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A nurse is giving a presentation about health promotion and disease prevention to a group
of young adults at a community college. Which of the following instructions should the
nurse include?
Get a tetanus and diphtheria immunization every 10 years
Correct Answer: Get a tetanus and diphtheria immunization every 10 years
Expert Rationale:
Young adults require ongoing protection against vaccine-preventable diseases as part of routine
health promotion. The tetanus and diphtheria (Td or Tdap) booster is recommended every 10
years to maintain adequate immunity. Tetanus spores are commonly found in soil and can enter
the body through minor wounds, while diphtheria remains a potential respiratory infection risk.
Regular booster immunization is a key preventive strategy in community health nursing to
reduce morbidity and maintain herd immunity. This recommendation reflects evidence-based
preventive care guidelines for adult immunization schedules.
DIF: Application
REF: Health Promotion / Immunization Guidelines
OBJ: Identify appropriate adult preventive health measures
TOP: Community Health Nursing / Health Promotion
A nurse can communicate well, manage time effectively, weigh options and consequences,
and learn from mistakes. This nurse is demonstrating wellness in which of the following
dimensions of health?
Intellectual
Correct Answer: Intellectual
Expert Rationale:
The intellectual dimension of health involves cognitive abilities such as critical thinking,
decision-making, problem-solving, creativity, and the ability to learn from experience. A nurse
who demonstrates effective communication, time management, and the ability to evaluate
consequences is engaging higher-order thinking processes characteristic of intellectual wellness.
This dimension supports professional growth and safe clinical judgment, both essential in
nursing practice. It is distinct from emotional, social, or physical wellness, which focus on
feelings, relationships, and bodily function respectively.
,DIF: Application
REF: Holistic Health / Dimensions of Health
OBJ: Differentiate between dimensions of wellness
TOP: Nursing Fundamentals / Health Promotion
A nurse is giving a presentation to a group of nursing students about distinguishing health
promotion and disease prevention activities. Which of the following actions should the
nurse include as a specific disease prevention activity?
Wearing sunscreen outdoors; Receiving an influenza immunization; Protecting ears from loud
noises
Correct Answer: Wearing sunscreen outdoors; Receiving an influenza immunization;
Protecting ears from loud noises
Expert Rationale:
All listed actions are examples of primary disease prevention strategies aimed at reducing the
risk of illness or injury before it occurs. Wearing sunscreen reduces the risk of skin cancer and
sun damage by protecting against UV radiation. Receiving an influenza immunization prevents
viral infection and its complications. Protecting ears from loud noises helps prevent noise-
induced hearing loss. These interventions are proactive measures that focus on risk reduction
rather than treatment, which is consistent with disease prevention principles in community and
preventive nursing practice.
DIF: Application
REF: Primary Prevention / Community Health Nursing
OBJ: Identify examples of disease prevention activities
TOP: Health Promotion and Disease Prevention Education
A nurse is caring for a client in an ambulatory clinic who attended a blood pressure
screening event and a stress management lecture at a community fair. His blood pressure
was 150/94 mm Hg at the event, so he saw a provider at the clinic and began therapy with a
beta blocker. Soon after, the client had a mild myocardial infarction and, after discharge
from the hospital, enrolled in a program of cardiac rehabilitation. Which of the following
activities of this client is an example of primary prevention?
CORRECT ANSWER: Stress management lecture
Expert Rationale:
Primary prevention focuses on actions taken to prevent disease before it occurs by reducing risk
factors and promoting overall health. Attending a stress management lecture is a preventive
health education activity aimed at reducing stress, which is a known risk factor for hypertension
and cardiovascular disease. This aligns with health promotion and disease prevention strategies
before any diagnosis or disease development. In contrast, the blood pressure screening is
secondary prevention (early detection), beta blocker therapy is tertiary prevention (treatment
after disease onset), and cardiac rehabilitation is also tertiary prevention aimed at reducing
complications and improving function after a myocardial infarction.
