NCLEX · Lifestyle Choices and Disease Prevention

What are the main components of a healthy lifestyle that nurses should teach for disease prevention?

Correct answer

Balanced nutrition, regular physical activity (150 minutes moderate or 75 minutes vigorous per week), avoiding tobacco, limiting alcohol, adequate sleep, stress management, social connections, regular preventive care

  1. A Only diet
  2. B Balanced nutrition, regular physical activity (150 minutes moderate or 75 minutes vigorous per week), avoiding tobacco, limiting alcohol, adequate sleep, stress management, social connections, regular preventive care
  3. C Only exercise
  4. D Avoiding all activities

Why this is the answer

Comprehensive lifestyle teaching addresses major modifiable risk factors for chronic disease. (1) Nutrition: balanced diet emphasizing fruits, vegetables, whole grains, lean protein, healthy fats; limit added sugars, refined carbs, sodium, saturated/trans fats; Mediterranean or DASH diets show strong evidence; portion control. (2) Physical activity: WHO/CDC recommend at least 150 minutes moderate-intensity OR 75 minutes vigorous-intensity aerobic activity per week, PLUS muscle-strengthening 2+ days/week. Any activity beats sedentary; sitting >8 hours daily is a risk factor. (3) Tobacco: avoid all forms (cigarettes, vaping, smokeless tobacco, secondhand smoke); cessation counseling and pharmacotherapy when ready; tobacco causes major morbidity and mortality. (4) Alcohol: limit to ≤1 drink/day for women, ≤2 for men (or less); abstinence preferred during pregnancy and for some medical conditions; no safe level for cancer risk. (5) Sleep: 7-9 hours/night for adults; sleep hygiene practices; address sleep apnea and insomnia. (6) Stress management: mindfulness, exercise, social connection, hobbies, therapy when needed. (7) Social connections: strong social relationships reduce all-cause mortality. (8) Preventive care: annual physical (or every 1-3 years per age), screenings, immunizations, dental care. (9) Sun protection: sunscreen, protective clothing, shade. (10) Safety: seatbelts, helmets, fall prevention, gun safety. These factors prevent leading causes of death: heart disease, cancer, stroke, COPD, diabetes complications, accidents.
Source: NCLEX-RN, Health Promotion — Lifestyle