1.
The nurse is providing education to a client with a family history of hypertension. Which statement by the client does the nurse recognize as requiring further teaching about familial risk?
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“My family history increases my risk for hypertension.”
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“Genetics alone predict my own health and diagnoses.”
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“The interaction of genetics and environment affects health.”
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“Lifestyle factors affect the genetic expression of a disease.”
2.
The nurse is developing an education program for a client on healthy family nutrition using Pender’s Health Promotion Model as the framework. Which client statement indicates to the nurse that the client has a high level of perceived self-efficacy?
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“Eating healthy is expensive but within our family budget.”
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“I am confident that I can create a healthy weekly meal plan.”
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“My children’s school encourages healthy lunches.”
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“It is hard to find time to shop and prepare healthy meals.”
3.
The nurse is creating a community program to promote outdoor exercise using Bronfenbrenner’s Socio-Ecological Model and is working with town planners to obtain funding and approval for sidewalks and walking and biking trails. Which of Bronfenbrenner’s systems is the nurse utilizing?
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Microsystem
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Mesosystem
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Chronosystem
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Macrosystem
4.
The nurse is working to change negative social beliefs towards breastfeeding in a rural area using the UNICEF Socio-Ecological Model. At which level of this model is the nurse effecting change?
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Individual
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Community
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Organizational/institutional
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Policy/system and enabling environments
5.
Which situation is an example of a nurse engaging in the Socio-Ecological Model to guide nursing care?
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Administering insulin to a client with type 2 diabetes who has seen a worsening of their glycemic control despite taking metformin
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Evaluating the causative factors of an observed increase in the number of grade-school children with newly diagnosed asthma
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Evaluating the impact of lisinopril on a client’s blood pressure 3 months after starting the medication
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Planning an education session for a client following surgery with a goal of independently changing the surgical site dressing
6.
Which statement by a client with a family history of diabetes indicates an understanding of the genetic component of this disorder?
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“Since I have a family history of diabetes, I will also develop diabetes.”
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“A family history alone does not mean I will develop diabetes.”
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“Eating healthy will not prevent diabetes since it’s in my family.”
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“Diabetes skips a generation, so I will not get it.”
7.
Using the UNICEF Socio-Ecological Model, which statement is an example of a community health center working at the organizational level to promote health care?
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Teaching a client how to self-administer insulin injections
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Assisting a new mother with breastfeeding
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Treating all clients regardless of their ability to pay
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Lobbying to ensure health care for transgender clients
8.
The nurse is caring for a client with diabetes who is having a hard time managing blood glucose levels. Using Bronfenbrenner’s Socio-Ecological Model, which factor would the nurse identify as most likely contributing to the client’s difficulty managing their diabetes at the exosystem level?
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Limited access to healthy food options
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Family history of diabetes
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Sedentary job
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Lack of reliable transportation
9.
The nurse is counseling a client who is trying to stop smoking. According to the Theory of Planned Behavior, which factor would the nurse recognize as representing risk perception?
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The client’s partner smokes.
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The client’s clothes smell of smoke.
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The client has tried to quit several times.
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The client believes smoking is unhealthy.
10.
The nurse is discussing the importance of exercise and eating healthy to a client with hypertension. Which client behavior would the nurse assess as being in the precontemplation stage of the Transtheoretical Model?
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The client states they will think about changing their diet.
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The client begins walking three times a week.
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The client meets with a dietitian to learn about healthy eating.
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The client believes that exercise will not lower blood pressure.