Health Promotion Final Exam
A nurse is completing a health counseling session with a 25-year-old woman. Which of the following statements should be made by the nurse during this session?
"Daily physical activity and weight control is one way to stay healthy."
As part of a community-wide flu vaccination program for older adults, the nurse is assisting at a vaccination clinic. Which of the following questions should the nurse ask before administering the vaccine?
"Do you have any food allergies?"
Approximately how much sleep do toddlers require each day?
12 h
How many words are in a toddler's receptive language at 24 months of age?
1200 words
Which stage of female breast development is characterized by enlargement of the areolar diameter along with a small area of elevation around the papillae?
2
Which person is at highest risk for being uninsured?
27-year-old who attends college and works part-time in a small pizza parlor
According to the American Academy of Pediatrics, at what age should blood pressure screening begin?
3
On average, how old is a preschooler with a receptive vocabulary of up to 5600 words?
48 months old
A nurse is using a genogram to represent a family. Which of the following statements is accurate?
A genogram can be used to make connections about family health patterns.
Which of the following nurses is most likely to provide culturally competent care?
A nurse who is knowledgeable in disease-specific epidemiology and treatment efficacy for different population groups.
Which of the following adults has transitioned to Erikson's intimacy versus isolation and loneliness stage of development?
A stable young couple with a long-term close relationship who has decided not to marry
The nurse is working with a middle-age married couple whose son has just graduated from college. Which developmental tasks would the nurse expect to find in this family?
Acting as a launching center for their son
Which of the following best describes the nurse's role in health promotion and disease prevention?
Acting as a role model for the family
Which of the following best demonstrates the practice of transcultural nursing?
Adapting nursing care to meet the need of a person from an ethnic minority
What is the main focus of the National Institutes of Health (NIH)?
Addressing and reducing health disparities
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 individuals is statistically the most likely to have a child who will succumb to a cause of infant mortality?
An Asian woman who is having a C-section due to small pelvis
Which of the following was the fastest-growing minority group in the United States between 2000 and 2010?
Asian American and Pacific Islanders
Which of the following actions demonstrates a health care professional providing culturally competent care?
Asking the person to describe his folk healing methods
In a family in which the mother and the father differ on how to spend and save money, the parents are constantly arguing with each other. Which of the following interventions should the nurse include in the plan of care for this couple?
Assist them to develop strategies that are congruent with their values.
A family has recently become homeless. Which of the following factors most likely contributed to this situation?
Being unable to find affordable housing
Which of the following concepts of ethics is described as the "duty to maximize the benefits of actions while minimizing harm"?
Beneficence
A health care professional is caring for an individual who is homeless and has recently been diagnosed with Type II diabetes. Which of the following factors is the most important to consider when planning care?
Finding supportive housing for the individual
Which of the following statements is correct regarding firearms?
For safety, guns should be stored apart from ammunition.
Which of the following represents a comprehensive view of all of the genes within a given individual?
Genomics
Who authored the framework that provides the foundation for nursing assessment and diagnosis using the functional health patterns?
Gordon
Which of the following statements is true with regard to health promotion?
Health promotion involves collaboration of many professional groups.
Using developmental theory, a community nurse assesses the community and determines that the majority of residents who are 45 years of age or older lead sedentary lives. Which of the following would be the priority for this nurse to promote?
Health-promotion activities
Which US report is considered a landmark document in creating a global approach to health?
Healthy People 2000
Which of the following best describes a primary prevention method for colon cancer?
High fiber diet
A nurse who is using Gordon's functional health patterns is planning to assess its roles-relationships pattern. Which of the following questions would be most appropriate for the nurse to ask?
How are problems in the family resolved?
A child who has a BMI of 34 visits the school nurse. Which of the following factors does the nurse recognize that the child may be experiencing?
Increased bullying by peers
Which of the following is NOT characteristic of anorexia nervosa?
Increased frequency or heavy menses due to increased ovulation
Which of the following represents a method of primary prevention?
Informational session about healthy lifestyles
A community believes many people in that community lead sedentary lives because they lack safe areas in which to exercise. What action should the nurse take in order to confirm or reject these beliefs?
Interview members of the community.
A parish nurse is concerned about the number of parishioners who smoke. How would the parish nurse best address this issue?
Invite local experts to participate in a health fair at the parish.
Which of the following statements accurately reflect primordial prevention?
It is a health-promotion strategy which reflects policy-level interventions.
