Chapter 42 Promoting Health

Chapter 42  Promoting Health

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. A client informs the nurse that he has quit smoking because his father died of lung cancer 3 months ago. Based on his motivation, smoking cessation should be recognized as an example of which of the following?
a)
Healthy living
b)
Health promotion
c)
Wellness behaviors
d)
Health protection

ANS: D
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.

Difficulty: Moderate
Nursing Process: Assessment
Client Need: HPM
Cognitive Level: Comprehension

PTS: 1

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?
a)
“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.”
b)
“Although you have learned some healthy habits, you will need at least another 6 weeks before you can quit the program and have success.”
c)
“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.”
d)
“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: C
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.

Difficulty: Moderate
Nursing Process: Interventions
Client Need: PSI
Cognitive Level: Application

PTS: 1

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:
a)
Step up and down on a 12-inch bench
b)
Perform the sit-and-reach test
c)
Run a mile without stopping, if they can
d)
Perform range-of-motion exercises

ANS: C
Field tests for running are good for children and can be used 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 and range-of-motion exercises would be appropriate when assessing flexibility.

Difficulty: Moderate
Nursing Process: Assessment
Client Need: HPM
Cognitive Level: Application

PTS: 1

4. A 55-year-old man suffered a myocardial infarction (heart attack) 3 months ago. During his hospitalization, he had stents inserted in two sites in the coronary arteries. He was also placed on a cholesterol-lowering agent and two antihypertensives. What type of care is he receiving?
a)
Primary prevention
b)
Secondary prevention
c)
Tertiary prevention
d)
Health promotion

ANS: C
Primary prevention activities are designed to prevent or slow the onset of disease. Activities such as eating healthy foods, exercising, wearing sunscreen, obeying seat-belt laws, and getting immunizations are examples of primary level interventions. Secondary prevention activities detect illness so that it can be treated in the early stages. Tertiary prevention focuses on stopping the disease from progressing and returning the individual to the pre-illness phase. The patient has an established disease and is receiving care to stop the disease from progressing.

Difficulty: Difficult
Client Need: Physiological Integrity
Cognitive Level: Application

PTS: 1

5. A mother of three young children is newly diagnosed with breast cancer. She is intensely committed to fighting the cancer. She believes she can control her cancer to some degree with a positive attitude and feelings of inner strength. Which of the following traits is she demonstrating that is linked to health and healing?
a)
Invincibility
b)
Hardiness
c)
Baseline strength
d)
Vulnerability

ANS: B
Research has also demonstrated that in the face of difficult life events, some people develop hardiness rather than vulnerability. Hardiness is a quality in which an individual experiences high levels of stress yet does not fall ill. There are three general characteristics of the hardy person: control (belief in the ability to control the experience), commitment (feeling deeply involved in the activity producing stress), and challenge (the ability to view the change as a challenge to grow). These traits are associated with a strong resistance to negative feelings that occur under adverse circumstances.

Difficulty: Moderate
Nursing Process: Planning
Client Need: HPM
Cognitive Level: Application

PTS: 1