Chapter 15: Health Promotion and Disease Prevention StrategiesContent check — Population Health, Chapter 15: Health Promotion and Disease Prevention Strategies

Read the scenario, and then answer the questions that follow.

After receiving education from the nurse at the community health screening, Deanna decides to call and make an appointment with her primary provider to follow up on the high blood pressure reading. The receptionist at the provider’s office provides Deanna with an appointment in a week, noting Deanna’s reason for the visit is “BP 148/88 at community screening, denies other symptoms.” The nurse in the provider’s office reviews Deanna’s file in preparation for the office visit. The nurse notes that Deanna has not seen the provider for a few years, has no high blood pressure readings documented in the past, and has a family history of hypertension.

Which stage of the natural history of disease should the nurse most likely suspect for Deanna?

Read the scenario, and then answer the questions that follow.

After receiving education from the nurse at the community health screening, Deanna decides to call and make an appointment with her primary provider to follow up on the high blood pressure reading. The receptionist at the provider’s office provides Deanna with an appointment in a week, noting Deanna’s reason for the visit is “BP 148/88 at community screening, denies other symptoms.” The nurse in the provider’s office reviews Deanna’s file in preparation for the office visit. The nurse notes that Deanna has not seen the provider for a few years, has no high blood pressure readings documented in the past, and has a family history of hypertension.

If the provider diagnoses Deanna with hypertension and prescribes medication to treat the disease, which form of prevention will Deanna receive?

Read the scenario, and then answer the questions that follow based on all the case information provided in the chapter thus far. This case study is a follow-up to Case Study Part A.

During Deanna’s appointment, a nurse working in the primary care provider’s office is teaching Deanna about lifestyle modifications to lower her high blood pressure level, such as a low-sodium diet and regular exercise. As the nurse is discussing lifestyle changes with Deanna and answering her questions, the office manager calls the nurse out of the room and asks why they are spending longer than the allotted 15 minutes with the client. The nurse explains that Deanna has many questions about the recommended dietary changes. The manager indicates that the client should be dismissed and instruction can be continued at her follow-up appointment in 2 months.

Which of the following is likely correct regarding the office manager?

Read the scenario, and then answer the questions that follow based on all the case information provided in the chapter thus far. This case study is a follow-up to Case Study Part A.

During Deanna’s appointment, a nurse working in the primary care provider’s office is teaching Deanna about lifestyle modifications to lower her high blood pressure level, such as a low-sodium diet and regular exercise. As the nurse is discussing lifestyle changes with Deanna and answering her questions, the office manager calls the nurse out of the room and asks why they are spending longer than the allotted 15 minutes with the client. The nurse explains that Deanna has many questions about the recommended dietary changes. The manager indicates that the client should be dismissed and instruction can be continued at her follow-up appointment in 2 months.

Which level of prevention is the nurse using when providing dietary instruction to Deanna?

A home health nurse has several clients who live in the same apartment building. In the last week, the nurse has noticed that both elevators in the four-story building are out of order. Two of the clients live on the second floor and use a wheelchair. The nurse leaves a message for the building manager describing their concern for the clients. This action describes the role of the nurse as

Routine bloodwork results indicate that a client has type 2 diabetes. The client does not have any of the symptoms the nurse describes that are common with diabetes. The nurse assesses that this client is in which stage of disease?

An older individual attends an exercise class in the community’s parks and recreation facility at the recommendation of their primary provider. At a follow-up appointment, the client tells the nurse in the primary care office that they are unable to perform several of the exercises due to problems with vertigo and have stopped attending the classes. The nurse determines that the client is experiencing which type of negative enabling factor?

An individual who is trying to lose weight is dining out with friends. While looking at the menu, they notice that the restaurant includes calorie content with all menu items. How is this information likely to impact the individual’s menu choices?

An elementary school nurse has proposed the delivery of a healthy message through the school’s audio system every day. The principal thinks this is a new idea that hasn’t been tried before, the intercom system is easy to use and readily available, and students tend to listen to the announcements provided. The principal is likely applying which theory or model in making their decision?

A public health nurse is working with community members to develop a walking trail to encourage residents to be outdoors and engage in exercise. Which level of prevention is this nurse practicing?

A community health nurse is developing a community-wide health promotion program to reduce high blood pressure in community members. Which sectors will the nurse need to work with to develop this program?

A public health nurse is working in a rural community. Community members have expressed concerns about the distance necessary to travel and the time it takes to receive medical care. The nurse collaborates with a hospital in the closest city to establish a mobile clinic that visits the community once a week. What enabling factor did the nurse target to improve population health?

A densely populated urban area has a high prevalence of obesity among the residents. The local government is partnering with the health department to build parks and recreation centers to promote physical activity. Which of the following is the most likely system-related barrier the program faces?

During the COVID-19 pandemic, a public health department wanted to introduce a smartphone application (app) that could track and notify individuals who came into close contact with a confirmed case. However, the department encountered challenges in gaining widespread acceptance and adoption of the new technology. Which concept from the diffusion of innovations theory likely influenced the implementation of the app?