Exam 3: NAL
The nurse, teaching a class on smoking cessation to a group of middle-age adults, presents the adverse effects of smoking, which include that nicotine A. acts to stimulate the heart. B. assists in decreasing blood pressure. C. causes a decrease in carbon monoxide. D. calms the central nervous system.
Correct Answer: A Acts to stimulate the heart
According to Piaget's theory of cognitive development, the young adult is in the stage of formal operational thought and demonstrates abilities to A. analyze concepts. B. perceive specific examples. C. manipulate concrete objects. D. participate in cooperative interactions.
Correct Answer: A Analyze concepts
Bloom (1984) has developed a hierarchy of cognitive levels in the adult learner. The analysis cognitive level for the adult learner would be A. becoming aware of the relationship and interaction of all the parts. B. recalling specific facts. C. grasping the meaning of the communicated message. D. applying knowledge in the form of abstractions and ideas to concrete situations.
Correct Answer: A Becoming aware of the relationship and interaction of all the parts
Which statement requires further teaching related to food safety practice? A. cooked meats, poultry, and eggs may be left out at room temperature for up to 3 hours B. wash fresh fruits and vegetables thoroughly C. always drink pasteurized juices D. when shopping buy perishable foods last, and take them straight home
Correct Answer: A Cooked meats, poultry, and eggs may be left out at room temperature for up to 3 hours
The nurse, presenting a nutrition class to high school students, emphasizes that the leading cause of death associated with diet is A. coronary heart disease B. cirrhosis of the liver C. infection D. anemia
Correct Answer: A Coronary heart disease
Research has documented what symptom one of the strongest predictors of adolescent obesity? A. Depression B. Excessive TV watching C. Lack of physical activity D. Meal skipping
Correct Answer: A Depression
A nurse has recently accepted a position as a school nurse at a middle school and plans to offer sex education to the students and parents. Which of the following statements is NOT correct concerning how the nurse should implement this program? A. Education on sexually transmitted diseases is not advised until high school. B. Offer gender-segregated sex education classes. C. Survey parents to determine their desire for this education to be provided. D. Determine how this education has been provided in the past, as a first step.
Correct Answer: A Education on sexually transmitted diseases is not advised until high school.
Planned change within a community is dependent upon which of the following factors? A. efforts by individuals or groups motivated to make lifestyle changes B. Community assessment C. Community education D. Changes in legislation
Correct Answer: A Efforts by individuals or groups motivated to make lifestyle changes
The client asks the nurse, "should I take a nutrient supplement?" The nurse explains that nutrient supplementation is indicated in situations such as A. folic acid prior to pregnancy B. calcium in iron-deficiency anemia C. vitamin A during the first trimester of pregnancy D. vitamin E during anticoagulation therapy
Correct Answer: A Folic acid prior to pregnancy
The nurse assesses the cognitive abilities of the adolescent according to Piaget's stage of formal operations as A. having an intolerance of things as they are. B. recognizing the importance of putting others' needs ahead of one's own. C. developing extrovert behaviors. D. accepting family beliefs and values.
Correct Answer: A Having an intolerance of things as they are
The nurse assesses a particular community and finds that there is a persuasive concern about the problem of drug abuse and violence in that community. Which of Gordon's functional pattern best addresses this aspect of community functioning? A. health perception-health management pattern B. cognitive-perceptual pattern C. community analysis pattern D. self-perception- self concept
Correct Answer: A Health perception-health management pattern
Who has priority for being served by the women, infants, and children (WIC) program? A. infants determined to be at risk at nutritional risk from serious medical problems B. individuals at nutritional risk only because they are homeless C. non-breast feeding postpartum women with an nutritional risk D. children (up to age 5) at nutritional risk from serious medical problems
Correct Answer: A Infants determined to be at risk at nutritional risk from serious medical problems
When assessing elderly adults, the nurse determines that malnutrition may be present in a person with A. involuntary decrease of weight of more than 10lb in the last 6 months B. serum albumin level of 5.0 mg/dL C. triceps skin-fold thickness at the 20th percentile D. midarm muscle circumference at the 25th percentile
Correct Answer: A Involuntary decrease of weight of more than 10lb in the last 6 months
The most common childhood school-age cancer is A. leukemia. B. neuroblastoma. C. Wilms' tumor. D. retinoblastoma.
