1. Which combinations best describe health
care services based on primary illness-disease
Which best describes health care services
based on secondary illness- disease
describes health care services based on tertiary
Counsel the geriatric client with limited mobility to
consider an assisted living facility.
best describes the University of Florida – College of Nursing concept of wellness would be:
of Wellness is an active process of becoming aware of and making choices toward
a more successful existence. Wellness is generally used to mean a healthy
balance of the mind, body, and spirit that results in an overall feeling of
definition best describes the University of Florida – College of Nursing concept of illness?
(illness) is a departure from a state of physical or mental well-being resulting
from disease or injury, or it is a static impairment of mental or bodily
function that results from previous disease or injury; or – the existence of
morbidity in an individual resulting from a particular disease, injury, or
impairment of mental or bodily function that results from previous disease or
contains four primary goals by which prevention health care is to be provided.
Which of the following is in alignment with one of the goals?
open wellness clinic
Which of the
following combinations best describes Professor Mangueira’s favorite fish and
and Peanut M&M’s
A nurse is
preparing to deliver a workshop regarding health promotion to a group of
elderly clients. In describing HealthyPeople
2020, which of the goals will the nurse emphasize for this group?
quality and use of life
has had a severe brain injury and has been in a rehab hospital for several
months. Recently, the client developed pneumonia and is currently on IV
antibiotic therapy for this. Which level of prevention addresses the pneumonia?
Secondary (not hospitalized for pneumonia, happened secondary to
A nurse educator takes students into the school system and provides
developmental testing for kindergarten through third grade. The nurse educator
and students are providing care at which level of prevention?
A client with diabetes wants to have better control over her
blood sugar levels. She has set a goal that she will have laboratory values
that reflect this, and she has been monitoring her blood sugar twice a day for
the past month. Along with regular checks, she has kept all appointments with
her nutritionist. This client is modeling which of the following?
A client is learning how to manage his asthma. In providing
teaching, the nurse stresses the importance of using the peak flow meter every
morning to help determine changes in respiratory status. The nurse is stressing
which of the following behaviors of health promotion?
A client has joined a fitness club and is working with the
nurse to design a program for weight reduction and increased muscle tone. The
client has tried exercise in the past with success, but has not been
participating in a program for some time. In order to assess the potential for
success with this client, the nurse should evaluate which of the
KNOW AFFECTIVE ISSUES -interpersonal
influences, perceived situations of action, situational influences, perceived
According to the
National Institutes of Health (NIH) website: NIAAA – Alcohol & Health –
Special Populations & Co-occurring Disorders – Women, women who have about
one drink per day have an increased chance of developing breast cancer compared
to women who do not drink at all.
to the Centers for Disease Control (CDC) website: Life Stages & Specific
Populations – Keep Them Safe, all
children younger than 13 years should ride in the back seat and never placed in
the front seat facing an airbag.
Which best describes The U.S. Preventive Services Task Force
An all volunteer group
A client comes to the clinic seeking information regarding
smoking cessation classes and ways to improve respiratory function. This client
is modeling which behavior?
Health Promotion (His own)
A community health nurse wants to provide health promotion
classes through the local hospital. Which of the following topics might be included
in this endeavor?
Time management, healthy eating
habits, and bicycle safety for kids.
The USPSTF Letter Grade is a recommendation that reflects
the magnitude of net benefit and the strength of the evidence supporting the
provision of the specific preventive service.
Which definition best describes the recommendation of “I”?
“I” statements; help patients
understand the uncertainty surrounding these services since the evidence is
insufficient to determine net benefit.
Which best describes the definition of prevalence?
Prevalence is a measure of disease
that allows us to determine a person's likelihood of having a disease. The number of prevalent cases is the total
number of cases of disease existing in a population;
the number of all new and old cases
of a disease or occurrences of an event during a particular period. Prevalence
is expressed as a ratio in which the number of events is the numerator and the
population at risk is the denominator.
Which combination of activities best describes a nurse advocating
health promotion? (Choose 4)
Provide senior citizen program,
participate in a university 10 mile run, Pads in community and relaxation
activities. NOT the band example.
A client has an incision with a complex dressing
change. The client will be discharged to
home soon and the wound will require continued dressings at home. Which statement by the client indicates a
need to postpone teaching?
“I’m feeling nauseous but go ahead
and start anyway.”
(?)When making an assessment of the client’s learning needs,
the nurse will focus on the learning style of the client and which of the
(?)Nurse’s knowledge, Client’s age,
Client’s understanding of the health problems, Sensory acuity
The nurse is working with a group of elderly citizens
through a community senior citizens center.
Which best describes an understanding of health literacy?
Ample time for teaching.
A client has decided to change his eating habits to be more
nutritionally sound. An appropriate
outcome for this client would be which of the following?
The client will list foods that are
nutritionally sound, low fat and high fiber.
At the completion of a teaching session, the nurse wants to
evaluate the effectiveness of instruction.
Which best describes the most effective evaluation activity following a
lesson on dressing changes?
When the nurse is satisfied with the
client in completing the technique
A client tells the nurse that he has no questions about his
illness, since he did a search on the Internet.
