Health Promotion and Maintenance
What this domain tests
Health Promotion and Maintenance tests screening, immunization, prenatal and well-child care, lifestyle counseling, and prevention across the lifespan. Jordan-specific content may include the national immunization schedule, breast and cervical cancer screening, hypertension and diabetes prevalence, tobacco cessation, and road-safety counseling.
Core rules
- Match screening to age, sex, risk, and national guidance: blood pressure at every adult visit; breast cancer awareness and mammography per risk; cervical screening per national policy; colorectal screening for average-risk adults; prenatal folic acid, iron, and glucose screening.
- Immunize according to the Jordanian national schedule and catch up missed doses; screen for contraindications and document.
- Counsel with the client's context: Ramadan fasting, family decision-making, water-pipe smoking, and physical activity in hot climates.
- Teach prevention as a specific behavior, not general advice: "Walk 30 minutes, five days weekly" rather than "exercise more."
Worked example
A 52-year-old woman with no symptoms asks what screening she needs. She has no family history of breast cancer. The nurse should confirm national mammography guidance and explain breast awareness; check cervical screening status; measure blood pressure; assess tobacco use, including water pipe; and calculate diabetes risk. If eligible, offer mammography and cervical screening, and document informed refusal. Reasoning: screening is risk-based and preference-sensitive; the nurse provides information and facilitates, not coerces.
Traps
- Applying one country's screening schedule without checking Jordanian guidance.
- Missing water-pipe smoking as tobacco exposure.
- Giving general lifestyle advice that the client cannot act on.
- Failing to document declined screening and follow-up.