Correct Answer: A Leukemia
A home bound older American would likely receive which of the following nutrition services? A. meals on wheels B. congregate nutritional services program C. nutrition services incentive program (NSP) D. Indian tribal organization (ITO)
Correct Answer: A Meals on wheels
Which of the following diseases has recently increased among adolescents and subsequently resulted in a recommendation for routine administration of a preventive vaccine to adolescents? A. Meningococcal disease B. Measles C. Haemophilus influenzae D. Hepatitis B
Correct Answer: A Meningococcal disease
The nurse is preparing an educational activity for adolescents. The primary reason that emphasis is placed on teaching testicular self-examination is because A. testicular cancer is the number one cancer in the adolescent male. B. adolescents are naturally interested in their developing bodies. C. rapid anatomical changes are occurring in the testes. D. baseline assessment data is necessary for comparison in the future.
Correct Answer: A Testicular cancer is the number one cancer in the adolescent male
A 26-year-old individual has a total cholesterol of 206 mg/dL and an LDL of 110. Which of the following conclusions can be drawn by the nurse? A. The person requires counseling about cardiac disease risk factors. B. The person has achieved the target levels for cholesterol in young adults C. The person has early-onset cardiac disease. D. The person has a very low risk of developing heart disease.
Correct Answer: A The person requires counseling about cardiac disease risk factors
Collaboration with community members and other professionals in a teamwork model describes the nursing function as A. interdependent B. dependent C. independent D. multidisciplinary
Correct Answer: A interdependent
A 48-year-old woman complains to her nurse that she is experiencing frequent episodes of insomnia. What are some measures the nurse should educate her about? (Select all that apply.) A. Avoid or reduce the amount of caffeinated beverages that are consumed. B. Have a regular schedule for waking and sleep. C. Insomnia is common for this age group. D. Engage in activity 1-2 hours before bed to encourage sleep. E. Napping should be encouraged.
Correct Answer: A, B, C Avoid or reduce the amount of caffeinated beverages that are consumed, have a regular schedule for waking and sleep, insomnia is common for this age group
What are the leading nutritional guidelines that are used for translation into law, policy, programs, and consumer messages in the United States? (select all that apply) A. MyPlate B. dietary guidelines for Americans C. dietary reference intake D. food and drug administration E. recommended dietary allowances
Correct Answer: A, B, C MyPlate, dietary guidelines for Americans, dietary reference intake
What goals would the nurse establish with the diabetic person who is given an exercise program? (Select all that apply.) A. Allow people with diabetes to safety participate in activities or sports. B. Maintain or improve cardiovascular fitness to minimize cardiovascular complications. C. Improve muscle strength. D. Improve flexibility which is impaired as muscle collagen becomes glycosylated. E. Assist with weight control for those with type 1 diabetes.
Correct Answer: A, B, C, D Allow people with diabetes to safety participate in activities or sports, maintain or improve cardiovascular fitness to minimize cardiovascular complications, improve muscle strength, improve flexibility which is impaired as muscle collagen becomes glycosylated
Nurses provide health education to people to assist them in achieving a goal of (select all that apply) A. enhanced wellness B. patient empowerment C. lifestyle behaviors to prevent chronic illness D. improved health literacy E. earning enough to purchase health insurance F. qualify for Medicaid
Correct Answer: A, B, C, D Enhanced wellness, patient empowerment, lifestyle behaviors to prevent chronic illness, improved health literacy
A nurse is planning community health programming for young adults. Based on the objectives for Healthy People 2030, which of the following topics would be priority areas for programming? (Select all that apply.) A. Physical activity B. HIV C. Cigarettes D. Unintended pregnancies
Correct Answer: A, B, C, D physical activity, HIV, Cigarettes, Unintended pregnancies
Measurement, as a community data collection method, would include (select all that apply) A. epidemiological data B. the use of senses to determine community appearances C. the type and state of residential dwellings D. the past medical history of persons with influenza E. verbal statements from key community labels
Correct Answer: A, B, C, E Epidemiological data, the use of senses to determine community appearances, the type and state of residential dwellings, verbal statements from key community labels
What are the potential physiological and metabolic changes which are expected in an individual at risk for coronary heart disease once they have adopted regular physical activity? (Select all that apply.) A. Decreasing high blood pressure B. Improving glucose tolerance C. Increasing low-density lipoprotein (LDL) cholesterol D. Decreased risk of ventricular fibrillation E. Decreasing high-density lipoprotein (HDL) cholesterol
Correct Answer: A, B, D Decreasing high blood pressure, improving glucose tolerance, decreased risk of ventricular fibrillation
The nurse provides anticipatory guidance to people during middle age to meet developmental tasks of (Select all that apply.) A. reaching the peak in one's career. B. rediscovering new satisfaction in the relationship with one's spouse. C. passing on traditions and skills to grandchildren. D. helping children become responsible, happy adults. E. disassociating from one's parents.
