HP final
A man states that he would like to change his dietary habits to decrease his risk of developing cancer in the future. Which of the following statements would be the best response for the nurse?
"Consume at least 2½ cups of fruits and vegetables each day."
During a routine clinic visit, a pregnant woman expresses concern about reflux she is experiencing. Which statement should be made by the nurse when addressing the woman's concern?
"Frequent heartburn is a result of gastrointestinal system changes that occur during pregnancy."
A nurse is teaching parents of a toddler about nutrition. Which of the following statements should be made by the nurse?
"Hot dogs are not a safe food choice because they may cause choking."
A nurse is counseling a person with heart disease. Which of the following statements made by the individual would require the nurse to provide additional education?
"I add salt to many of the food that I eat to enhance the flavor."
Which of the following statements made by a client best identifies someone who would likely to be receptive to health-promotion interventions?
"I have a new grandchild and want to be part of her life."
A nurse is caring for a client who is 30 weeks pregnant at a prenatal visit. Which of the following statements made by the client would be of concern to the nurse and warrant further explanation and close follow-up?
"My husband complains every time I ask him to do something for me."
The president of the Parent-Teacher Association asks the school nurse about the appropriateness of sponsoring a health fair that focuses on oral health for school-age children. Which of the following statements indicates the nurse's correct understanding of this issue?
"Over 40% of children age 2 to 11 have dental caries, so a health fair that focuses on oral care is very appropriate."
The school nurse conducting an in-service program for teachers is asked about general growth and development of school-age children. Which of the following statements would be the best response by the nurse?
"Overall growth in school-age children is slower than during infancy and adolescence."
A nurse is defining stress to a person. Which of the following statements should the nurse should make?
"Stress is a state of threatened homeostasis that triggers an adaptive response."
A 37-year-old woman asks the nurse if she should take a daily nutritional supplement. Which of the following would be the best reply by the nurse?
"The best way to obtain nutrients is by eating a variety of foods."
The nurse is explaining the concept of growth to a parent. Which of the following statements should be made by the nurse?
"We continue to grow in various ways throughout life."
A nurse is working with a person to increase his daily exercise and activity. Which of the following statements by the nurse best demonstrates the use of reflection?
"You said that you have difficulty making time in your day for exercise."
A nurse is caring for a pregnant woman who has a pre-pregnancy body mass index (BMI) of 27. Which of the following instructions should the nurse provide the woman regarding weight gain during pregnancy?
"You should gain 15 to 25 pounds during your pregnancy."
Match the fluid guidelines with timing: 1. Drink 16-20 oz 2. drink 8-12 oz 3. drink 3-8 oz 4. drink 20-24 oz
1. 4 hours before exercise 2. 10-15 mins prior to exercise 3. every 15-20 mins while exercising 4. for every lb lost after exercise
Match the types of stress with the correct examples: 1. stressor 2. eustress 3. distress 4. caregiver stress
1. anything that disrupts the tendency of the system 2. work deadline 3. divorce 4. taking care of a dying relative
A woman usually eats an 1800-calorie diet. She is now in the second trimester of her pregnancy. Which of the following best describes the caloric nutritional needs for this woman during the second and third trimester?
2100 calories
at what age is the brain fully developed
25
According to the physical activity and fitness section of the Healthy People 2020 report, what percentage of adults 18 years of age or older report no leisure-time physical activity?
30%
In regards to obesity the recommended amount of exercise is
40-60 min a day 5-7 times a week
During which week would pregnancy begin to pose health concerns for the fetus?
42 weeks
an infant receives its first dose of the Hep A vaccine at 12 months old. How long after this first dose should the child receive a second dose for lasting protection?
6 months
According to Erikson's theory of development, which of the following older adults has successfully navigated the stage of ego integrity versus despair?
80-year-old man who has informed his children that he has made his funeral arrangements
how many hours of sleep do researchers say adolescents need for adequate sleep?
9-9.5 hours per night
Which of the following middle-age adults has successfully transitioned to Erikson's generativity-versus-stagnation stage of development?
A 60-year-old woman who retired last year and volunteers at a homeless shelter 2 days a week
Which of the following people has exceeded the recommended guidelines for activity?
A 60-year-old woman who walks briskly to achieve a pulse rate of 155 during activity
Which of the following people is at greatest risk for a hip fracture secondary to osteoporosis?
A 66-year-old White woman
A nurse makes a home visit to a 15-month-old following a hospitalization for a fall. Which finding would be concerning to the nurse?
