REVISION QUESTIONS AND

Health Promotion NCLEX COMPLETE

REVISION QUESTIONS AND

CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) ALREADY

GRADED A+

A parish nurse for a Catholic church provides a free blood pressure screening the first Sunday of every month. This is what level of prevention?

• Tertiary prevention
• Primary prevention
• Secondary prevention
• Quaternary prevention - Answer: B. Primary prevention is true prevention that precedes disease and

is aimed at clients considered physically and emotionally healthy. Secondary prevention involves individuals who are experiencing health problems or illnesses and who are at risk for developing complications or worsening conditions. Tertiary prevention occurs when a defect or disability is permanent and irreversible, and the aim is to reduce negative impacts and complications. Quaternary prevention is not a recognized term.

A 72-year-old man diagnosed with chronic obstructive pulmonary disease 5 years ago has been participating for the last 2 years in a pulmonary rehabilitation exercise class offered by the local hospital at a fitness facility. This is what level of prevention?

• Tertiary prevention
• Primary prevention
• Secondary prevention
• Quaternary prevention - Answer: A. Tertiary prevention occurs when a defect or disability is

permanent and irreversible, and the aim is to reduce negative impacts and complications. Primary prevention is true prevention that precedes disease and involves clients considered physically and emotionally healthy. Secondary prevention is aimed at individuals who are experiencing health problems or illnesses and who are at risk for developing complications or worsening conditions.Quaternary prevention is not a recognized term.

Based on the transtheoretical model of change, what is the most appropriate response to the following client statement: "Me, exercise? I haven't done that since Junior High gym class and I hated it then!" 1 / 4

• "That's fine. Exercise is bad for you anyway."
• "OK. I want you to walk 3 miles four times a week and I'll see you in 1 month."
• "I understand. Can you think of one reason why being more active would be helpful for you?"
• "I'd like you to ride your bike three times this week and eat at least four fruits and vegetables every

day." - Answer: C. The transtheoretical model of change describes a series of changes that clients move through, starting with precontemplation and ending with maintenance. The first stage for this client would be to validate the client's opinion and move to the first part of precontemplation. The other options are later steps in the model.

A client says, "I've noticed how many people are out walking in my neighborhood. Is walking good for you?" What is the best response to help the client through the stages of change toward regular exercise?

• "Walking is OK. I really think running is better."
• "Yes, walking is great exercise. Do you think you could go for a 5-minute walk this next week?"
• "Yes, I want you to begin walking. Walk for 30 minutes every day and start eating more fruits and

vegetables, too."

• "They probably aren't walking fast enough or far enough. You need to spend at least 45 minutes

walking if you are going to do any good." - Answer: B. This option supports the preparation stage in which the client is beginning to consider making small changes. The other options are not good ones for this client.

All of the following are examples of active strategies of health promotion except:

• Exercise training
• Weight reduction
• Smoking cessation
• Fluoridation of drinking water - Answer: D. Passive strategies of health promotion benefit individuals

without any action by the individuals themselves. The fluoridation of municipal drinking water and the fortification of homogenized milk with vitamin D are examples of passive health promotion strategies.Weight reduction is considered an active strategy of health promotion. With active strategies of health promotion, individuals are motivated to adopt specific health programs. Smoking cessation requires clients to be actively involved in measures to improve their present and future levels of wellness while decreasing the risk of disease. Exercise training meets the criteria for active strategies of health promotion because it actively involves the client in his or her own health.

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A nurse routinely asks clients if they take any vitamins or herbal medications, encourages family members to bring in music that clients like to help them relax, and frequently prays with clients if that is important to them. The nurse is using which model of care?

• Holistic
• Health belief
• Transtheoretical
• Health promotion - Answer: A. The holistic model attempts to create conditions that promote optimal

health. The holistic model recognizes the natural healing abilities of the body and incorporates complementary and alternative interventions. The health belief model addresses the relationship between a person's beliefs and behaviors. The transtheoretical model of change discusses a series of changes through which clients move, starting with precontemplation and ending maintenance. The health promotion model defines health as a positive, dynamic state and not merely the absence of disease.

Different attitudes about illness cause people to react in different ways when illness does occur. Medical

sociologists call the reaction to illness:

• Health belief
• Illness behavior
• Health promotion
• Illness prevention - Answer: B. Illness behavior is the client's reaction to illness. The other three

options are models of health.

The health belief model addresses the relationship between a person's belief and behaviors, therefore:

• A person who smokes does not follow the model.
• This model provides a basis for caring for clients of all ages.
• A person who does not take necessary medications does not follow the model.
• It provides a way of understanding and predicting how clients will behave in relation to their health

and how they will comply with health care regimens. - Answer: D. The health belief model provides a way of understanding and predicting how clients will behave in relation to their health and how they will comply with health care regimens.

A nurse working in a special care unit for children with severe immunologic problems cares for a 3-year- old boy from Greece. The nurse is having difficulty communicating with the father. What is the appropriate action? 3 / 4

• Care for the boy the same as for any other client.
• Ask the manager to talk with the father and keep him out of the unit.
• Have another nurse care for the boy, because maybe that nurse will communicate better with the

father.

• Search for help in interpreting and understanding the culture differences by contacting someone

from the local Greek community. - Answer: D. Acquiring cultural and language assistance will help the nurse understand the needs of both the father and the son. The other three options are not culturally sensitive or helpful to the client and his father.

A nurse teaches the importance of folic acid intake to a group of pregnant women. This is considered which level of preventive care?

• Illness behavior
• Primary prevention
• Tertiary prevention
• Secondary prevention - Answer: B. Primary prevention is considered true prevention. It aims at

maintaining physical and emotional health in an already healthy individual.

A person's ideas, convictions, and attitudes about health and illness can be described as:

• Moral beliefs
• Health beliefs
• Holistic views
• Negative health behaviors - Answer: B. Health beliefs are an individual's perceptions of health or

illness, which may be based on factual information or misinformation, common sense or myths, or reality or false expectations. Moral beliefs are learned behaviors that are in accordance with the principles of right or wrong. Holistic views consider the emotional and spiritual well-being of the individual. Negative health behaviors include behaviors that are typically harmful to health, such as smoking, drug or alcohol abuse, poor diet, and refusal to take appropriate medications.

Which of the following models of health or illness defines health as a positive, dynamic state, not merely the absence of disease?

• Maslow's hierarchy of needs
• Rosenstoch's health belief model
• Pender's health promotion model
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