A nurse is educating a group of adults who are attempting smoking cessation. Which intervention would be most effective for the nurse to implement?

Correct Answer: B

Rationale: In the context of pharmacology and health promotion, option B is the most effective intervention for a nurse to implement when educating adults on smoking cessation. Setting a quit date with the group and determining the most suitable pharmacological method individualizes the approach, taking into account each member's unique needs and preferences. This approach aligns with evidence-based practice, as pharmacotherapy, in combination with behavioral interventions, has been shown to increase smoking cessation success rates. Options A, C, and D are less effective for several reasons. Option A, providing a handout on the dangers of smoking, may increase knowledge but lacks the personalized support needed for successful cessation. Option C, providing a month’s supply of nicotine replacement, may not address the diverse needs of the group or provide ongoing support. Option D, having a guest speaker with lung cancer, may raise awareness but does not provide actionable strategies for quitting. By choosing option B, the nurse engages the group in a collaborative process, empowers them to take ownership of their cessation journey, and ensures they receive tailored pharmacological support. This approach respects individual autonomy and promotes long-term success in smoking cessation efforts, making it the most effective intervention in this scenario.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Impact of the environment on the public’s food, drink, and activity choices. This information would likely be added to the nutrition presentation because the 2010 Dietary Guidelines emphasized the significant role of environmental influences on individual dietary choices and physical activity patterns. Option A) Consumption of increased amounts of carbohydrates is incorrect because the focus of the updated presentation would not solely be on increasing carbohydrate consumption, but rather on a balanced diet overall. Option C) Revised guidelines for the use of MyPyramid is incorrect as the 2010 Dietary Guidelines replaced MyPyramid with MyPlate, emphasizing portion control and a visual representation of a balanced meal, rather than the pyramid model. Option D) Inclusion of physical activity standards could be important in a nutrition presentation, but it would not directly address the impact of the environment on public food, drink, and activity choices, which was a significant emphasis of the 2010 Dietary Guidelines. In an educational context, understanding the interconnectedness of individual choices and environmental influences is crucial in promoting healthier behaviors. By incorporating this information into the presentation, the community health nurse can empower community members to make informed decisions that consider both personal choices and external factors influencing their health outcomes.

Correct Answer: D

Rationale: In this scenario, the correct program to refer the low-income family experiencing food insecurity to is the Supplemental Nutrition Assistance Program (SNAP), which is option D. SNAP provides eligible families with funds to purchase food, thereby promoting access to nutritious meals. Option A, the Nutrition Service Incentive Program (NSIP), is not a specific program and does not exist. Option B, the Supplemental Nutrition for Women, Infants, and Children (WIC), is targeted towards pregnant women, new mothers, infants, and young children, rather than the entire family. Option C, the National School Lunch Program (NSLP), is designed to provide meals to school children, not families at home. Educationally, understanding the different food assistance programs is crucial for nurses working in community health settings. By knowing the appropriate referral sources, nurses can better support families facing food insecurity and promote overall health and well-being. Familiarity with SNAP, in particular, is important due to its wide-reaching impact on food access for low-income individuals and families.

Correct Answer: C

Rationale: In the context of health promotion and behavior change, the acronym LEARN stands for Listen, Explain, Acknowledge, Recommend, and Negotiate. The correct answer, option C, "Negotiate an agreement," is crucial in the process of helping clients improve their health-related behaviors. Negotiating an agreement involves collaborating with clients to set realistic and achievable goals based on their individual needs and preferences. This approach empowers clients to take ownership of their health and increases the likelihood of successful behavior change. Option A, "Explain how small changes can affect health," while important, does not encompass the full process of behavior change and client engagement as effectively as negotiation does. Option B, "Acknowledge that action needs to be taken," is a general statement that lacks the specificity and active involvement required in the behavior change process. Option D, "Refer to community resources," may be a helpful step in supporting behavior change, but it is not as directly related to the collaborative process of negotiation outlined in the LEARN acronym. Educationally, understanding and applying the LEARN acronym can enhance the effectiveness of health care providers, including nurses, in facilitating behavior change with their clients. By focusing on active listening, clear explanations, acknowledging clients' perspectives, making appropriate recommendations, and negotiating achievable goals, providers can build trusting relationships and support clients in making sustainable health-related behavior changes.

Correct Answer: B

Rationale: The correct answer is B) 18%. This percentage is based on data from the 2009-2010 National Health and Nutrition Examination Survey, which provides a snapshot of the prevalence of overweight among 6- to 11-year-old children during that time period. Understanding this statistic is crucial for healthcare professionals, especially nurses, as it highlights the significant issue of childhood obesity and the importance of health promotion interventions. Option A) 14% is incorrect because it underestimates the actual prevalence of overweight in 6- to 11-year-old children during the specified period. Option C) 24% and Option D) 28% are also incorrect as they overestimate the percentage of overweight children in this age group. Educationally, knowing these statistics enables nurses to identify at-risk children, provide appropriate health education to families, and implement interventions to promote healthy lifestyles. By understanding the prevalence of childhood overweight, nurses can play a vital role in preventive care and work towards improving the health outcomes of children in their care.