Pro Nurse Exam 2
A 55 year old man suffered a MI 3 months ago. During his hospitalization, he had stents inserted in two sites in the coronary arteries. He was also placed on a cholesterol- lowering agent and two antihypertensives. What type of care is he receiving? A. Tertiary prevention B. Secondary prevention C. Primary Prevention D. Health Promotion
A
Interrelated concepts regarding patient attributes that a nurse manager would consider when addressing concerns about the quality of health promotion include which type of attribute? A. Culture B. Evidence C. Health policy D. Nutrition
A
The nurse is working with a client who is obese and reports having a sedentary lifestyle. What is the nurses first action to promote this clients health? A. Help the client identify goals for promoting health B. Teach the client how to follow a low- calorie diet C. Explain the risks associated with the clients weight and lifestyle D. Assist in a plan to increase his activity level
A
The nurse meets with patients who quit smoking, or are planning to quite. Which statement made by a patient would lead the nurse to conclude that the patient is in the maintenance stage of change A. Each day i dont smoke. I put money that i would have spent in a jar to pay for a vacation B. I havent smoked in 2 weeks, but i have to consistently resist the urge to light a cigarette C. I think about smoking constantly, i dont know if i can do this D. I am chewing gum and eating carrot sticks to keep myself from lighting a cigarette.
A
The school nurse incorporates seatbelt and helmet use in a high school class on health promotion as examples of which strategies? A. Primary prevention B. Rehabilitation C. Secondary prevention D. Tertiary prevention
A
Which of the following statements about the current prevalence of obesity is accurate? A. The current generation of children may be less healthy and have a shorter life expectancy than their parents. B. The current incidence of obesity among American adults has stabilized. C. The current statistics show that greater than 75% of American adults are either overweight or obese. D. The current statistics report that about 50% of American children are either overweight or obese
A
a nurse in a health clinic is caring for a 21‑year‑old client who reports a sore throat. the client tells the nurse that he has not seen a doctor since high school. Which of the following health screenings should the nurse expect the provider to perform for this client? a. testicular examination B.Blood glucose C.Fecal occult bloodd. D. Prostate‑specific antigen
A
The nurse is working in an ambulatory care program asks questions about the clients locus of control as a part of assessment because of which of the following? Select all that apply. A. People who feel powerless about preventing illness are least likely to engage in heath promotion activities. B. People who feel in charge of their own health are the easiest to motivate toward change C. People who respond to direction from respected authorities often prefer a health promotion program supervised by a health provider. D. People who feel in charge of their own health are less motivated by health promotion activities.
A, B, C
A nurse in a clinic is planning health promotion and disease prevention strategies for a client who has multiple risk factors for cardiovascular disease. Which of the following interventions should the nurse include? (select all that apply.) a.Help the client see the benefits of her actions. B. identify the client's support systems. C. suggest and recommend community resources. d. devise and set goals for the client. e. teach stress management strategies.3.
A, B, C, E
A nurse is teaching a group of women about risk factors for developing osteoporosis. Which of the following risk factors should the nurse include? (select all that apply.) A. inactivity B.Family history C. obesity D. Hyperlipidemiae. E. Cigarette smoking
A, B, E
Goals for Healthy people 2020 include which of the following? Select all that apply A.increase the quality and years of healthy life B. Decrease the number of inpatient days annually C. Eliminate health disparities among various groups D. Decrease the cost of healthcare related to tobacco use
A, C
Goals for healthy people 2020 include which of the following? select all that apply. A. Eliminate health disparities among various groups B. Decrease the cost of healthcare related to tobacco use. C. Decrease the number of inpatient days annually D. increase the quality and years of healthy life.
