Health Promotion and Disease Prevention Flashcards

A community health nurse applies the Ottawa Charter for Health Promotion. Which action reflects the 'building healthy public policy' action area?

Answer: Advocating for a workplace smoke-free policy

Building healthy public policy involves creating laws, regulations, and policies (such as workplace smoke-free rules) that make healthy choices easier.

A nurse is assessing a client's readiness to change using the Transtheoretical Model. The client says, 'I know I need to exercise, but I'm not planning to start for at least six months.' The client is in which stage?

Answer: Contemplation

Contemplation is the stage where individuals acknowledge a need to change but are not planning to act within the next 30 days; thinking about change in 6 months fits this stage.

Which immunization is recommended by the National Advisory Committee on Immunization (NACI) for adults over 65 years?

Answer: Annual influenza vaccine

NACI recommends an annual influenza vaccine for all Canadians, particularly older adults who are at higher risk of serious influenza complications.

A nurse is using motivational interviewing (MI) with a client who is ambivalent about reducing alcohol intake. Which response BEST reflects the MI spirit?

Answer: 'Tell me what concerns you most about your current drinking habits.'

Motivational interviewing uses open-ended, non-confrontational questions to explore the client's own concerns and ambivalence, supporting autonomy.

A public health nurse is planning a breast cancer awareness campaign. To reach the greatest number of at-risk women, the nurse should FIRST identify:

Answer: Effective communication channels used by the target population

Identifying how the target population receives and exchanges information ensures the campaign messages reach and resonate with the intended audience.

Which behaviour modification technique is most effective when helping a client adopt a new exercise routine?

Answer: Setting small, specific, achievable goals with regular follow-up

Goal-setting theory supports breaking behaviour change into small, specific, measurable steps with frequent reinforcement, which improves adherence.

A nurse is assessing health literacy in a client receiving discharge instructions. Which finding suggests low health literacy?

Answer: The client nods frequently but cannot repeat key instructions back

Nodding without being able to teach-back information indicates the client may not have understood the instructions, a common sign of low health literacy.