A decorative bowl filled with colorful marbles on the coffee table
Which of the following mothers would be most likely to bond appropriately with their infant?
A mother who feels great about herself will show love toward the infant and bond appropriately.
Which of the following is one of the four overreaching goals for Healthy People 2020 (US Department of Health and Human Services)?
Achieve health equality and eliminate disparity for all groups
A nurse is counseling a person who was recently diagnosed with diabetes about how to prevent the complications of this disease. Which of the following interventions would be stressed the most by the nurse?
Adhering to medical nutrition therapy
Which of the following ethnic groups has a disproportionately high death rate from unintentional injuries and suicide?
American Indian/Alaska Native Americans
Which of the following illustrates that the objectives of health education and counseling have been met?
Asthmatic who has a decrease in emergency department visits
Which of the following statements concerning infant nutrition is correct?
Breast milk and formulas contain 50% of their calories from fat.
A new mother has decided to breastfeed her infant after having bottle-fed her other two children. Which of the following information about having a breast-fed infant should the nurse discuss with the mother?
Breast-fed infants have more frequent bowel movements than bottle-fed babies.
Which of the following effects of divorce on middle-age adults and children has been documented by research?
Children of divorced parents may have emotional effects lasting for decades
A community health nurse is educating a community group about the 2015-2020 Dietary Guidelines for Americans. Which of the following information would be included in this presentation?
Choose nutritionally dense food and beverages.
A mother asks a nurse what the best toy would be for her 2-month-old. Based on the growth and development of the infant, which of the following recommendations should be made by the nurse?
Colorful mobile with music
Which of the following best describes an abnormality in structure or function that occurs during fetal development?
Congenital defect
Which of the following is a normal physiological change that occurs during middle age?
Decrease in kidney function
An overweight woman is in the preparation stage of change. Which of the following interventions would be the most appropriate for the nurse to implement?
Develop a low-calorie/low-fat diet with her so she can follow it at home.
The school nurse has been asked to conduct a community awareness program about accidents that impact the school-age child. Which of the following facts should be included in the program?
Drowning and motor vehicle accidents are the leading causes of fatality.
An overweight woman joins a support group to help her lose weight. During her first session, the nurse explains the components of a healthy diet and discusses with the woman how she can eat out and still maintain a healthy diet. She asks the woman what her goal is and emphasizes that she herself is the key to success. What is the nurse promoting through the use of this strategy?
Empowerment
Which of the following statements about race and culture in the United States is correct?
Ethnic minority populations have higher rates of low-birth-weight infants.
Which of the following statements concerning the effects of exercise on the immune system is correct?
Exercise may be protective versus some types of cancer.
A nurse is conducting a home visit for an older adult in the summer. Which of the following items should the nurse should locate in the home in the interest of preventing a heat stroke?
Fan
Which of the following statements is correct related to the concept of growth?
Growth occurs throughout the life cycle.
A 4-year-old boy had an episode of enuresis. Which of the following actions should be taken by the parents?
Have him change his own pajamas before returning to bed.
A nurse discussing the care of a person on the surgical unit following gastric bypass surgery with a friend is in violation of the
Health Insurance Portability and Accountability Act of 1996.
what is the first vaccine given to babies at birth
Hep B vaccine
Which of the following statements best defines the concept of holistic nursing care?
Holistic nursing care takes into consideration all aspects of a person's life.
A high school sophomore engages in risky behavior to fit in with his peers. According to Erikson's theory of human development, which of the following developmental conflicts is this student facing?
Identity versus role confusion
Which of the following changes is experienced by the urinary system during pregnancy?
Increased urinary output secondary to total body water increase
Which of the following represents a method of primary prevention?
Informational session about healthy lifestyles
During a well-child visit, a father tells the nurse that the preschool-aged child has been enjoying their "road trips" that they take together. On such occasions, the child gets to sit in the front seat of the car with him. Which of the following actions should the nurse take next?
Instruct the father on the dangers of having small children in the front seat.
Which of the following statements accurately reflect primordial prevention?
It is a health-promotion strategy which reflects policy-level interventions.
A nurse is discussing various types of stress to a group of adults. Which of the following would be used as an example of eustress?
Joining a cardiac rehabilitation exercise program after a myocardial infarction
From the perspective of the parents of the teenager, which of the following is an adaptive and beneficial approach to the task of parenting teenagers?
Learning how to let go
A nurse is providing education about improving self-awareness to a small group of women who have been victims of domestic violence. Which of the following should the nurse recommend the care recipients do first to improve their self-awareness?