Correct Answer: A, B, D Reaching the peak in one's career, rediscovering new satisfaction in relationship with one's spouse, helping children become responsible, happy adults
Nurses in the community setting utilize steps when determining the actions needed to resolve existing or potential health concerns, which of the following statements is correct regarding the planning phase of this process? (Select all that apply) A. analysis of the data B. formalization of a community nursing care plan C. determine if the objectives were met D. prioritization of problems identified through the assessment E. identification of immediate, intermediate, and long-term goals
Correct Answer: A, B, D, E Analysis of the data, formalization of a community nursing care plan, prioritization of problems identified through the assessment, identification of immediate, intermediate, and long-term goals
What are some of the most reliable sources of community information that nurses can utilize in their community assessment? (Select all that apply) A. population statistics obtained from the city planning office B. interviews conducted with community residents and key community officials C. random survey mailed to community members D. census information located on-line toward the end of the last decade E. data obtained through the use of a windshield survey
Correct Answer: A, B, E Population statistics obtained from the city planning office, interviews conducted with community residents and key community officials, data obtained through the use of a windshield survey
Recommendations and precautions for people with diabetes who are interested in regular physical activity and exercise include (Select all that apply.) A. avoid high-impact activity when prone to neuropathy in the legs and feet. B. carry a concentrated form of carbohydrate when exercising. C. exercise at the peak times of the insulin. D. exercise approximately 1 hour before meals. E. inject the insulin into a muscle area that will be active during exercise. F. monitor blood glucose levels before and 20-30 minutes after exercise.
Correct Answer: A, B, F Avoid high-impact activity when prone to neuropathy in the legs and feet, carry a concentrated form of carbohydrate when exercising, monitor blood glucose levels before and 20-30 minutes after exercise
Which of the following statements accurately describes poverty in the United States according to the 2010 US Census? (select all that apply) A. 11.5% of the US population experience food insecurity B. income eligibility for food assistance changes every 5 years C. food insecurity is high in households with young children D. lower income families spend higher percent of their income on food E. food assistance programs are not widely used; they serve less than 10% of the population
Correct Answer: A, C, D 11.5% of the US population experience food insecurity, food insecurity is high in household with young children, lower income families spend higher percent of their income on food
A nurse is discussing being a safe driver as part of a driver's education course. Which of the following recommendations would the nurse include in this presentation? (Select all that apply.) A. Driving during daytime hours. B. Driving mid-sized two door vehicles is recommended. C. Avoiding talking on cell phones. D. Wearing safety belt.
Correct Answer: A, C, D Driving during daytime hours, Avoiding talking on cell phones, Wearing safety belt
Which of the following general statements about physical activity are true? (Select all that apply.) A. Higher education and income are associated with more leisure-time activity. B. Women are more active than men. C. Ethnic minorities are less active than white Americans. D. People who are obese are usually less active than their leaner counterparts. E. Physical activity increases with age.
Correct Answer: A, C, D Higher education and income are associated with more leisure-time activity, ethnic minorities are less active than white Americans, people who are obese are usually less active than their leaner counterparts
Which of the following are Healthy People 2030 objectives related to nutrition? (select all that apply) A. increase the consumption of fruits and vegetables in persons aged 2 years an older B. decrease the number of persons requiring SNAP (food stamp) services C. reduce iron deficiency in females age 12-49 D. reduce the proportion of adults who have obesity E. reduce household food insecurity and hunger F. increase the number of people who understand and follow the food pyramid
Correct Answer: A, C, D, E increase the consumption of fruits and vegetables in persons aged 2 years an older, reduce iron deficiency in females ages 12-49, reduce the proportion of adults who have obesity, reduce household food insecurity and hunger
The nurse discusses discipline for school-age children with a group of parents at a parent-teacher association meeting. Principles include (Select all that apply.) A. setting age-relevant limits. B. ignoring the child's whining after a decision has been made. C. modeling appropriate behavior. D. using humor to decreases the intensity of the situation. E. focusing on the misbehavior in an attempt to eliminate it. F. using distraction or substitution to avoid a problem situation.
Correct Answer: A, C, D, F Setting age-relevant limits, modeling appropriate behavior, using humor to decreases the intensity of the situation, using distraction or substitution to avoid a problem situation
The school nurse teaches which of the following dietary guidelines to the parents of children and adolescents? (Select all that apply.) A. Children should consume at least 3 cups of fruits and vegetables per day. B. Children should consume 5 ounces of steak daily. C. Children should consume 5 ounces of lean meat or beans each day. D. Children require 4 cups of whole milk products per day. E. Children and adolescents should consume 4-6 ounces of grains each day.
