Exam (elaborations)
Exam (elaborations) NRSG 1004
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The focus is on the maintenance and promotion of health and healing for self and others. Sample test questions and answers
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Health and wellness Exam ReviewHealth promotion
1) Mr. Tramble, 56, and his nurse are developing a health-promotion plan to have him return safely to
his home in the community following discharge from a rehabilitation unit. What role does the nurse play
at this stage?
A) Expert
B) Peer
C) Resource person
D) Decision maker
Answer: C
2. Mr. Jelkman, 47, is working with the nurse to improve control of his diabetes. How will goals and
interventions be developed?
A) Mr. Jelkman will decide the goals and interventions required to meet his needs.
B) The nurse will decide the goals and interventions required to meet Mr. Jelkman's needs.
C) The goals and interventions developed by the nurse and Mr. Jelkman will need to be acceptable to his
doctor.
D) The goals and interventions will be based on nursing priorities.
Answer: A
3) A nursing student is considering a health-promotion project while working on the pediatric unit at the
local hospital. Which of the following statements would be supported in the literature during the
student's research?
A) The leading cause of death in children under the age of 14 is poison consumption.
B) Children under the age of two are too young to benefit from health-promotion initiatives.
C) Motor vehicle accidents are the leading cause of death and injury in children under the age of 14.
D) Obesity is genetic, and a health-promoting initiative would fail for those under the age of 12.
Answer: C
4. Mrs. Dunning, 81, has been discharged home after hip replacement surgery. Part of her discharge
plan includes a visit by an occupational therapist to suggest changes to her environment to keep her
safe from falls. Which term describes this plan?
A) Health promotion
B) Information dissemination
C) Health education
D) Health protection
Answer: D
5.) Mr. Sneddon, 34, is in a drug rehabilitation centre He and his nurse develop a behavioral care plan to
help him stay off drugs once discharged into the community. How should a role model be selected to
help in maintaining new health behaviours?
A) The nurse should choose the role model as she knows the client best.
B) The physician should choose the role model for his client.
,C) Mr. Snedden and the nurse together should select the role model.
D) Choice of a role model is the responsibility of a social worker.
Answer: C
6. A nurse learns that Jolene, 18, is considering weight reduction and has gathered information on
various diets. Jolene verbalizes plans to begin the diet in a couple of months. In which stage of the
transtheoretical model of change is Jolene?
A) Precontemplation
B) Preparation
C) Action
D) Contemplative
Answer: D
7. A client comes to the clinic seeking information regarding smoking cessation classes and ways to
improve respiratory function. This client is modelling which behaviour?
A) Health promotion
B) Health protection
C) Tertiary prevention
D) Primary prevention
Answer: B
8. What were the themes leading to the development of the 1997 Jakarta Declaration on Health
Promotion?
A) Perceived barriers, benefits, and self-efficacy
B) Health risk, lifestyle, and environment
C) Injury prevention, nutrition, and active living
D) Social justice, equity, and sustainability
Answer: D
9. Several nursing students have been discussing the benefits of joining a study group, as they think that
together they may be more effective in retaining information than if they studied alone. Which stage of
behaviour change are they exemplifying?
A) Termination stage
B) Preparation stage
C) Contemplation stage
D) Action stage
Answer: C
10. A nurse in a university health clinic is preparing information packets for incoming students regarding
drug abuse. What type of program is this?
A) Health promotion
B) Health protection
C) Disease prevention
D) Empowerment promotion
Answer: A
, 11. Mrs. Silver, 76, who has been recently widowed, has diabetes, hypertension, and congestive heart
failure. What should the nurse keep in mind when working with Mrs. Silver toward health promoting
and illness prevention changes?
A) Mrs. Silver is at risk of cognitive impairment, and may not understand the change process.
B) Maximizing strengths will be of prime importance to maintain optimal function and quality of life.
C) Her chronic illnesses make her a poor candidate for successful health promoting changes.
D) Mrs. Silver has a poor support system, and may not successfully complete a health promoting change
process.
Answer: B
12. A needle exchange program is a particular approach to health promotion in which intravenous drug
users can exchange used needles for new ones. Which of the following describes the purpose of such a
program?
A) Harm reduction
B) Behaviour change
C) Health education
D) Role modelling
Answer: A
13. The health nurse of a university campus is implementing a health-promotion activity by placing
posters about proper hand washing in all of the public restrooms on campus. This is an example of
which type of health-promotion program?
A) Environmental control
B) Information dissemination
C) Health risk appraisal and wellness assessment
D) Lifestyle and behaviour change
Answer: B
14. A nurse working within a cancer agency, is helping a client, Mr. Martin, to quit smoking using
Prochaska's transtheoretical change theory. During the action phase of this health behaviour change,
how can the nurse support Mr. Martin as he strives to reach the termination, or final phase?
A) Ask Mr. Martin to reflect on why he wanted to smoke
B) Remind Mr. Martin of past successes
C) Suggest that Mr. Martin plan weekly rewards for not smoking
D) Provide pamphlets on the dangers of smoking
Answer: C
15. A group of nurses travel to a developing country to provide polio immunizations to children. Which
of the following describes this activity?
A) Health promotion
B) Health protection
C) Enhancement of coping
D) Biological health field concept
Answer: B
16. Which of the following can provide the nurse with clear direction for health promotion planning with
healthy clients?
A) Change strategies
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