Listen to oneself and pay attention to emotions, thoughts, and reactions.
Which of the following would be not considered a predictor of satisfaction with retirement?
Living on government assistance
A pregnant woman with two toddlers living at less than 135% of the federal poverty level would be eligible for
Medicaid.
Which of the following statements is correct concerning vaccinations for the school-aged child?
Meningococcal vaccine at age 11 to 12
Which of the following complementary/alternative therapies involves emphasizing healthy lifestyle, strengthening and cleansing the body, and noninvasive treatments?
Naturopathy
During a well-child visit, a parent tells the nurse that their preschooler occasionally wakes up during the middle of the night and tells them about "scary things." He is fully awake when the parents enter the room. The child often recalls the incident the following morning. Based on growth and development, which of the following would be the most common reason for the preschooler to wake up?
Nightmares
Which of the following statements about nonverbal communication is true?
Nonverbal behavior is culturally and situationally bound.
A nurse includes the statement, "Treat others the way you would like to be treated." when teaching a group of adolescents about bullying. Which type of ethical theory is being used in this example?
Normative theory
Which is a violation of the Health Insurance Portability and Accountability Act of 1996?
Nurse discussing the person's case with his or her school nurse
A 2-year-old child has hives. Of the following items ingested, which is most likely to have caused the allergic reaction?
Oatmeal-peanut cookies
A pregnant woman reports to the nurse that the first day of her last menstrual period was January 22. Using Nägele's rule, which of the following dates would be the most accurate estimated date of delivery?
October 29
A nurse is developing an educational program about SIDS for a new mothers' support group in the community. Which of the following information would be included in this presentation?
Parents are encouraged to place their infants in the supine sleeping position.
A nurse is investigating an outbreak of a food-borne illness occurring at a local school. Which of the following would contribute to a chemical contamination resulting in food-borne illness?
Pesticide on the fresh fruit
Which of the following represents a method of tertiary prevention?
Physical and occupational therapy after a motor vehicle accident with head trauma
Kohlberg's theory of moral development is based on
Piaget's theory of cognitive development.
A man tells a nurse that he is concerned about his risk and his wife's risk of developing cancer. Which of the following statements concerning cancer is accurate?
Proper screening test can help detect cancer early and prevent spread.
Which of the following is an example of passive immunity?
Protection from drinking breast milk
An infant is lying in a crib watching and listening to a colorful mobile. Which of the following statements is correct concerning a mobile for an infant?
Provides stimulation necessary for continued growth and development for the infant
A health care professional is caring for an Arab American individual. Which of the following cultural practices of this ethnic minority should be considered when planning care?
Religion plays an important role in this culture.
Which of the following is correct concerning heat regulation in the older adult?
Remaining indoors where temps are 90 degrees or higher is recommended.
Which of the following individuals has a modifiable, nutrition-related risk factor for stroke?
Russian man, age 40, who drinks 3 oz of vodka daily
Which of the following screening parameters is NOT included among recommended preventative screening services for children and adolescents?
Screening for IQ in children
Which of the following emphasizes that an individual's belief in being personally capable of performing the behavior is required to influence one's own health?
Social cognitive theory
Which of the following statements concerning spirituality is correct?
Spirituality is a search for the meaning of existence.
Which of the following is the definition of physical fitness?
The ability to perform physical activity without undue fatigue or risk of injury
The nurse suspects a 5-year-old child has asthma. Which information garnered from the child's medical history would be a risk factor for asthma or for exacerbating asthma?
The child sleeps every night with the family dog in his bed.
Which of the following statements about the current prevalence of obesity is accurate?
The current generation of children may be less healthy and have a shorter life expectancy than their parents.
Halbert Dunn (1961) introduced the concept of high level wellness, a health-illness continuum which factored in the individual's environment when determining a level of health. Which of the following statements is correct concerning his model?
The focus is on environment and the ability to achieve health on a personal and societal level.
A new father is installing a car seat for an infant in the car. Which of the following information should be given to the father by the nurse?
The infant should be in a rear-facing car seat in the back seat.
The best aerobic exercise is
The one the person will do regularly
A health care professional is caring for an individual who is homeless. Which of the following considerations should be made?
The percentage of the population who has health insurance is much lower among the homeless than the general population.
Which of the following statements is the best definition of polypharmacy?
The use of multiple medications for the same or different health problems
The clinic nurse has seen the following four widows today. Which of the following persons is demonstrating a healthy coping pattern for her loss?
