Improve systems for personal health and public health would include immunization programs. Prevent and reduce diseases and disorders would include instruction on screening programs, physician visits, and routine health maintenance care.

 

PTS:   1                    DIF:    Analyze         REF:   Health Promotion on a Global Level

 

3. A client has inadequate resources and impairment of personal support systems. Which nursing diagnosis would apply to this patient?

1.	Noncompliance
2.	Deficient knowledge
3.	Ineffective health maintenance
4.	Health-seeking behavior

 

 

ANS:  3

Defining characteristics for ineffective health maintenance includes impairment of personal support systems, observed inability to take responsibility for meeting basic health practices, demonstrated lack of knowledge, failure to recognize important symptoms reflective to altered health status, lack of health-seeking behaviors, and inadequate resources. Inadequate resources and impairment of personal support systems would not support the nursing diagnoses of Noncompliance, Deficient Knowledge, or Health-Seeking Behavior.

 

PTS:   1                    DIF:    Apply

REF:   Box 3-3 Defining Characteristics for Ineffective Health Maintenance

 

4. While planning care for a client, the nurse identifies content that would address the client’s diagnosis of Deficient Knowledge. The nurse will ensure time is allocated for client instruction because:

1.	the client cannot be discharged without it.
2.	it is a legal component of the nursing process.
3.	it is a nice thing to do for a client.
4.	the physician has written an order for instruction.

 

 

ANS:  2

Patient education is a legal component of the nursing process that was identified in the Patient’s Bill of Rights. Patient education is a necessary function of nursing care. The client could be discharged without receiving instructions. Education is not done because it is a nice thing to do for a client. Client education does not necessitate a physician’s order.

 

PTS:   1                    DIF:    Apply            REF:   Patient Education

 

5. The nurse is engaged in an information teaching session with a client. Which of the following would be appropriate to instruct during an informal teaching session?

1.	Expected effects of a new medication
2.	Instruction on leg exercises to be used after surgery
3.	How to use an incentive spirometer
4.	Diet and medications to manage a new diagnosis of diabetes mellitus

 

 

ANS:  1

Instruction can be either informal or formal. Informal instruction occurs intermittently and frequently during the course of client care. These instructions are simple, relate to the disease process, and answer client questions. Providing the expected effects of a new medication is a type of information instruction. Formal instructions are deliberate with specific goals and an evaluation process. Instructing on postoperative leg exercises, the use of an incentive spirometer, and diet and medications to manage a new health diagnosis are all examples of formal instruction.

 

PTS:   1                    DIF:    Apply            REF:   Formal and Informal Patient Education