Health Promotion and Prevention Flashcards
7 cards from real NMC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Health Promotion and Prevention flashcards as text
A nurse is working with a patient who has Type 2 diabetes and is reluctant to change dietary habits. Which health promotion model would be MOST useful to understand the patient's readiness to change?
Answer: The Transtheoretical Model (Stages of Change)
The Transtheoretical Model describes stages of behavior change (precontemplation through maintenance) and helps tailor interventions to the patient's current readiness.
Which is the MOST appropriate action for a nurse when a parent declines the recommended MMR vaccine for their child during a well-child visit?
Answer: Document refusal, provide evidence-based information about vaccine safety, and respect the parent's decision while noting it in the record
Nurses must respect informed refusal, provide accurate information, document the discussion and refusal, and continue to offer the vaccine at future visits.
A midwife screens a 28-year-old woman for domestic violence during a prenatal visit. Which screening tool is validated for use in perinatal settings?
Answer: HITS (Hurt, Insult, Threaten, Scream) tool
The HITS tool is a validated, brief screening instrument used in clinical settings including perinatal care to identify intimate partner violence.
A community health nurse is addressing social determinants of health in a low-income neighborhood. Which action MOST directly targets a social determinant of health?
Answer: Collaborating with housing authorities to improve substandard housing conditions
Housing quality is a social determinant of health; improving housing conditions directly addresses structural factors that drive health inequities.
A nurse is teaching a group of new mothers about sudden infant death syndrome (SIDS) prevention. Which guidance aligns with current evidence-based recommendations?
Answer: Place the infant supine (on their back) on a firm, flat sleep surface for every sleep
The 'Back to Sleep' campaign and current AAP guidelines recommend placing infants on their back on a firm, flat surface free from soft bedding for every sleep.
Tertiary prevention is BEST illustrated by which nursing activity?
Answer: Teaching coping strategies to a patient recovering from a stroke
Tertiary prevention focuses on minimizing disability and improving function in people who already have established disease, such as rehabilitation after stroke.
A midwife promotes breastfeeding as part of infant health prevention. Which health benefit of breastfeeding for the INFANT has the strongest evidence?
Answer: Reduction in the incidence of acute otitis media and respiratory infections
Strong evidence shows breastfeeding significantly reduces the incidence of acute otitis media, lower respiratory infections, and gastrointestinal infections in infants.