Chapter 2 Questions and All Correct
Answers 2025-2026 Updated.
How does a nurse decide what health-promotion activities are necessary for a particular client?
- Answer Nurses collaborate with clients to identify areas in which clients are willing to make
changes.
Explanation: Rather than addressing all areas associated with healthy behaviors and
overwhelming clients, nurses collaborate with them to identify areas in which clients are willing
to make changes. When caring for a client, a nurse does not address healthy behaviors only;
nurses do not address only areas where clients are willing to make changes, nor do they
construct their own theories to identify perceptions, barriers, and positive outcomes.
An older adult client had hip replacement surgery 2 days ago. The nurse enters the client's room
and encourages the client to use the incentive spirometer ten times every hour. What is this
action an example of? - Answer Nursing intervention
Explanation: Nursing interventions are used to monitor health status; prevent, resolve, or
control a problem; assist with ADLs; or promote optimum health and independence. Nursing
goals are the client's desired outcomes. Nursing evaluation is deciding whether the nursing
goals have been reached. Nursing assessment is an overview of the client's health status and
current problems.
Reference:
A nursing instructor is discussing the purposes of health assessment. What is one purpose of
health assessment? - Answer To establish a database against which subsequent assessments
can be measured
Explanation: A health assessment is performed to gain further insight into the current condition
and to establish a database that subsequent assessments can be measured against.
How do nurses facilitate the achievement of high-level wellness with a client? - Answer
Promoting health in the client
Explanation: High-level wellness is a process by which people maintain balance and direction in
the most favorable environment. The role of nurses is to facilitate this achievement through
health promotion and teaching. Nurses do not facilitate the achievement of high-level wellness
by encouraging clients to keep appointments, providing information on alternative treatments,
or providing "good" client care.
, A client admitted to the health care facility has a family history of diabetes mellitus. A nursing
health assessment for this client should focus on collection of data in which of these areas? -
Answer Physiologic, psychological, sociocultural, developmental, and spiritual data
Explanation: A nursing health assessment includes physiologic, psychological, sociocultural,
developmental, and spiritual data. Medical health assessment focuses primarily on the client's
physiologic development status. The assessment by a physical therapist focuses mainly on the
client's musculoskeletal system and activities of daily living.
Staff are talking to the hospital educator and ask about "a government project that is meant to
improve the health of people in the United States." The educator bases her response on the
knowledge of - Answer Healthy People 2020
Explanation: Healthy People 2020 is a government project intended to increase the quality of
life for people in the United States.
During a health class, the nurse is emphasizing exercise and healthy eating. The level of
prevention being utilized by the nurse is - Answer primary prevention
Explanation: Exercise and healthy eating improve wellness and help protect from disease and
disability, which is primary prevention.
Which of the following statements best conveys the rationale for health promotion in a school
setting? - Answer Healthy child development is a critical health determinant because of its
implications for lifelong health.
Explanation: The future implications of healthy child development coupled with the fact that
children spend much time at school mean that schools are crucial settings for health promotion.
The nurse who provides care at an ambulatory clinic is preparing to meet a client and perform a
comprehensive health assessment. Which of the following actions should the nurse perform
first? - Answer Review the client's medical record.
Explanation: Before actually beginning the health assessment, the nurse should review the
client's record. It provides basic biographic data and a background about chronic diseases. It
also gives clues to how a present illness may impact the client's activities of daily living.
Validating the information with the client occurs during the assessment. Consulting clinical
resources is not an immediate priority.