Clinical Risk
A patient has prediabetes but says, "I feel fine, so I don't see why I need to change anything." Why is this patient still an important target for prevention?
What is prediabetes can increase the risk of progressing to Type 2 diabetes and provides an opportunity for early intervention before complications develop?
Modelled after a CDC initiative, this nurse-led lifestyle modification program targets high-risk adults to delay or prevent Type 2 diabetes.
What is the National Diabetes Prevention Program (National DPP)?
This 52-item questionnaire can be used to measure health-promoting behaviors in individuals participating in the program.
What is the Health-Promoting Lifestyle Profile II also known as HPLP-II?
This criteria asks if the theory has clearly defined concepts that make logical sense and are consistent with each other.
What is Internal Consistency?
The purpose of this middle-range nursing theory.
What is empowering patients to achieve higher levels of well-being through health promoting behaviors and identifying barriers to these behaviors?
A nurse is assessing a patient with prediabetes. Which combination of findings would provide the most complete assessment of modifiable diabetes risk?
What are physical activity, nutrition, BMI/weight, blood pressure, lipid levels, stress management, and readiness to change?
According to research cited by the American Diabetes Association, participation in the National DPP can reduce the risk of developing Type 2 diabetes by how much?
What is 58%?
What are three clinical measures that could be monitored to evaluate this program?
What are A1C, weight, BMI, blood pressure, and blood glucose?
A theory that has clean and concise with simple concepts that is uncomplicated is a component of this criteria.
What is Parsimony?
These are the three main roles of the nurse when using this theory.
What is educating, motivating and supporting the patient?
A patient says, "I know I should exercise, but I work 12-hour shifts and have no energy afterward." The nurse should recognize this primarily as what?
What is a barrier to action?
To reduce their risk of developing Type 2 diabetes, participants in the program are coached to achieve a 5% to 7% reduction in this.
What is body weight?
The HPLP-II measures health-promoting behaviors across what six areas.
What are health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, and stress management?
This criteria askes whether the theory is practical to use.
What is pragmatic adequacy?
True or False:
Patients should be active participants in their health.
What is True?
A patient wants to prevent Type 2 diabetes but believes that losing 30 pounds immediately is the only meaningful goal. Based on the intervention discussed in this project, how should the nurse respond?
What is helping the patient establish realistic, attainable and sustainable goals such as an initial 5%–7% weight reduction and gradually increasing physical activity?
Nurses should do what in order to support patients in addressing modifiable risks and to overcome barriers?
What is develop an individualized plan of care?
How often should the HPLP-II be administered?
What is every 3 months when A1C is retested to evaluate effectiveness of the Diabetes Prevention Program?
Using the HPLP-II along with clinical measurements to determine if the interventions implemented are successful is an aspect of this criteria.
What is testability?
According to this model, these factors can impact if a person with participate in health promoting behaviors.
What is prior experiences, personal characteristics, and perceived barriers to action?
According to the CDC, approximately this many Americans 18 years and older have prediabetes which places them at risk for developing Type 2 Diabetes?
What is 115.2 million?
Per the American Diabetes Association, participants are encouraged to engage in at least this many minutes of moderate-intensity physical activity per week.
What is 150 minutes?
Why would the nurse want to administer the HPLP-II before and after the lifestyle modification program?
What is establishing a baseline and determining if the health-promoting behaviors have improved over time?
Criteria that determines if the concepts are meaningful and relevant to nursing.
What is significance?
The belief that a person has in their ability to be successful with health promoting behaviors is termed this.
What is self-efficacy?