Correct Answer: A, C, E Children should consume at least 3 cups of fruits and vegetables per day, children should consume 5 ounces of lean meat or beans each day, children and adolescents should consume 4-6 ounces of grains each day
The parents of a school-age child report that their 9-year-old son walks in his sleep almost every night. The school nurse includes which of the following elements of education? (Select all that apply.) A. Sleep disturbances occur most often in the first 1-2 hours after going to sleep. B. Sleep disturbances are usually related to respiratory problems. C. Sleep disturbances are more common in the preschool and school-age years. D. Girls are more prone to sleep disturbances than boys. E. Problems may be influenced by fatigue and stress within the child.
Correct Answer: A, C, E Sleep disturbances occur most often in the first 1-2 hours after going to sleep, sleep disturbances are more common in preschool and school-age years, problems may be influenced by fatigue and stress within the child
Which of the following interventions can be appropriately applied by the nurse, after clarifying behaviors which the person is willing to change? (select all that apply) A. assess and offer resources to decrease barriers to change B. implement compliance as a condition of continued care C. motivate using personalized message D. enlist persons from the same culture to apply pressure for healthy choices E. assess and increase self-efficacy
Correct Answer: A, C, E assess and offer resources to decrease barriers to change, motivate using personalized message, assess and increase self-efficacy
A 50-year-old man is initiating an exercise program to help improve his cardiovascular health. What are some of the recommended guidelines that the nurse should instruct him on? (Select all that apply.) A. Overexertion should be avoided. B. Adults over the age of 50 benefit from intense strength training. C. Every adult over the age of 50 should start with a daily running program. D. Increase fluid intake during periods of strenuous exercise in hot weather. E. Suggested activities include walking, jogging, swimming, and bicycling.
Correct Answer: A, D, E Overexertion should be avoided, increase fluid intake during periods of strenuous exercise in hot weather, suggested activities include walking, jogging, swimming, and bicycling
The nurse emphasizes warning signs of suicidal risks in adolescents during a health-education class. These signs include (Select all that apply.) A. sleep disorders. B. hyperactivity. C. lethargy. D. increased accidents. E. difficulty concentrating.
Correct Answer: A, D, E Sleep disorders, increased accidents, difficulty concentrating
The nurse provides educational information to a group of adolescents on decreasing the incidence of acne. Information presented includes which of the following? A. "Expose your face to sunlight at least 2 hours per day." B. "Wash your face with soap and water 2 times per day." C. "Remove all pustules and papules with special instruments." D. "Decrease chocolate intake in your diet."
Correct Answer: B "Wash your face with soap and water 2 times per day."
The nurse plays an active role in ___ individuals to make their own informed decisions about health care A. persuading B. empowering C. coercing D. directing
Correct Answer: B Empowering
Which of the following statements is correct regarding firearms? A. Surprisingly, Healthy People 2030 does not address firearms as did Healthy People 2020. B. For safety, guns should be stored apart from ammunition. C. The 2nd amendment covers rifles and shotguns but not handguns. D. Toy guns has been shown to increase violence later in life.
Correct Answer: B For safety, guns should be stored apart from ammunition
Working families with an income too low to purchase health insurance and too high to qualify for Medicaid would be an example of which of the following issues? A. low health literacy B. health disparity C. federally subsidized health care D. poor quality health care
Correct Answer: B Health disparity
Emphasis on disease prevention for the young adult, after age 25, is on modifying risk factors. Which of the following diseases would be a health issue for which modifiable risk factors in the young adult would have significant impact on later life? A. Colon cancer B. Hypertension C. Cirrhosis of the liver D. Pancreatic cancer
Correct Answer: B Hypertension
The nurse is developing a physical activity program for populations with low rates of physical activity. This program should focus on individuals with A. higher education levels. B. lower incomes. C. no disabilities. D. an age less than 50 years old.
Correct Answer: B Lower incomes
A condition of the bone that is the result of bone lysis exceeding the rate of bone matrix synthesis is called A. osteoarthritis. B. osteopenia. C. osteoporosis. D. kyphosis.
Correct Answer: B Osteopenia
What are the current recommendations of the US Preventive Services Task Force concerning breast cancer? A. Breast ultrasound screening beginning at age 35 B. Recommends against teaching breast self-examination C. Screening mammograms beginning at age 30 D. Mammogram every 2 years if on birth control pills from age 35
Correct Answer: B Recommends against teaching breast self-examination
Which of the following statements is correct about self-esteem development in a child? A. Avoid rewarding success with badges, stars and privileges to prevent an overly inflated egos B. Self-esteem develops with the successful completion of the tasks of this period C. There are no gender differences related to self-esteem D. Studies have not documented correlation between self esteem and academic achievement
Correct Answer: B Self-esteem develops with the successful completion of the tasks of this period
The health agencies, schools, fire departments, and governmental bodies are examples of the __of a community. a. demography b. structure c. function d. population
Correct Answer: B Structure
Which of the following statements is correct concerning scoliosis? A. It is more common in adolescent boys than girls. B. There are conflicting recommendations for screening. C. Curves greater than 12 degrees are abnormal and can progress during growth spurt. D. It involves excessive lordotic curvature to the spine.
