Chapter 18: Health Promotion And Risk Reduction In The Community

29 Questions | Total Attempts: 65

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Chapter 18: Health Promotion And Risk Reduction In The Community

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Questions and Answers
  • 1. 
    Which of the following is one of the goals of Healthy People 2020?
    • A. 

      Decreasing institutionalization and increasing community-based care services

    • B. 

      Achieving health equity, eliminating disparities, and improving the health of all groups

    • C. 

      Creating environments to improve the eating and exercise habits of all people

    • D. 

      Expanding the technology, resources, and medications used to treat chronic illness

  • 2. 
    Because, in relation to physical activity, none of the Healthy People 2010 objectives was met, what does the United States need to do?
    • A. 

      Ensure more tax funding for education of physical education teachers.

    • B. 

      Encourage funding for an increased number of exercise centers.

    • C. 

      Increase programs for teaching and encouraging health-promoting lifestyle choices.

    • D. 

      Require health care providers to serve as role models of appropriate physical activity choices.

  • 3. 
    Which of the following would be the most effective mechanism to use when collaborating with others to have an extensive and lasting impact on health outcomes?
    • A. 

      Broadly disseminating health-related information to inform citizens

    • B. 

      Encouraging the creation of more health programs on client lifestyle modification

    • C. 

      Increasing funding to health agencies for more health education programs

    • D. 

      Influencing improved health policies and legislation for healthier communities

  • 4. 
    How was the concept of health defined originally?
    • A. 

      Balance and harmony

    • B. 

      Maximum self-actualization

    • C. 

      Absence of disease

    • D. 

      Total well-being

  • 5. 
    Which of the following definitions of health is most typically used in nursing today?
    • A. 

      Ability to interact and adapt to the environment

    • B. 

      Ability to perform required social roles

    • C. 

      Ability to stay free from disease

    • D. 

      Ability to maximize human potential

  • 6. 
    What is the primary goal of health promotion?
    • A. 

      Discovering people who are at risk and helping them obtain appropriate health care

    • B. 

      Enabling people to exercise control over their own well-being

    • C. 

      Preventing further physiologic damage by early intervention and education

    • D. 

      Reducing specific risks by early diagnosis and treatment

  • 7. 
    A public health agency had enough funds to provide one more health-promotion program during the calendar year. In relation to nutrition and exercise, which of the following would be the best choice?
    • A. 

      Elementary school program for children to which parents are invited

    • B. 

      High school program for those who are involved in athletics

    • C. 

      Young adult programs provided at the YMCA

    • D. 

      Senior citizen programs offered during a free meal

  • 8. 
    Which of the following is the most crucial environmental influence on health?
    • A. 

      Government in the local community

    • B. 

      Health care system in the local community

    • C. 

      Food, water, and exposure to toxic substances

    • D. 

      Religious and cultural beliefs and values

  • 9. 
    In the United States, which of the following is the most crucial influence in the sociocultural environment?
    • A. 

      The community in which a person grows and develops

    • B. 

      Familys values and beliefs

    • C. 

      Health care provider from whom care is sought as needed

    • D. 

      Socioeconomic class, education, and occupation

  • 10. 
    Which of the following services implemented by nurses would represent primary prevention?
    • A. 

      A nurse-managed hospital respiratory unit for patients with chronic obstructive pulmonary disease (COPD) and emphysema

    • B. 

      A quit-smoking-now clinic for adults who want to give up the habit

    • C. 

      A dont smoke campaign for elementary school students

    • D. 

      A stay beautiful campaign for high school female smokers that stresses that smokers have wrinkles about a decade earlier than their chronologic peers

  • 11. 
    Which of the following services implemented by nurses would represent secondary prevention?
    • A. 

      A free diabetes screening held at the local shopping mall

    • B. 

      A postheart attack exercise program at the local community college

    • C. 

      A stay beautiful program stressing safe exercises for pregnant moms

    • D. 

      An elementary school dont smoke campaign for students

  • 12. 
    Which of the following services implemented by nurses would represent tertiary prevention?
    • A. 

      A free high-cholesterol screening at the neighborhood grocery store

    • B. 

      A healthy lifestyle exercise and information program for all the employees of the citys largest employer, held at the worksite

    • C. 

      A posthospitalization social support program for persons with chronic severe mental illness and their families

    • D. 

      An exercise and parenting class for new first-time mothers

  • 13. 
    Why was the publication of Healthy People a landmark document?
    • A. 

      It was the first time that a national plan had been created with funding to implement it.

    • B. 

      It was the first time that evaluation measures based on outcomes to judge effectiveness were created.

    • C. 

      It was the first time that national goals for improving the health of Americans were established.

    • D. 

