Online Practice Test 16

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Site Title: Kozier & Erb's Fundamentals of Nursing Book Title: Kozier & Erb's Fundamentals of Nursing Location on Site: Chapter 16 > NCLEX® Review Date/Time Submitted: July 9, 2012 at 2:04 PM (UTC/GMT)

Summary of Results 40% Correct of 10 Scored items: 4 Correct:  40% 6 Incorrect:  60% More information about scoring

1.		A nurse who is planning a program on lifestyle and behavior change should include which topic in the program? Your Answer: Smoking cessation
		Objective: Identify various types and sites of health-promotion programs. Rationale: Smoking cessation is a lifestyle/behavior change. Alcohol and drug abuse programs are classified as information dissemination. Health risk appraisal is a wellness program. Toxic and nuclear waste emissions are environmental programs problems. Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
2.		Which intervention would be least effective when assisting a client in making behavior changes that would reduce his health risk factors? Your Answer: Ask the client to follow a plan you wrote for him.
		Objective: Explain the stages of health behavior change. Rationale: In planning these changes, the client should develop a plan, two or three goals, and a time frame for implementing the changes. Writing a plan for the client would be least effective, as it does not allow the client a say in the plan. Client decision making is a critical element in success. Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
3.		A client has failed to follow the plan that was developed for health promotion. What would be the most effective response by the nurse? Your Answer: Start over at the beginning of the process. Correct Answer: Discard the idea that the client must change.
		Objective: Explain the stages of health behavior change. Rationale: Understanding that the client may not change is a key for the nurse. Forced changed will not work. Assuming lack of motivation, noncompliance, and starting over may be detrimental. The client needs to decide with the nurse if the change is possible, and reevaluate the plan. Nursing Process: Evaluation Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
4.		The two major goals of Healthy People 2010 reflect the nation's changing demographics. These goals include which of the following? Your Answer: Implement programs that modify the environment and behaviors Correct Answer: Increase quality and years of healthy life and eliminate health disparities
		Objective: Describe how the Healthy People 2010 leading health indicators can help improve the health of a community. Rationale: The changing demographics reflect the aging population and the diversity of the population. These are both reflected in the goals, which include increasing quality and years of healthy life and eliminating health disparities. The other answers could be ways to implement these goals, but are not goals themselves. Nursing Process: Evaluation Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
5.		According to Prochaska, Norcross, and DiClemente (1994), which stage in health behavior change would include the client's acknowledging a problem? Your Answer: Contemplation stage
		Objective: Explain the stages of health behavior change. Rationale: The client acknowledges a problem in the contemplation stage. The client denies a problem in the precontemplation stage, prepares for a change in the preparation stage, and implements the change in the action stage. Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Understand contemporary nursing practice.
6.		The majority of individuals who relapse during a health behavior change return to which stage for reevaluation? Your Answer: Precontemplation stage Correct Answer: Contemplation stage
		Objective: Explain the stages of health behavior change. Rationale: The majority of individuals will return to the contemplation stage to think about what they learned and plan for the next action attempt. Nursing Process: Evaluation Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
7.		When performing a health risk assessment, it is important to remember that this assessment is intended to indicate the client's risk over how many years? Your Answer: Five years Correct Answer: Ten years
		Objective: Identify theoretical frameworks used in individual health promotion. Rationale: A health risk assessment is intended to indicate the client's risk over the next ten years. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
8.		On the health style self-test, a client scores 5 on most sections. What action by the nurse would be most beneficial to this client? Your Answer: Informing the client that there are serious health risks for him Correct Answer: Asking the client if he would like information about the risks he is facing
		Objective: Explain the stages of health behavior change. Rationale: A score of 3-5 indicates health risks. It would be beneficial for the nurse to ask the client if he would like more information about the risks he is facing. Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
9.		Which nursing diagnoses are included in the NANDA taxonomy for a wellness diagnosis? (Select all that apply.) Your Answer: Readiness for enhanced spiritual well-being Readiness for enhanced knowledge Readiness for enhanced parenting
		Objective: Develop, implement, and evaluate plans for health promotion. Rationale: The following examples are included in the NANDA taxonomy: Readiness for enhanced spiritual well-being, readiness for enhanced coping, readiness for enhanced nutrition, readiness for enhanced knowledge, readiness for enhanced parenting, and readiness for enhanced self-concept. Nursing Process: Diagnosis Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
10.		Which factors impact health promotion and illness prevention with the elderly? (Select all that apply.) Your Answer: Supportive family Change in cognitive status Correct Answers: Presence of one or more chronic diseases Change in cognitive status Increase in physical limitations
		Objective: Develop, implement, and evaluate plans for health promotion. Rationale: Factors to beware of that might indicate a need for additional information include the following: an increase in physical limitations, presence of one or more chronic diseases, change in cognitive status, difficulty in accessing health care services die to transportation problems, poor support systems, need for environmental modifications for safety and maintain independence, and attitude of hopelessness and depression. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and understanding of the elderly and their specific health promotion needs.