Correct Answer: B There are conflicting recommendations for screening
Parents of a 7-year-old boy request a discussion with the school nurse on how they can resolve the child's nighttime enuresis. The nurse advises that nighttime enuresis A. should have consequences to eliminate the behavior. B. treatment might include an alarm and waking schedules. C. is an intentional act with a psychological basis. D. is often treated with fluid restriction.
Correct Answer: B Treatment might include an alarm and waking schedules
Which of the following statements about alcohol intake is correct? A. Alcohol is a CNS stimulant causing people to be more social and less shy B. Women are more vulnerable than men to the effects of alcohol C. Moderate drinking is defined as no more than two drinks per day for women. D. All of the above are correct
Correct Answer: B Women are more vulnerable than men to the effects of alcohol
Parents and caregivers who teach and model health-promotion concepts to school-age children can expect which of the following behaviors? (Select all that apply.) A. Children who obey authority figures and do as they are told B. Children who make a link between behavior and improved health C. Children who develop good personal hygiene and dental care D. Children who develop health values as part of education E. Children who become passive health care consumers
Correct Answer: B, C, D Children who make a link between behavior and improved health, children who develop good personal hygiene and dental care, children who develop health values as part of education
Which of the following concepts are accurate regarding the biological changes in the young adult period? (Select all that apply.) A. Physical growth continues into the 30s. B. Illness compensatory mechanisms generally operate optimally. C. Physical abilities of the young adult are at their peak. D. Most concerns are related to ensuring optimal body functioning. E. Young adulthood sees the highest illness rate of any other age group.
Correct Answer: B, C, D Illness compensatory mechanisms generally operate optimally, physical abilities of the young adult are at their peak, most concerns are related to ensuring optimal body functioning
What are some of the social trends creating interest in health promotion in the united states? (Select all that apply) A. increases in medical malpractice claims B. the US census bureau report that the older population increased faster than the total population C. older people tend to have more chronic diseases D. Healthy People 2030 emphasis on disease prevention and health promotion E. focus on health care shifting to a reactive state
Correct Answer: B, C, D The US census bureau report that the older population increased faster than the total population, older people tend to have more chronic diseases, Healthy People 2030 emphasis on disease prevention and health promotion
Common visual conditions which may occur in middle-aged adults include which of the following? (Select all that apply.) A. Presbycusis B. Presbyopia C. Cataracts D. Glaucoma E. Macular degeneration
Correct Answer: B, C, D, E Presbyopia, cataracts, glaucoma, macular degeneration
The nurse is assessing a 12-year-old female with an admission diagnosis of anorexia nervosa. The data collected that support this diagnosis should include (Select all that apply.) A. binge eating followed by purging. B. self-starvation with significant weight loss. C. preoccupation with food. D. eating an amount of food that is definitely larger than most people would eat. E. compulsive physical activity.
Correct Answer: B, C, E Self-starvation with significant weight loss, preoccupation with food, compulsive physical activity
The community health nurse is preparing to educate a group of mothers at the local middle school. Her teaching curriculum is aimed at providing the women with information about bone health and osteoporosis risk factors. Which of the following statements should be included in the presentation? (Select all that apply.) A. Physical activity should include aerobic exercise but strength training is ineffective in preventing osteoporosis. B. Skeletal mass is maintained in adulthood through physical activity. C. It is important to optimize intake of calcium and vitamin D. D. It is not possible to retard the effects of osteoporosis. E. Some loss of bone begins to occur after the age of 30.
Correct Answer: B, C, E Skeletal mass is maintained in adulthood through physical activity, it is important to optimize intake of calcium and vitamin D, some loss of bone begins to occur after the age of 30
Which of the following statements accurately describe one of the five stages of health-related behavior change according to the transtheoretical model (TTM)? (select all that apply) A. sustained change over time occurs in the contemplation phase B. maintenance begins 6 months after the action has started and continues indefinitely C. when a person is considering adoption of a change within the next 6 months, she or he is said to be in the precontemplation phase D. small, sporadic changes occur in the planning phase, as the individual is seriously thinking about making a change within the next month
Correct Answer: B, D Maintenance begins 6 months after the action has started and continues indefinitely, small, sporadic changes occur in the planning phase, as the individual is seriously thinking about making a change within the next month
Which of the following statements is correct concerning young adults? (Select all that apply.) A. Young adults are immune to Covid-19 B. The leading causes of death for age 15-24 years are unintentional injuries, homicide and suicide C. All states have helmet laws D. Young adults have high risk-taking behaviors E. Healthy People 2030 would like to increase the percentage of persons who are vaccinated against influenza.
