NMC - Nursing Midwifery Council Health Promotion and Prevention Questions and Answers

Question 1

A community nurse is planning health promotion activities. Which of the following is a clear example of secondary prevention?

Accepted Answer

Performing a blood pressure check at a community health fair to identify potential hypertension.

Answer

Delivering a talk at a local school about the importance of the HPV vaccination.

Answer

Running a smoking cessation clinic for patients with newly diagnosed COPD.

Answer

Teaching a patient with diabetes how to self-administer insulin correctly.

Question 2

The "Making Every Contact Count" (MECC) approach is widely encouraged within the NHS. What is the core principle of this initiative?

Accepted Answer

To use routine interactions with patients to deliver brief, opportunistic advice on health and wellbeing.

Answer

To ensure every patient receives a full health screening at every appointment.

Answer

To document every single interaction with a patient for legal and audit purposes.

Answer

To count the number of patient contacts each nurse has per shift to measure workload.

Question 3

A 45-year-old man with no known health conditions states he has a strong family history of heart disease. In line with the principles of health promotion, which of the following is the most appropriate example of primary prevention for this individual?

Accepted Answer

Providing education on a heart-healthy diet, smoking cessation, and regular exercise.

Answer

Referring him for an urgent ECG and cardiac enzyme blood tests.

Answer

Scheduling him for a statutory NHS Health Check to assess his cardiovascular risk.

Answer

Enrolling him in a cardiac rehabilitation programme.

Question 4

A 28-year-old patient tells their nurse, "I know I should probably stop smoking, but I'm just not ready to think about quitting yet." According to the Transtheoretical Model (Stages of Change), which stage is this patient most likely in?

Accepted Answer

Pre-contemplation

Answer

Contemplation

Answer

Preparation

Answer

Action

Question 5

In the UK, the national Bowel Cancer Screening Programme offers a home testing kit to eligible individuals. What is the primary purpose of this screening test?

Accepted Answer

To detect tiny amounts of blood in a stool sample, which can be an early sign of polyps or cancer.

Answer

To provide a definitive diagnosis of bowel cancer for all participants who test positive.

Answer

To identify and treat advanced, symptomatic bowel cancer in the community.

Answer

To genetically screen the population for a predisposition to developing bowel cancer.

Question 6

Which of the following statements best reflects the nurse's role in promoting health literacy, according to NMC standards and public health principles?

Accepted Answer

Assessing a patient's understanding and using clear, plain language and visual aids to explain health information.

Answer

Providing patients with complex, detailed medical research papers to ensure they are fully informed.

Answer

Using only precise medical terminology to ensure the accuracy of the information communicated.

Answer

Directing all patients to find their own health information on the internet to encourage independence.