A, D
Barriers to Adult Immunizations A. Lack of Resources B. Lack of Awareness C. Infrastructure D. None of the above
A,B,C
A nurse is performing a nutritional assessment on a client. Which of the following clinical findings are suggestive of malnutrition? (select all that apply.) A.Poor wound healing B.Dry hair C.Blood pressure 130/80 mm Hg D.Weak hand gripse. E. impaired coordination
A,B,D,E
A nurse on an orthopedic unit is reviewing data for a client who sustained trauma in a motor‑vehicle crash. Which of the following values indicates the client is in a catabolic state (using protein faster than protein is being synthesized)? A. serum albumin 3.5 g/dl. B.Negative nitrogen balance. C.Bmi of 18.5. D. serum prealbumin 12 mg/dl
B
A teenager has a family history of Type 2 diabetes mellitus. He asks the nurse what he can do to try to prevent developing it himself. Which of the following instructions should the nurse give this client? A. Tell him he should talk to his physician about genetic testing B. Tell him to be active and eat a balanced diet C. tell him that very little can be done to avoid developing this disorder. D. Tell him to avoid any and all sweets
B
An education session offered at a local middle school for parents of pre-teen girls regarding the HPV( human papilloma) vaccine is an example of what type of activity on the part of the nurses. A. Screening B. Primary prevention C. Secondary prevention D. Tertiary Prevention
B
Anticipatory guidance for parents of children 0-5 includes information about all of the following topics except: A. positive parenting strategies B. Locating quality daycare providers C. Sudden infant Death syndrome D. Counseling to promote the 5 R's of early education
B
Blood pressure screening in a Senior Center is an example of which type of healthcare?Primary A.prevention B. Secondary prevention C. Tertiary prevention
B
Karen conducts an assessment of the need for nutrition counseling for her older clients. This is an example of nutrition _________. A. Education B. Screening C. Balance D. Insecurity
B
The article assigned as required reading suggested that health behavior by nursing students was what they were being taught and with what they claimed to believe about health promotion. A. True B. False
B
The nurse is planning a health promotion class for adolescents. The presentation is too long. Which topic would be least important and therefore appropriate for the nurse to delete? A. Firearm safety B. stranger danger C. motor vehicle safety D. Alcohol and drug use
B
The nurse is planning a health promotion class for young adult women. What topic would be most important for the nurse to include for this group? A. Annual mammograms B. Pap test every 2 or 3 years C. Immunizations D. Screening colonoscopies
B
The patient newly diagnosed with Type II DM needs to make lifestyle changes. In relationship to the trans-theoretical model of change, which nursing action would best support the patient during the "contemplation" stage? A. Showing the patient how to use the fingerstick blood glucose monitor B. Providing information about various types of exercise to facilitate weight loss C. Teaching the patient about the purpose for having his HbA1C tested monthly D. Telling the patient that if he does not change his lifestyle, he will die
B
What is the process of enabling people to increase control over and improve their health? A. Community care B. Health promotion C. High-level wellness D. Primary prevention
B
Which tertiary prevention measure is included in the plan of care for a patient newly diagnosed with asthma? A. Cholesterol screening B. Eliminating allergens C. Glaucoma screening D. Safe sex practices
B
Which tertiary prevention measure is included in the plan of care for a patient newly diagnosed with asthma? A. Cholesterol screening B. Eliminating allergens C. Glaucoma screening D. Safe sex practices
B
Which would be an appropriate topic for the elementary school nurse to include in health promotion activities for students? A. Preventing STI's B. Stranger Danger C. Poor sanitation D. Housing conditions
B
a nurse at a provider's office is talking about routine screenings with a 45‑year‑old female client who has no specific family history of cancer or diabetes mellitus. Which of the following client statements indicates that the client understands how to proceed? a."so i don't need the colon cancer procedure for another 2 or 3 years." B."For now, i should continue to have a mammogram each year." C."Because the doctor just did a Pap smear, i'll come back next year for another one." d."i had my blood glucose test last year, so i won't need it again till next year."PRACTICEActive
B
a nurse is talking with a client who recently attended a cholesterol screening event and a heart‑healthy nutrition presentation at a neighborhood center. the client's total cholesterol was 248 mg/dl. after seeing the provider, the client started taking medication to lower his cholesterol level. the client was later hospitalized for severe chest pain, and subsequently enrolled in a cardiac rehabilitation program. Which of the following activities for the client is an example of primary prevention? a.Cholesterol screening B. nutrition presentation C. medication therapyd. D. Cardiac rehabilitation
B
which of the following demonstrates a nurse taking action that would be categorized as primary prevention? A. making a home visit to a person who is recovering from a heart attack B. Education the person about the advantages of heart- healthy diet during a home visit C. Providing cardiopulmonary resuscitation during a heart attack. D. Administering medications to a cardiac client in the hospital
B
According to pender's health promotion model, which variables must be considered when planning a health promotion program for a client (select all that apply) A. levels of prevention B. Behavior-specific cognition and effect C. Individual characteristics and experiences D.Behavior outcomes
B,C,D
Continuum of energy
Betty Neuman
A community health nurse is implementing programs with several populations in the local area. In which of the following situations is the nurse using primary prevention? A. implementing a program to notify individuals exposed to a communicable disease. B. Teaching healthy nutrition to clients who have hypertension. C. Providing influenza immunizations to employees at a local preschool. D. Performing a home safety check at a clients home prior to their discharge from the hospital.