Correct Answer: B, D, E The leading causes of death for age 15-24 years are unintentional injuries, homicide, and suicide, young adults have high risk-taking behaviors, Healthy People 2030 would like to increase the percentage of persons who are vaccinated against influenza
The nurse employs the windshield survey approach to community assessment. Which of the following data is she likely to learn from utilizing this method? (select all that apply) A. what is the water quality in the community? B. what playground facilities are available for the children? C. what nutritional services are available to community residents? D. what shopping facilities in the community are visible? E. type and economic status of residential dwellings
Correct Answer: B, D, E What playground facilities are available for the children, what shopping facilities in the community are visible, type and economic status of residential dwellings
Which of the following statements is correct concerning the Health Perception-Health Management pattern in young adults? (Select all that apply.) A. Persons aged 19-26 have the highest rate of obtaining healthcare insurance B. Young adults may now continue coverage on their parents policies to age 26 C. A full health appraisal is recommended beginning at age 30 D. Online communication is discouraged for this group who already have too much screen time E. Healthy People 2030 has a goal to improve patient-provider communication
Correct Answer: B, E Young adults may now continue coverage on their parents policies to age 26, Healthy People 2030 has a goal to improve patient-provider communication
The nurse initiates an exercise program with middle-aged adults by A. advising that the heart rate should double during exercise for cardiovascular benefits to be achieved. B. planning physical activity for a minimum of 45 minutes. C. considering activities that have the least potential for injury. D. counseling the adult that exercise should be rigorous to produce results.
Correct Answer: C Considering activities that have the least potential for injury
Which of the following statements concerning the effects of exercise on the immune system is correct? A. Recommended parameters are that HIV patients limit exercise to 30 minutes weekly. B. Persons with impaired immune systems need to take a cautious approach to exercise. C. Exercise may be protective versus some types of cancer. D. All of the above statements are correct.
Correct Answer: C Exercise may be protective versus some types of cancer
Nutrition during pregnancy is important as it significantly impacts fetal health. Which of the following nutrients should include supplementation in addition to dietary intake? A. Niacin B. Magnesium C. Folic acid D. Vitamin C
Correct Answer: C Folic Acid
Any combination of planned experiences based on sound theories that provide individuals, groups, and communities the opportunity to acquire the information and skills needed to make quality health decisions known as A. health promotion B. health counseling C. health education D. health knowledge
Correct Answer: C Health education
The communication of health information in a manner which is clear and understandable fosters which of the following? A. health disparities B. empowerment C. health literacy D. health education
Correct Answer: C Health literacy
A target goal of Healthy People 2030 is to reduce the incidence HPV infections. Which of the following statements is NOT correct concerning this health problem? A. It can result in oropharyngeal cancer. B. It is spread through sexual contact. C. It causes painful genital lesions as an early presentation. D. A vaccine is available for HPV.
Correct Answer: C It causes painful genital lesions as an early presentation
What is the leading causes of death among children and young adults are due to injuries from which of the following? A. Burns B. Homicide C. Motor vehicle crashes D. Suicide
Correct Answer: C Motor vehicle crashes
Which of the following is a normal physiological change that occurs during middle age? A. Increase in the amount of estrogen produced in both genders B. Reduction in height resulting in kyphosis C. Reduction of glomerular filtration by 50% D. Increase in gastric emptying resulting in acid reflux
Correct Answer: C Reduction of glomerular filtration by 50%
Which of the following is the SECOND leading cause of death for teens and young adults, 15 to 24 years? A. Accidents B. Sport injuries, especially head trauma C. Suicide D. Bone cancer
Correct Answer: C Suicide
The nurse assessing conventional level moral development in 12-year-old children would expect to see which behaviors? A. The child behaves because there is a fear of punishment. B. The child's moral development is characterized by self-interest. C. The child looks to others for approval. D. The child views behavior as completely right or wrong.
Correct Answer: C The child looks to others for approval
Which of the following statements regarding childhood obesity is correct according to the 2015-2016 National Health and Nutrition Examination Survey (NHANES)? A. All of the above statements are correct. B. The rate of childhood obesity shows sex differences. C. The prevalence of obese children, adolescents, and adults has increased and is epidemic. D. Ten percent (10%) of children and adolescents are obese.
