Public Health Nursing Practice Exam

In the context of counseling an obese client, what system and focus of care is applicable?

1. Family level health promotion

2. Individual level illness prevention

3. Aggregate level illness prevention

4. Individual level health promotion

The correct answer is: Individual level illness prevention

The appropriate choice reflects the importance of tailoring health interventions specifically for the individual experiencing obesity. Individual level illness prevention focuses on assessing and addressing specific health risks and concerns that the client may face. This approach allows the healthcare provider to develop personalized strategies, support, and education based on the unique circumstances, motivations, and health conditions of the client. Counseling an obese client often involves identifying personal barriers to weight management and chronic disease prevention, making it essential to focus on the individual’s lifestyle, behaviors, and attitudes. This individualized care can improve adherence to recommendations and foster a sense of agency in managing their health. The other options, while relevant in broader health promotion contexts, do not emphasize the tailoring to individual needs in the same manner. Family level health promotion considers the dynamics of the family unit but may miss personal factors influencing obesity. Aggregate level illness prevention looks at populations as a whole, which can overlook individual circumstances. Individual level health promotion focuses more on enhancing health without specifically targeting illness prevention, which the chosen answer does effectively.