The widow who talks about the "good times" she and her husband had before his illness and death 1 year ago
A community health nurse is providing education about the "Dietary Approaches to Stop Hypertension" (DASH) eating plan to people attending cardiac rehabilitation. Which of the following recommendations would be included in this presentation?
This dietary plan includes eating greater amounts of fruits and vegetables.
Which of the following statements about Gilligan's theory of moral development is accurate?
This theory is gender specific.
Why would you add cross training when exercising?
To avoid the risk of injury
A nurse is working at a women's health clinic and is asked by a care recipient when she should return for her next Pap test. Which of the following resources would the nurse use to find the most current recommendations?
US Preventive Services Task Force (USPSTF) website
A school nurse is obtaining the height and weight of a 9-year-old child. Which of the following is the best method to assess the child's growth?
Use serial measurements over time.
A nurse is providing health education about the importance of dental health to Latino residents in a community. Which of the following considerations should be made to promote health literacy within this program?
Use simple, every day words.
What is a potential problem which can arise when applying utilitarian theories of ethics to a particular problem or ethical issue?
Utilitarian theories tend to compromise the individual in favor of the society.
A nurse is counseling someone who has recently been diagnosed with diabetes. The nurse says, "Tell me more about how this diagnosis has affected your daily activities." Which of the following best describes the type of communication the nurse is using?
Verbal communication
For which theorist would the social, cultural, and political environment be an important component to learning and development?
Vygotsky
Which of the following statements about alcohol intake is correct?
Women have a higher death rate related to alcoholism than men.
Which of the following represents a method of secondary prevention?
Yearly mammograms
Which of the following comments best illustrates the technique of active listening?
You sound upset about the committee's recommendations.
According to Vygotsky's theory, the distance between the actual and potential level of development is called ____.
Zone of proximal development
Which of the following individuals is at risk for developing osteoporosis?
a thin white female
Which of the following events poses the greatest threat to a toddler's health?
accidents
Activity that uses large muscle groups in a repetitive, rhythmic fashion over an extended period to improve the efficiency of the oxidative energy producing system and improve cardiorespiratory endurance is known as
aerobic
Activity that uses large muscle groups in a repetitive, rhythmic fashion over an extended period to improve the efficiency of the oxidative energy producing system and improve cardiorespiratory endurance is known as
aerobic activity.
Which of the following concepts of ethics is described as the "duty to maximize the benefits of actions while minimizing harm"?
beneficence
what is the number one preventable cause of death
cigarette smoking
An example of Extrinsic stressors are
death of a loved one
The inability of a toddler to put him- or herself in another's shoes is known as
egocentrism
what are the 3 stages of relapse
emotional, mental, physical
T or F : sleeping in until noon on the weekends is a good idea and give adolescents time to catch up on sleep
false
T or F: the effects of fetal alcohol syndrome are reversible
false
are e-cigs or cigarettes a better option
neither
what is the primary addictive agent found in vaping
nicotene
how much can you drink while pregnant
none
A nurse is educating a group of adults about stress-management strategies. Which of the following example would the nurse include in the presentation?
relaxation
An inborn set of physiological changes that offset those of the fight or flight response is known as
relaxation response.
The proportion of people with a condition who correctly test positive when screened is known as
sensitivity
Which of the following interventions would not reduce constipation in older adults?
sitting down all day
In contrast to holistic health care, Western or allopathic medicine focuses on the
symptoms and disease.
T or F : many schools require vaccines in order for children to attend school
true
T or F: poor dental health can lead to heart disease
true
The benefits of mental health with exercise include all the following except:
weight gain
which race is responsible for majority of substance abuse
whites
how many cigarettes equals one juul pod
20 cigarettes
Which of the following statements describes Erikson's theory of development?
An individual must successfully accomplish the developmental stage before proceeding to the next stage.
Which US report is considered a landmark document in creating a global approach to health?
Healthy People 2000
An example of aerobic exercise is
running
T or F: alzheimer's is a form of dementia
true
how many times a year should you see a dentist?
twice a year
which is not an effect of substance abuse on young adults (18-35)
ulcers
A nurse is reviewing an exercise prescription for a person. Which of the following aspects is not included?
weather
how many deaths do vaccinations prevent every year in all age groups?
2-3 million
A community health nurse is working with a low-income family who is experiencing food insecurity. To assist the family in getting nutritious foods in their home, the family should be referred to which of the following programs?
Supplemental Nutrition Assistance Program (SNAP)
what age group is mostly affected by dementia
older adults 65+