Correct Answer: C The prevalence of obese children, adolescents, and adults has increased and is epidemic.
Which measures are used to diagnose an individual as being obese? (Select all that apply.) A. Body fat percentage of 15% for women B. BMI 25.0-29.9 C. Body fat percentage greater than 16% for men D. BMI 30.0 or higher E. Body fat percentage greater than 24% for women
Correct Answer: C, D, E Body fat percentage greater than 16% for men, BMI 30.0 or higher, body fat percentage greater than 24% for women
What are some of the components of the health belief model that can assist nurses in determining the probability of an individual to make change? (select all that apply) A. the value of health as determined by significant other B. external pressure to change C. perceived seriousness of disease D. perceived susceptibility to health problem, disease, or complications E. risk factors of disease attributed to heredity, race, or culture
Correct Answer: C, D, E Perceived seriousness to change, perceived susceptibility to health problem, disease, or complications, risk factors of disease attributed to heredity, race, or culture
What are some of the differences that may be encountered by the nurse working with the rural population? (Select all that apply) A. poverty rated have increased in urban vs rural areas B. the Midwest has been insulated from poverty dur to farming C. poverty rates increased in Hispanic communities D. health may be different in urban vs rural areas E. poverty clusters exist, particularly in southern regions
Correct Answer: C, D, E Poverty rates increased in Hispanic communities, health may be different in urban and rural areas, poverty clusters exist, particularly in southern regions
According to Healthy People 2030 objectives, improvement is needed with respect to the number of persons who are engaged in regular physical activity. Numerous 2030 objectives directly address increasing physical activity. Which type of physical activity uses stored adipose tissue as a major fuel source? A. Exercise training B. Anaerobic exercise C. Muscular fitness D. Aerobic exercise
Correct Answer: D Aerobic exercise
Which of the following statements is correct concerning intimate partner violence? A. Males are not ever victims of physical violence B. The risk increases as age of first marriage increases. C. It occurs primarily in lower socioeconomic settings. D. All reproductive-aged women should be screened for intimate partner violence
Correct Answer: D All reproductive-aged women should be screened for intimate partner violence
The nurse incorporated cultural considerations into the health teaching plan by A. presenting evidence-based information B. using medical terminology C. explaining the universal health practice are the best D. assessing a person's beliefs
Correct Answer: D Assessing a person's beliefs
According to Piaget, which of the following operations are displayed as the child begins to add flexibility and control to their thinking? A. Abstract B. Egocentric C. Formal D. Concrete
Correct Answer: D Concrete
The school nurse is developing an information pamphlet on prevention of obesity in school-age children. Interventions stated on the pamphlet would include which of the following? A. Reward the child with fast food but only for school achievement. B. All of the above. C. Serve healthy food at breakfast and dinner; child is unrestricted for lunch. D. Encourage child to participate in food preparation. E. Eating permitted in front of television but only for educational programs.
Correct Answer: D Encourage the child to participate in food preparation
The leading causes of death in middle adulthood include A. gastrointestinal disease. B. respiratory disease. C. kidney disease. D. heart disease.
Correct Answer: D Heart disease
To facilitate the adolescent's need for controlling behaviors, the nurse implements an intervention that A. asks the adolescent how he or she would like to handle the situation. B. consults with the parents regarding the adolescent's health care needs. C. gives specific, detailed instructions in writing. D. partners with the adolescent to develop a plan.
Correct Answer: D Partners with the adolescent to develop a plan
The nurse, teaching a class on reducing the incidence of heart disease, emphasizes that the major risk factors for heart disease are A. age between 45 and 55 B. fasting blood glucose of 97 mg/dL C. HDL greater than 40 mg/dL D. peripheral arterial disease
Correct Answer: D Peripheral arterial disease
The nurse facilitates the adolescent's self-perception-self-concept development by A. developing a plan for the adolescent's future growth. B. complementing the adolescent for what is accomplished. C. encouraging the adolescent to join in group activities. D. praising the adolescent for who he or she is.
