1.Which of the following is not an example of health promotion?
1) An exercise class for seniors at the town recreation center 2) A well-baby clinic 3) A free nutrition class at the local library 4) A vaccination clinic
A vaccination clinic is an example of health protection, not health promotion.
Health promotion helps people change their lifestyle to achieve optimal health. An exercise class would accomplish this. A well-baby clinic would assist parents in helping thei
2.Taking environmental and societal factors into consideration when examining an individual's health choices is known as
1) Downstream approach 2) Midstream approach 3) Upstream approach 4) Community approach
An upstream approach takes environmental and societal factors into consideration when examining an individual's health choices.
A downstream approach focuses on the individual and his or her specific health choices without taking into consideration enviro
3.Based on research in 2004, the Institutes of Medicine (IOM) concluded individuals with low health literacy rates ____________.
1) had less knowledge of chronic disease management 2) had more knowledge of chronic disease management 3) were in perfect hea
In 2004, research by the IOM concluded people with low health literacy rates had less knowledge of chronic disease management.
4.What is the purpose of the comprehensive plan released by the National Prevention Strategy released a comprehensive plan for what purpose?
1) Decrease obesity rates by 50% in 10 years. 2) Increase the number of Americans who have health insurance. 3) In
In 2011, the National Prevention Strategy, authorized by the Affordable Care Act, released a comprehensive plan whose purpose is to increase the number of Americans who are healthy at every stage of life.
5.A group of nurses are performing a blood pressure screening at the local hospital. Of the 200 people they screened, 50 had a true positive reading, 75 had a true negative reading, 50 had a false positive reading, and 25 had a false negative reading. Usi
The formula for sensitivity is (A/(A+C)) � 100. A= the number of people with a true positive reading and C=the number of people with false negative reading. A+C= the total number of people with the disease. A=50 and C=25. Now set up the formula: (50/(50+2
6.Which of the following is an example of a selective prevention intervention?
1) A public service announcement (PSA) on television explaining the dangers of drunk driving 2) A billboard advertisement for a smoking cessation hotline 3) A weight loss guide
Because this man's father died from colon cancer, he has an elevated risk for developing the same disease. This is an example of a selective prevention intervention.
A PSA on television is aimed at the general population and not at individual risk. This i
7.According to the Intervention Wheel, what are the areas of focus for individual level practice?
SELECT ALL THAT APPLY. 1) Policy changes and laws 2) Knowledge 3) Attitudes 4) Beliefs 5) Changing community norms
Feedback 1: Answer 1 is incorrect. Policy changes and law are the focus for systems level practice.
Feedback 2: Answer 2 is correct. Knowledge is a focus for individual level practice.
Feedback 3: Answer 3 is correct. Attitudes is a focus for individual l
8.Healthy People 2020 has identified five missions to improve health through policy and practice. Which of the following is not listed as one of their missions?
1) Identify nationwide health improvement priorities. 2) Increase public awareness and underst
The five missions do not include enacting laws to make selling cigarettes to minor a federal offense.
The five missions are to identify nationwide health improvement priorities; increase public awareness and understanding of the determinants of health, di
9.A group of staff nurses at the local hospital want to develop a teaching plan for patients with type II diabetes. After assessing the learning needs of these patients, what is the next step in developing their teaching plan?
1) Evaluate the outcome of t
Assess the types of learners. After assessing learning needs, the nurses need to identity what types of learners will receive this education.
10.With the advent of the World Wide Web, the Internet is now used as a tool in disseminating information for the purpose of health information promotion. Which of the following websites can be used in the promotion of health information?
SELECT ALL THAT
Feedback 1: Answer 1 is correct. Facebook.com is a social networking site that allows users to rapidly share information and communicate with each other across the globe.
Feedback 2: Answer 2 is correct. Twitter.com is a social networking site such as Fac
11.What serious ethical issue should a nurse consider when implementing a health screening program?
1) What should be done with participants who screen negative for a disease? 2) What should be done with participants who screen positive for a disease? 3)
Once a participant has screened positive for a disease, what should be done with the results? Are there available treatments for this disease and can the participant access these resources?
12.A group of nurses want to prepare a health screening for depression. Which of the following screening methods would be the simplest, quickest way to administer this screening?
1) Have all participants undergo a two-week outpatient program at a mental h
A 10-item questionnaire would be the best screening tool for depression as it is simple to administer and complete.
13.The PHN is assessing an obese female client who wants to lose weight. The PHN suggests the woman change her dietary habits and begin walking 30 minutes a day five times a week. What type of prevention strategy is the PHN providing her client?
1) Clinic
Behavioral prevention involves health promotion strategies to change behaviors. The PHN is accomplishing this by suggesting dietary changes and an increase in exercise to help her client lose weight.
Clinical prevention involves a one-to-one delivery meth
14.During a skin assessment on a bedridden female client, the floor nurse notices redness in her sacral area. The nurse implements a turning schedule every two hours for the client and suggests the doctor order Vitamin C supplements. The nurse's actions a
The secondary stage of prevention focuses on interventions aimed at early detection and initiation of treatment. The nurse detected the stage one pressure sore on the woman's sacrum and initiated treatments of a turning schedule and suggesting Vitamin C s
15.The nurse is interviewing client who has just been diagnosed with type II diabetes. He tells the nurse, "I'm going to educate myself on diabetes so I can learn how to keep my blood sugar under control." The man's statement is an example of what theory
The humanism theory involves self-directed learning. It encourages the development of personal actions to fulfill one's potential. The man's proactive approach to his diagnosis of diabetes is an example of humanism learning theory.
The behavioral theory o
16.In 1958, American Educator Malcolm Knowles suggested adults learn differently from children and identified six suppositions for adult learning. Which of the following was not identified as one of those suppositions?
1) Adults need to know why they are
Knowles believed adults need to participate in the planning and evaluation of their learning.
17.Which of the following was not a leading cause of preventable death in the United States in 2004?
1) Tobacco use 2) Alcohol use 3) Heart disease 4) Improper diet and physical inactivity
Heart disease was one of the leading causes of death in the United States, but it was not a cause of preventable death. Heart disease is the actual disease rather than a risk factor in death.
Tobacco use, improper diet and physical activity, and alcohol u
18.The public health nurse (PHN) is examining a client newly diagnosed with Hepatitis C. The lab work shows elevated liver enzymes, but he has no outward signs such as jaundice. According to the natural history of disease, what stage of Hepatitis C is the
The client is in the subclinical phase after exposure to Hepatitis C when pathological changes, such as elevated liver enzymes, are occurring without the patient knowing or exhibiting any symptoms.
The client is still infected and has not reached any stag
19.Identify the correct order of Benjamin Bloom's six levels of cognitive learning (Bloom's Taxonomy) from first to last (1-6):
Comprehension
Analysis
Application
Synthesis
Knowledge
Evaluation
The first level of Bloom's Taxonomy is knowledge, or the remembering of specific information. The next level is comprehension, which demonstrates an understanding of what is learned. Application, using knowledge for problem solving, is the third level. Th
20.What term applies to the ability of a screening tool (instrument) to give consistent results on repeated trials?
1) Validity 2) Sensitivity 3) Reliability 4) Specificity
Reliability is the ability of an instrument to give consistent results on repeated trials.
Validity is the degree to which the instrument measures what is supposed to be measured. Sensitivity is the ability of a screening test to give a true positive resu