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Chapter 26: Health Promotion and Maintenance Across the Lifespan
10 problems · 0 figures26-1 §26.RQ source ↗
A community health clinic provides care to clients during the prenatal, perinatal, and postnatal periods. What is an example of a primary prevention intervention the community nurse at the clinic might implement?
- a.Administering Rhogam to clients who are Rh-negative
- b.Screening clients for gestational diabetes during pregnancy
- c.Providing education on prenatal nutrition and exercise to clients
- d.Administering antibiotics to prevent group B streptococcus transmission
Answer
C. Providing education on prenatal nutrition and exercise to clients
Primary prevention for childbearing clients refers to activities aimed at preventing health problems before they occur, such as providing education about healthy nutrition and exercise.
26-2 §26.RQ source ↗
Which educational intervention by the nurse would be most effective in promoting self-care for a childbearing client in their second trimester who is diagnosed with gestational diabetes?
- a.Providing a list of local support groups for pregnant clients with gestational diabetes
- b.Teaching the client how to monitor blood glucose levels at home
- c.Giving the client a strict diet plan to follow that limits sugars
- d.Scheduling weekly checkups to closely monitor their condition
Answer
B. Teaching the client how to monitor blood glucose levels at home
Promoting self-care involves providing the client with the ability to take an active role in maintaining or improving their own health. Education allows the client to actively address their gestational diabetes.
26-3 §26.RQ source ↗
Which health promotion intervention should the community health nurse teach to new parents to reduce the risk of sudden unexpected infant death (SUID)?
- a.Place the baby on a firm sleep surface
- b.Put the baby in the same bed as the parents
- c.Use extra blankets in the crib during sleep
- d.Position the baby on the stomach
Answer
A. Place the baby on a firm sleep surface
To prevent SUID, the nurse teaches parents to place the baby on their back on a firm sleep surface that is free from pillows, blankets, or other soft bedding.
26-4 §26.RQ source ↗
Which action should the nurse take to promote family engagement during a community class on healthy toddler nutrition?
- a.Provide standardized healthy food guidelines to all families
- b.Learn about each family’s cultural practices and beliefs related to food and health
- c.Implement interventions related to food choices based on the nurse’s personal beliefs
- d.Encourage the family to only provide the healthy food options suggested
Answer
B. Learn about each family’s cultural practices and beliefs related to food and health
Effective family engagement involves actively involving the family in the planning and implementation of health promotion interventions. By collaborating with each family, the nurse can gain a deeper understanding of their cultural practices, values, and beliefs related to health. This understanding enables the nurse to tailor interventions that are respectful, culturally appropriate, and aligned with the family’s preferences, leading to better engagement and improved health outcomes.
26-5 §26.RQ source ↗
The community health nurse is teaching caregivers with children between 5 and 9 years of age about causes of injury in this age group. Which cause of death will the nurse include?
- a.Suicide
- b.Choking
- c.Drowning
- d.Illegal drugs
Answer
C. Drowning
Drowning is one of the leading causes of death in children age 5 to 9 years.
26-6 §26.RQ source ↗
Which condition would the school nurse tell caregivers of adolescents is a protective relationship factor that can protect against suicide?
- a.Social media
- b.Family support
- c.Peer pressure
- d.Community suicide cluster
Answer
B. Family support
Support from family is a relationship factor that can protect against suicide.
26-7 §26.RQ source ↗
Which health disparity would the public health nurse apply when developing community adult health education programs?
- a.Men have a higher life expectancy compared to women.
- b.Women experience higher rates of cerebrovascular disease compared to men.
- c.Women have a higher mortality rate compared to men.
- d.Men experience higher rates of COPD compared to women.
Answer
B. Women experience higher rates of cerebrovascular disease compared to men.
When comparing health outcomes between adult men and adult women in the United States, it is important to consider potential disparities. Cerebrovascular disease is a major disease in both genders, but adult women tend to have higher rates compared to adult men.
26-8 §26.RQ source ↗
The community health nurse is developing a primary prevention program for children. Which intervention would the nurse promote?
- a.Immunizations according to recommended schedules
- b.Regular vision screenings
- c.Speech therapy for children with developmental delays
- d.Medical care for health problems
Answer
A. Immunizations according to recommended schedules
Prevention of the onset of disease occurs through primary prevention, such as vaccinating according to the recommended schedules.
26-9 §26.RQ source ↗
Which intervention would the public health nurse implement in the community to address the Healthy People 2030 goal of reducing falls in older adults?
- a.Provide assistive ambulation devices
- b.Encourage sedentary activity
- c.Reduce inappropriate medications
- d.Ambulate only with a caregiver
Answer
C. Reduce inappropriate medications
A particular area of focus by Healthy People 2030 is reducing falls in older adults. One way the nurse can work to prevent falls in this population is by reducing use of inappropriate medication.
26-10 §26.RQ source ↗
The public health nurse is providing education to families of older adults in the community about risk factors for elder abuse. Which factor would the nurse include in this teaching?
- a.The older adult’s level of physical activity
- b.The frequency of visits from family and friends
- c.The presence of chronic health conditions in the older adult
- d.The presence of mental illness in the older adult
Answer
D. The presence of mental illness in the older adult
Elder abuse is an intentional act or failure to act that causes or creates a risk of harm to an older adult. Older adults with mental illness are at increased risk for elder abuse due to their diminished capacity to recognize and report mistreatment, understand their rights, or protect themselves from harm.
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Problems and answers are adapted from Population Health for Nurses by Jessica Ochs, Sherry L. Roper and Susan M. Schwartz, OpenStax, and are used under the CC BY-NC-SA 4.0 licence. Access for free at https://openstax.org/books/population-health/pages/1-introduction. Illustrations: Copyright Rice University, OpenStax, under CC BY-NC-SA 4.0 license. This adaptation is released under the same licence, is non-commercial, and is neither affiliated with nor endorsed by OpenStax or Rice University.