Chapter 27 Health Promotion


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Chapter 27  Health Promotion



Complete Chapter Questions And Answers

Sample Questions


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?

Healthy living
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?

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

Treas Wilkinson 27-2 Basic Nursing
“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:

Step up and down on a 12-inch bench. 2)
Perform the sit-and-reach test.

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:
The point in the disease process at which they occur.

Placement on the Wheels of Wellness. 3)

Treas Wilkinson 27-3 Basic Nursing
The level of activity required to achieve them.

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

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