A rural community nurse sets up a monthly disease screening ...

[cnetterville]

A rural community nurse sets up a monthly disease screening service. Local news coverage chooses not to cover this event. Which of the following justifications best supports the screenings?
 
  A) Health promotion is essential for older adults because they have complex health care needs.
  B) Older adults are less responsive to health promotion interventions.
  C) Older adults as a group receive fewer prevention and screening services than other populations.
  D) Preventive services are less effective after the onset of chronic illness.

Question 2

A nurse helps older adults increase healthy behaviors by restructuring. Which of the following communication techniques should the nurse use to help the older adult overcome barriers?
 
  A) Could you walk with your friend for a half-hour after you both come back from the lunch program at the senior center?
  B) I know it's hard to get outside in the winter, so let's try to identify some ways of getting more exercise indoors during your usual activities.
  C) Let's talk about the benefits of exercise. When you walk regularly you reduce constipation and muscle pain.
  D) Your activity has been decreasing during the last 3 years and it is at the point that you are at an increased risk for heart disease.

[bookworm410]

Answer to Question 1

Ans: A
Even though health promotion interventions are cost-effective ways of preventing disease and disability and improving functioning and quality of life for older adults, older adults as a group receive fewer prevention and screening services than other populations. This is due to misperceptions, such as (1) older adults are less responsive to health promotion interventions, and (2) preventive services are less effective after the onset of chronic illness. In reality, health promotion is essential for older adults precisely because they have more chronic conditions, have complex health care needs, and use considerably more health care services than younger adults.

Answer to Question 2

Ans: B
Restructuring assists the client to use positive thinking to focus on ways of overcoming barriers (e.g., getting outside in winter). Giving suggestions about when and where to walk might be helpful, but it is best if the client develops the plan of action. Talking about the benefits of exercise reinforces rewards. Discussing consequences of inactivity raises the consciousness of the older adult.

[cnetterville]

Excellent

[bdobbins]

Thanks for the timely response, appreciate it