What is the greatest internal client factor for the nurse to ...

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What is the greatest internal client factor for the nurse to consider when educating an adult client concerning health promotion activities?
 
  a. Emotional wellness
  b. Developmental stage
  c. Professed spirituality
  d. Levels of education and literacy

Question 2

A 14-year-old girl is visiting the community health centre for birth control help. Which one of the following is the most appropriate question the nurse could ask her to obtain the most information?
 
  a. Have you told your parents that you are sexually active?
  b. Are any of your friends participating in sexual behaviours?
  c. What can you tell me about your past sexual activities?
  d. Have you been protecting yourself with safe sex measures?

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Answer to Question 1

D

Feedback
A The client's degree of stress, depression, or fear, for example, can influence health beliefs and practices. The manner in which a person handles stress throughout each phase of life will influence the way he or she reacts to illness. However, this is not the best available option.
B A person's thought and behaviour patterns change throughout life. The nurse must consider the client's level of growth and development when using his or her health beliefs and practices as a basis for planning care. In this case, the client has been identified as an adult, and therefore the developmental stage has been determined.
C Spirituality is reflected in how a person lives his or her life, including the values and beliefs exercised, the relationships established with family and friends, and the ability to find hope and meaning in life. However, this is not the best available option.
D Levels of education and literacy are important influences to consider when educating an adult client concerning health promotion activities. Literacy can influence health both directly (e.g., medication use, safety practices) as well as indirectly through use of services, lifestyles, income, work environments, and stress levels.

Answer to Question 2

C

Feedback
A The question Have you told your parents that you are sexually active? does not obtain the most information.
B The question Are any of your friends participating in sexual behaviours? does not address the individual and does not obtain the most information about the health behaviours of the patient.
C The nurse can be proactive by using the interview process and open-ended questions.
D The question Have you been protecting yourself with safe sex measures? may be answered with a yes or no response and therefore does not obtain the most information.

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