Chapter 04: Health Education and Health Promotion
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th
Edition
MULTIPLE CHOICE
1. A nurse has been working with Mrs. Griffin, a 71-year-old patient whose
poorly controlled type 1 diabetes has led to numerous health problems. Over the
past several years Mrs. Griffin has had several admissions to the hospital
medical unit, and the nurse has often carried out health promotion
interventions. Who is ultimately responsible for maintaining and promoting
Mrs. Griffin's health?
A) The medical nurse
B) The community health nurse who has also worked with Mrs. Griffin
C) Mrs. Griffin's primary care provider
D) Mrs. Griffin
ANS: D
American society places a great importance on health and the responsibility that
each of us has to maintain and promote our own health. Therefore, the other
options are incorrect.
2. An elderly female patient has come to the clinic for a scheduled follow-up
appointment. The nurse learns from the patient's daughter that the patient is not
following the instructions she received upon discharge from the hospital last
month. What is the most likely factor causing the patient not to adhere to her
therapeutic regimen?
A) Ethnic background of health care provider
B) Costs of the prescribed regimen
C) Presence of a learning disability
D) Personality of the physician
ANS: B
Variables that appear to influence the degree of adherence to a prescribed
, therapeutic regimen include gender, race, education, illness, complexity of the
regimen, and the cost of treatments. The ethnic background of the health care
provider and the personality of the physician are not considered variables that
appear to influence the degree of adherence to a prescribed therapeutic regimen.
A learning disability could greatly affect adherence, but cost is a more likely
barrier.
3. A gerontologic nurse has observed that patients often fail to adhere to a
therapeutic regimen. What strategy should the nurse adopt to best assist an
older adult in adhering to a therapeutic regimen involving wound care?
A) Demonstrate a dressing change and allow the patient to practice.
B) Provide a detailed pamphlet on a dressing change.
C) Verbally instruct the patient how to change a dressing and check for comprehension.
D) Delegate the dressing change to a trusted family member.
ANS: A
The nurse must consider that older adults may have deficits in the ability to
draw inferences, apply information, or understand major teaching points.
Demonstration and practice are essential in meeting their learning needs. The
other options are incorrect because the elderly may have problems reading
and/or understanding a written pamphlet or verbal instructions. Having a family
member change the dressing when the patient is capable of doing it impedes
self-care and independence.
4. A 20-year-old man newly diagnosed with type 1 diabetes needs to learn how
to self- administer insulin. When planning the appropriate educational
interventions and considering variables that will affect his learning, the nurse
should prioritize which of the following factors?
A) Patient's expected lifespan
, B) Patient's gender
C) Patient's occupation
D) Patient's culture
ANS: D
One of the major variables that influences a patient's readiness to learn is the
patient's culture, because it affects how a person learns and what information is
learned. Other variables include illness states, values, emotional readiness, and
physical readiness. Lifespan, occupation, and gender are variables that are
usually less salient.
5. The nurse is planning to teach a 75-year-old patient with coronary artery
disease about administering her prescribed antiplatelet medication. How can
the nurse best enhance the patient's ability to learn?
A) Provide links to Web sites that contain evidence-based information.
B) Exclude family members from the session to prevent distraction.
C) Use color-coded materials that are succinct and engaging.
D) Make the information directly relevant to the patient's condition.
ANS: D
Studies have shown that older adults can learn and remember if the information
is paced appropriately, relevant, and followed by appropriate feedback. Family
members should be included in health education. The nurse should not assume
that the patient's color vision is intact or that the patient possesses adequate
computer skills.
6. A nurse is planning care for an older adult who lives with a number of chronic
health problems. For which of the following nursing diagnoses would
education of the patient be the nurse's highest priority?
A) Risk for impaired physical mobility related to joint pain
B) Functional urinary incontinence related decreased mobility
C) Activity intolerance related to contractures
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th
Edition
MULTIPLE CHOICE
1. A nurse has been working with Mrs. Griffin, a 71-year-old patient whose
poorly controlled type 1 diabetes has led to numerous health problems. Over the
past several years Mrs. Griffin has had several admissions to the hospital
medical unit, and the nurse has often carried out health promotion
interventions. Who is ultimately responsible for maintaining and promoting
Mrs. Griffin's health?
A) The medical nurse
B) The community health nurse who has also worked with Mrs. Griffin
C) Mrs. Griffin's primary care provider
D) Mrs. Griffin
ANS: D
American society places a great importance on health and the responsibility that
each of us has to maintain and promote our own health. Therefore, the other
options are incorrect.
2. An elderly female patient has come to the clinic for a scheduled follow-up
appointment. The nurse learns from the patient's daughter that the patient is not
following the instructions she received upon discharge from the hospital last
month. What is the most likely factor causing the patient not to adhere to her
therapeutic regimen?
A) Ethnic background of health care provider
B) Costs of the prescribed regimen
C) Presence of a learning disability
D) Personality of the physician
ANS: B
Variables that appear to influence the degree of adherence to a prescribed
, therapeutic regimen include gender, race, education, illness, complexity of the
regimen, and the cost of treatments. The ethnic background of the health care
provider and the personality of the physician are not considered variables that
appear to influence the degree of adherence to a prescribed therapeutic regimen.
A learning disability could greatly affect adherence, but cost is a more likely
barrier.
3. A gerontologic nurse has observed that patients often fail to adhere to a
therapeutic regimen. What strategy should the nurse adopt to best assist an
older adult in adhering to a therapeutic regimen involving wound care?
A) Demonstrate a dressing change and allow the patient to practice.
B) Provide a detailed pamphlet on a dressing change.
C) Verbally instruct the patient how to change a dressing and check for comprehension.
D) Delegate the dressing change to a trusted family member.
ANS: A
The nurse must consider that older adults may have deficits in the ability to
draw inferences, apply information, or understand major teaching points.
Demonstration and practice are essential in meeting their learning needs. The
other options are incorrect because the elderly may have problems reading
and/or understanding a written pamphlet or verbal instructions. Having a family
member change the dressing when the patient is capable of doing it impedes
self-care and independence.
4. A 20-year-old man newly diagnosed with type 1 diabetes needs to learn how
to self- administer insulin. When planning the appropriate educational
interventions and considering variables that will affect his learning, the nurse
should prioritize which of the following factors?
A) Patient's expected lifespan
, B) Patient's gender
C) Patient's occupation
D) Patient's culture
ANS: D
One of the major variables that influences a patient's readiness to learn is the
patient's culture, because it affects how a person learns and what information is
learned. Other variables include illness states, values, emotional readiness, and
physical readiness. Lifespan, occupation, and gender are variables that are
usually less salient.
5. The nurse is planning to teach a 75-year-old patient with coronary artery
disease about administering her prescribed antiplatelet medication. How can
the nurse best enhance the patient's ability to learn?
A) Provide links to Web sites that contain evidence-based information.
B) Exclude family members from the session to prevent distraction.
C) Use color-coded materials that are succinct and engaging.
D) Make the information directly relevant to the patient's condition.
ANS: D
Studies have shown that older adults can learn and remember if the information
is paced appropriately, relevant, and followed by appropriate feedback. Family
members should be included in health education. The nurse should not assume
that the patient's color vision is intact or that the patient possesses adequate
computer skills.
6. A nurse is planning care for an older adult who lives with a number of chronic
health problems. For which of the following nursing diagnoses would
education of the patient be the nurse's highest priority?
A) Risk for impaired physical mobility related to joint pain
B) Functional urinary incontinence related decreased mobility
C) Activity intolerance related to contractures