C
A nurse in a nutritional clinic is calculating body mass index (Bmi) for several clients. the nurse should recognize which of the following client Bmis as overweight? A.Bmi of 24 B.Bmi of 30 C.Bmi of 27 D.Bmi of 32
C
A primary health care provider has recommended a mammogram and a Papanicolaou (pap) smear for a 50-year-old female patient. In response to questions, the nurse teaches the patient about health promotion activities, describing the mammogram and pap smear as which forms of prevention? A. Illness prevention B. Primary prevention C. Secondary prevention D. Tertiary prevention
C
A state of physical, mental, spiritual, and social functioning that realizes a person's potential and is experienced within a developmental context is known as: A. Growth and development B. Functioning C. Health D. High-level wellness
C
The first step in building a partnership with an obese individual who is trying to lose weight requires the nurse to: A. Schedule a day to exercise with the individual. B. Go grocery shopping for the individual. C. Establish a trusting relationship with the client. D. Give the individual a weight loss goal.
C
The nurse teaches a class for the community discussing routine screening tests for different types of cancer. What level of health prevention would the nurse classify this activity? A. Primary B. Maintenance C. Secondary D. Tertiary
C
The nurse teaches a class for the community discussing routine screening tests for different types of cancer. What level of health prevention would the nurse classify this activity? A. maintenance B. Primary C. Secondary D. Tertiary
C
The nurse working in an acute care setting provides what level of health prevention most often? A. Secondary B. Primary C. Tertiary D. Assessment
C
Which food group are beans and peas counted in? A. Vegetable group B. Protein foods group C. Both D. Neither
C
Which of these nutrients can you get from eating whole fruit that is not usually found in juice? A. Vitamins B. Minerals C. Fiber D. Sugar
C
Which would be an appropriate topic for the elementary school nurse to include in health promotion activities for students? A. Poor sanitation B. Housing Conditions C. Stranger danger D. Preventing STI's
C
a nurse is caring for a 20‑year‑old client who is sexually active and has come to the college health clinic for a first‑time checkup. Which of the following interventions should the nurse perform first to determine the client's need for health promotion and disease prevention? A. measure vital signs. B. encourage Hiv screening .C. determine risk factors. d. instruct the client to use condoms
C
An example of a secondary health prevention activity would be A. Chemotherapy IV infusion B. Hepatitis B vaccine series C. Gallbladder surgery D. Flexible sigmoidoscopy at age 50
D
How much of your plate should be fruits and vegetables? A. The whole plate B. Three-quarters C. Two-thirds D. One- half
D
The purpose of Healthy People 2020 is to: A. examine world health needs B. Focus primarily on infant health and mortality C. Examine funding issues for health care D. Identify goals for improving health by 2020
D
High overall functioning; state of mind
Jean Watson
Integration of mind, body, spirit; those with disease can be healthy
Myers, Sweeney, & Witmer