Correct Answer: D Praising the adolescent for who he or she is
A hospital creates a Facebook page for the bariatric surgery program, the owner of the site posts health recipes, lifestyle information, and information about upcoming workshops. This is an example of A. a teaching plan B. coercive advertising C. health literacy D. social marketing
Correct Answer: D Social marketing
A 14-year-old female is in for a physical exam. Which finding requires further investigation? A. Facial acne B. A height spurt since her last visit C. Noticeable sweating and body odor with activity D. The lack of breast buds or breast development
Correct Answer: D The lack of breast buds or breast development
During middle adulthood, physiological changes affect most bodily systems. These changes include A. increased cardiac output. B. increased glomerular filtration rates. C. stable bone density and mass until the mid-60s. D. thinning of the intervertebral disks
Correct Answer: D Thinning of the intervertebral disks
The nurse is teaching the parents of 8- and 9 year-old children about safe bicycling. The nurse emphasizes the principles of transportation safety, to include which of the following? A. Encouraging a backpack for carrying objects to promote back and shoulder strength B. Riding on the side of the road traveling opposite to the traffic C. Observing rules for pedestrians vs vehicular traffic D. Wearing an approved helmet when bicycling
Correct Answer: D Wearing an approved helmet when bicycling
The nurse is presenting information on the effects of exercise on lipid metabolism. The nurse emphasizes that A. exercise has little influence on plasma levels of HDL (high-density lipoprotein) and triglycerides. B. the effect of exercise on lipid metabolism is related to the intensity of the exercise. C. longer periods of exercise produce smaller increases in HDL. D. increases in HDL lower the total cholesterol-HDL ratio.
Correct Answer: D increases in HDL lower the total cholesterol-HDL ratio
The nurse is teaching a class to nursing students on the relationship between exercise and immune system function. Content should include A. moderate exercise decreases the release of immunostimulatory hormones. B. high-intensity exercise decreases the incidence of upper respiratory infections. C. intense exercise is associated with a decrease in catecholamine and corticosteroid levels. D. moderate exercise is associated with a prolonged improvement in the killing capacity of neutrophils.
Correct Answer: D moderate exercise is associated with a prolonged improvement in the killing capacity of neutrophils.
A 35-year-old person asks the nurse working in a dermatology clinic what causes skin to wrinkle. Which of the following statements would be most appropriate way for the nurse to reply? A. "Wrinkles appear for a number of reasons, including loss of fat beneath your skin and too much sun exposure." B. "As we age, we develop more cellulite under the skin which results in wrinkles." C. "Wrinkles are caused by genetic factors combined with Vitamin D deposits under the skin." D. "It is simply a part of normal aging and it is not preventable."
Correct answer: A "Wrinkles appear for a number of reasons, including loss of fat beneath your skin and too much sun exposure."
A nurse is conducting a community education program. Which of the following should be stressed the leading cause of death in middle-age adults? A. Heart disease B. Malignant disease C. Automobile accidents D. Suicide
Correct answer: A Heart disease
Which of the following teenagers is exhibiting a behavior that cause for concern and requires further evaluation? A. Is agitated and has trouble sleeping with lethargy on some days B. Values his friend's opinion more than his parent's opinion C. Feels happy on most days but on some days she feels sad D. Has a lot of homework and stays up late to finish it
Correct answer: A Is agitated and has trouble sleeping with lethargy on some days
Which of the following is NOT a risk for suicide? A. Using marijuana - legal or otherwise B. All of the above are risk factors for suicide C. Family member or friend who attempted suicide D. Having a firearm in the home
Correct answer: A Using marijuana - legal or otherwise
A nurse is conducting a community health-education program for Hispanic women ages 18 to 35. Which of the following items should the nurse recommend that they increase in their diet on a daily basis? (Select all that apply.) A. Folic acid B. Iron C. Calcium D. Sodium
Correct answer: A, B, C Folic acid, Iron, Calcium
A nurse is conducting a school-wide in-service program about child abuse and is asked to describe common indicators of abuse. Which of the following signs would the nurse include? (Select all that apply.) A. Lack of emotional response from child to a playground injury B. Caregivers and parents who are reluctant to take the child for treatment for an injury C. Statement by the day care provider that the child was injured by falling off a chair D. Explanation of the injury from the child and caregiver or parent that is similar
Correct answer: A, B, C Lack of emotional response from child to a playground injury, Caregivers and parents who are reluctant to take the child for treatment for an injury, Statement by the day care provider that the child was injured by falling off a chair
A nurse has received a grant to provide a community-based education series for middle-age adults. Which of the following topics would allow the nurse to have the greatest impact on the health of members of this age group? A. Cancer prevention B. Seat belt use C. Diet and exercise D. Depression screening
Correct answer: C Diet and exercise
A nurse is counseling a 23-year-old woman about hormone-containing (estrogen or estrogen/progestin) contraceptive methods: oral, transdermal, injectable, vaginal ring, and implant methods. Which of the following risks of using these methods should be stressed by the nurse? A. Heavy menses B. Ectopic pregnancy C. Toxic shock syndrome D. Thromboembolic disorders (blood clots)
Correct answer: D Thromboembolic disorders (blood clots)