      It was the first time that universal agreement on federal government priorities was reached.

  • 14. 
    According to the health-belief model, which factors influence whether a person will engage in a particular health-promoting behavior?
    • A. 

      Feeling susceptible to a severe disease

    • B. 

      Being told to do so by a significant other on a frequent basis

    • C. 

      Believing that high-income persons engage in such behavior

    • D. 

      Viewing posters emphasizing the behavior in an area that the person frequents

  • 15. 
    The community/public health nurse charted the number of persons who came in to be taught breast self-examination. The nurse noted that during the past 3 days, there was a sudden increase in the number of women coming in. Which of the following is the most likely reason for the increase?
    • A. 

      The increased number is probably just a coincidence.

    • B. 

      The local nursing school hosted a womens health fair.

    • C. 

      The American Heart Association had just started its annual publicity campaign.

    • D. 

      The media had publicized a famous womans diagnosis of breast cancer.

  • 16. 
    Considering the health-belief model, which statement suggests that the person is going to begin a new healthy habit?
    • A. 

      If I could be asleep while they did the colonoscopy, it might be alright.

    • B. 

      I did have a cousin who was treated for breast cancer.

    • C. 

      Both my mother and father died of heart problems.

    • D. 

      Because my employer was paying for the health screening, I thought I might go.

  • 17. 
    Which of the following would be a behavior-specific cognition and affect variable according to Penders model?
    • A. 

      Commitment to a plan of action

    • B. 

      Competing demands (family or work)

    • C. 

      Perceived self-efficacy

    • D. 

      Personal realities such as demographics

  • 18. 
    Which of the following is the best example of a health-promotion program?
    • A. 

      The nurse collaborated with the local police department to prepare a public safety announcement about the benefits of using ones seat belt.

    • B. 

      The nurse appeared on the local public access television channel each Sunday afternoon to discuss nutrition and exercise options for families.

    • C. 

      The nurse worked with the local school parent-teacher organization to give free bicycle helmets to the students with bicycles.

    • D. 

      The nurse collaborated with the local motorcycle club to make sure all the cyclists who wanted one could obtain a free helmet.

  • 19. 
    Which of the following is the best example of a risk reduction program?
    • A. 

      At the senior citizens center, the nurse set up an exercise program for persons in wheelchairs.

    • B. 

      The nurse appeared on the local public access television channel each Sunday afternoon to discuss good parenting skills.

    • C. 

      The nurse worked with the local health maintenance organization (HMO) to make infant car seats available without charge to all first-time pregnant mothers.

    • D. 

      The nurse wrote a weekly local newspaper column on healthy lifestyle behaviors, such as the importance of exercise.

  • 20. 
    With which of the following populations would collaboration be most important when a school nurse proposes that additional healthy options be added to the school lunch program?
    • A. 

      The staff and teachers

    • B. 

      The children and their parents

    • C. 

      The dietitians and nutritionists

    • D. 

      The school board and administration

  • 21. 
    Care of the spirit, as well as promoting health of the body, is performed very effectively by which professional nursing specialty?
    • A. 

      Church-based nurses

    • B. 

      Community/public health nurses

    • C. 

      Faith community nurses

    • D. 

      Public health nurses

  • 22. 
    A nurse is planning a community-wide program about reducing the risk of developing cardiovascular disease. Which of the following actions should the nurse take first?
    • A. 

      Developing a public education campaign by using public service announcements

    • B. 

      Assessing the extent of the problem in the local community

    • C. 

      Forming partnerships and establishing support with community agencies

    • D. 

      Gathering resource materials and identifying funding sources

  • 23. 
    A public health nurse was asked by a towns community college to offer health education programs for its employees. How would the nurse most effectively determine which programs to offer?
    • A. 

      Asking the administrators which programs they would like

    • B. 

      Performing a complete physical examination on each employee during work time

    • C. 

      Having employees complete a health-risk appraisal form

    • D. 

      Planning a program on the basis of the broader communitys demographic data

  • 24. 
    The nurse gave each participant a health-risk appraisal tool to determine the health needs of the group as a whole. What other purpose may the tool serve?
    • A. 

      To assess the needs of the broader community

    • B. 

      To demonstrate the necessity of having health education programs

    • C. 

      To motivate participants to consider changing high-risk behaviors

    • D. 

      To provide data for future planning by the nurses employer

  • 25. 
    When a nurse plans educational programs appropriate for a population being served, which of the following actions should the nurse take?
    • A. 

      Bill the employer for the actual cost of the health program.

    • B. 

      Provide feedback and follow-up information to attendees.

    • C. 

      Make handouts available to the audience.

    • D. 

      Incorporate the latest technology into the presentation.

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