,DIF: Application
REF: Levels of Prevention / Health Promotion Concepts
OBJ: Differentiate between primary, secondary, and tertiary prevention
TOP: Community Health Nursing / Prevention Strategies
The World Health Organization's (WHO's) definition of health promotion focuses on the
concept of
CORRECT ANSWER: Improving control over health
Expert Rationale:
The World Health Organization defines health promotion as the process of enabling individuals
and communities to increase control over and improve their health. This definition emphasizes
empowerment, participation, and strengthening personal and social resources for health rather
than simply preventing disease or providing treatment. “Improving control over health” reflects
the core principle of autonomy and active involvement in health decision-making. Other options
may relate to healthcare delivery or outcomes but do not capture the WHO’s emphasis on
empowerment and control.
DIF: Knowledge
REF: WHO Health Promotion Framework / Ottawa Charter
OBJ: Identify the definition of health promotion
TOP: Community Health Nursing / Health Promotion
A nurse is caring for a client who has a long history of abuse of alcohol and opioid
analgesics. When counseling this client about the adverse effects of substance abuse, the
nurse should explain that these patterns reduce the oxygenation of his tissues and organs
because they cause
CORRECT ANSWER: Respiratory depression
Expert Rationale:
Opioids and alcohol are central nervous system depressants that can suppress the respiratory
center in the brainstem. Respiratory depression leads to decreased respiratory rate and depth,
resulting in reduced oxygen intake and impaired gas exchange. This ultimately decreases oxygen
delivery to tissues and vital organs, which can cause hypoxia and life-threatening complications.
Alcohol can potentiate the depressant effects of opioids, further worsening respiratory
suppression. Other mechanisms may contribute to substance-related harm, but respiratory
depression is the primary and most direct cause of reduced tissue oxygenation in this context.
DIF: Application
REF: Respiratory System / Substance Abuse Pharmacology
OBJ: Explain physiological effects of CNS depressants on oxygenation
TOP: Physiological Integrity / Pharmacology
, A nurse is caring for a client who is immobile. Which of the following actions should she
perform when repositioning the client to avoid injuring her own musculoskeletal system?
Align her feet vertically with her shoulders
Correct Answer: Align her feet vertically with her shoulders
Expert Rationale:
Proper body mechanics are essential for preventing occupational musculoskeletal injuries during
patient repositioning. Aligning the feet vertically with the shoulders provides a wide, stable base
of support and maintains balance while reducing strain on the lower back. This position allows
the nurse to use leg muscles rather than back muscles when lifting or turning the client,
decreasing the risk of injury. Safe patient handling principles emphasize maintaining center of
gravity alignment and avoiding twisting movements during transfers or repositioning tasks.
DIF: Application
REF: Safety / Body Mechanics Principles
OBJ: Apply proper body mechanics in nursing care
TOP: Safe Patient Handling and Mobility
A nurse is giving a series of workshops about health and wellness to a group of older adults
at a community center. Which of the following statements from the attendees demonstrate
that they understood what the nurse explained about the concept of health?
"I have my health when I am physically, mentally, and socially well; Health means wholeness,
so every aspect of me combines to make a healthy whole self; Health means I do the things that
keep me at my best, like exercising and eating right."
Correct Answer: "I have my health when I am physically, mentally, and socially well;
Health means wholeness, so every aspect of me combines to make a healthy whole self;
Health means I do the things that keep me at my best, like exercising and eating right."
Expert Rationale:
Health is a holistic concept that extends beyond the absence of disease to include physical,
mental, and social well-being. The correct statements reflect this comprehensive understanding
by describing health as a state of balance and wholeness across multiple dimensions. They also
incorporate health-promoting behaviors such as exercise and proper nutrition, which support
optimal functioning. This demonstrates accurate comprehension of modern definitions of health
used in nursing and public health frameworks.
DIF: Understanding
REF: Holistic Health Concepts / WHO Definition of Health
OBJ: Identify correct understanding of health and wellness concepts
TOP: Health Promotion and Patient Education
A nurse is counseling a client who says that she attends a book club in her neighborhood
regularly. She says it troubles her that no one engages in the discussion with her. Applying
Maslow's hierarchy of needs to this client, this client's need falls into which of the following