The nurse should ask the client for the source of the information
(website, web address) so document of the instruction can be made in the
A clinic nurse is teaching an adolescent about positive
lifestyle choices. Which combination
best describes content appropriate to this age group?
Based on learning outcomes, current
and accurate, and adjusted to adolescent.
A nurse is working with a family of a child hospitalized
with asthma. The family members speak
little English, and the child is being sent home on nebulizer treatments. In addition to enlisting an interpreter to
help with the language barrier, which action of the nurse best promotes health?
Make sure the parents can set up
treatments for the child & make sure parents know how to work the nebulizer
when the child is being sent home.
A client who is legally blind requires weekly
allergy-sensitization injections. The
client lives in a rural area and insists on self-administration. Which action of the nurse best assists this
Pre-fill the syringe with the
correct dose so the client can inject themselves.
A home health nurse is working with a client who has Chronic
Obstructive Pulmonary Disease (COPD). Of
the following teaching priorities, which will take the highest priority?
Client will be able to set up and
use nebulizer by the end of the day.
The nurse is going to be working with a client who has a
non-removable cast on their left foot and will be ready to go home within the
next several days. Which action best organizes
the teaching/learning experience?
ASSESS. Found out how much they know before you
A client needs discharge teaching regarding the use of
crutches. In planning a successful teaching
session, the best thing the nurse can do is to wait until discharge, then do
the teaching in the hospital lobby where there is ample room.
A nurse is planning a workshop on health promotion for older
adults. Which topic will be included?
An obese client states previous attempts at weight loss have
proved unsuccessful and states, “I am genetically supposed to be fat”. According to the Health Promotion Model (HPM), the nurse is
most likely to focus on which behavior-specific variable for this client? One
of the choices::
-Percede self edicacy
-something something.. look at
health promotion model.
Evidence-based practice is clinical decision making based on
the simultaneous use of the best evidence, clinical expertise, and which of the
Each contact between a nurse and a client is an opportunity
for health promotion. For the 50-year-old
professional man who is trying to stop a 2 pack a day cigarettes habit, which learning
contract component is best?
Praise for positive health
A nurse is planning a community health education project
that deals with organ donation and the target audience is a group of older
adults. The nurse should make sure that
the teaching includes which of the following?
Directions on how to become a donor.
The nurse instructs a client on self-care for a new
ostomy. Which client behaviors demonstrate
that instruction has been effective?
Client states what items are needed
to perform the ostomy care.
The nurse is designing a teaching plan for a client to learn
a new psychomotor skill. The nurse
understands role-playing is a key teaching strategy of psychomotor learning?
The nurse suspects a client has low literacy when what is
Incorrect filling of hospitalized
forms, refuse to sign eyeglasses are at home, client says he forget to report
to laboratory screenings meaning he missed an apt.
A nurse is presenting teaching sessions to a group of
residents in a home for long-term physical rehabilitation. Which of the client exhibits the highest
A client is excited about his new
The nurse is instructing a client on self-administration of
insulin. Which statement regarding
feedback is most beneficial to the client?
If you are uncomfortable with the
injection, next time I can show you a different approach with the needle.
A client is having difficulty keeping his medication
schedule organized. He makes this
statement, “There are so many pills and the names are all confusing to me. I don’t even understand what they’re for.” Which is the best response by the nurse?
“Write out the generic brands” or
“Write out the generic and trade name of the pill.”
A nurse educator is working with a group of students who are
in their first day of clinical rotation in the hospital. The staff nurse asks the instructor of the
students would like to perform a Z-track injection. Understanding the important concepts
surrounding timing and environment in a learning experience, which is the best
response by the instructor?
“Would it be okay if the students
just watched today and we will see if we have time in class to practice?”
A client has been diagnosed with diabetes mellitus and must
learn how to do his own finger stick blood sugar analysis. The client has been sullen and
uncommunicative since receiving the diagnosis.
How can the nurse best increase the client’s motivation to learn?
Encourage the client’s
Which best describes an appropriate outcome for a client who
has decided to change his eating habits to be more nutritionally sound?
Client will be able to list foods
that are nutritionally sound, high fiber.
A client is scheduled to have a diagnostic procedure. Which question by the nurse will most likely
produce a “teachable moment”?
“What have you heard or read about
Which is the best method of helping a client newly diagnosed
with diabetes to learn the dietary requirements associated with the disease?
Ask client to make a list of their
favorite foods to show how it can work in their diet.
A client is admitted to the hospital experiencing
hypertensive crisis because of the failure to take his prescribed
medications. To determine learning
needs, which client assessment would have the highest priority?
Ability to get meds.
How can a nurse best assess a client’s style of learning?
Ask the client how she learns best.
It’s a contract.
A client has a learning outcome of “Select foods that are
low in fat content”. The statement, “I
understand the importance of a low-fat diet,” reflects that the client has met
All health information obtained through the Internet is invalid.
A nurse is scheduling a teaching situation. Which combination describes clients that are least
ready to learn?
8 year old playing video games.
[Other options: 70 year old recovering from hip
replacement; 55 year old with ovarian cancer, post-op patient on pain
meds, 82 year old with dementia]
Which of the following is an example of a primary prevention