The nurse is conducting a physical exam on a 3-year-old child. Which of the following would be the best way for the nurse to approach the child during the exam?
Let the child listen to the nurse's heart with the stethoscope.
A health care professional is offering an educational session about providing culturally congruent care. Which of the following information would be included the presentation?
Native Americans are present oriented, taking one day at a time.
Which addition to a community best demonstrates the concept of the Healthy People 2020 report?
New recreational health center
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
Which of the following statements concerning care recipient advocacy is correct?
Nurses are responsible to speak up on behalf of compromised or vulnerable individuals.
Which health care provider represents a primary care provider?
Pediatric nurse practitioner
Which of the following statements is correct concerning the Affordable Care Act (ACA), signed into law in March 2010?
Penalties are imposed for persons who fail to acquire health insurance
Which of the following represents a method of tertiary prevention?
Physical and occupational therapy after a motor vehicle accident with head trauma
Which concept is aimed at interrupting potential ethical problems before they develop?
Preventive ethics
Which of the following statements is correct concerning lifestyle change programs?
Programs lasting 8 to 12 weeks are appropriate.
A nurse is caring for a person with a potential dysfunction in the health perception-health management pattern. Which of the following nursing interventions would most likely be performed?
Providing education regarding the dangers of smoking
Which of the following is a normal physiological change that occurs during middle age?
Reduction of glomerular filtration by 50%
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.
A nurse is providing follow-up care for a family who has recently had a baby. Which of the following topics should the nurse anticipate discussing with the family?
SIDS
Which sleep ritual is age appropriate for a preschooler?
Saying good night to all 20 stuffed animals in the room before going to sleep
The nurse has determined that a person has a dysfunction in the nutritional-metabolic pattern. Which action would be the next step for the nurse to take?
Set a goal weight with the person
The Health of the Nation is an annual report prepared by the US Department of Health and Human Services. Which of the following statements would accurately represent findings for the 2014 report?
Smoking for persons 18 years and over has dropped.
A person reports that she has been seeking care from an acupuncturist to help relieve the chronic pain that she has been experiencing. Which of the following statements would be the most appropriate response from the nurse?
Tell me more about your treatments from the acupuncturist.
A health care professional is searching for a funding source to develop a colorectal cancer screening program for ethnic and racial minorities in the community. Which of the following federal agencies would most likely be able to assist with this initiative?
The Office of Minority Health
A nurse is conducting a health-promotion assessment for a family with a 9-month-old. Which of the following should be of most concern to the nurse?
The age of the house in which the family lives
A nurse is determining which family assessment tool would be best to implement with a family when planning home visits for health promotion. Which of the following criteria should the nurse use to evaluate these tools?
The amount of involvement that the family has in completing the tool
A health care provider is working with an African American woman who has recently suffered a stroke and is homebound. She insists that she must get out of the house and attend Sunday worship services. What is the most likely explanation for her insisting that she participate in this cultural practice?
The church serves as a social support for its members.
A 14-year-old female is in for a physical exam. Which finding requires further investigation?
The lack of breast buds or breast development
Under what circumstances would a nurse likely experience moral distress?
The nurse feels powerless to take the correct action.
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.
The ecomap of a care recipient's family has slashed lines drawn from the son to the family church. Based on this information, what conclusion can the nurse make?
The son has a stressful relationship with the church.
Which of the following represents a limitation to the Ethic of Care model?
There are no criteria for right or wrong actions.
Which of the following statements is correct concerning Medicare Advantage plans?
They are a substitute for the traditional Medicare program.
Which of the following statements is correct concerning a Code of Ethics for professionals?
They prescribe how members of a profession are expected to act.
Which of the following statements is correct concerning hearing in the toddler?
Toddlers characteristically endlessly repeat sounds, words, and word combos.
Healthy People 2020 would be most concerned with which of the following healthcare issues?
Treating vulnerable populations
Which of the following is a hallmark of Piaget's preconceptual substage?
Using language to function symbolically
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.
Which ethical theory is rooted in character-based ethics?
Virtue-based ethics
Which of the following reflects Piaget's theory as applied to young adults?
Voting for a candidate based on analysis of views about various issues
Which scenario indicates a potentially dysfunctional pattern?
Woman who lost her job
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 statements is correct concerning aerobic exercise for young adults?
Young adults are encouraged to engage in activity that raises heart rate to 150 beats per minute.
According to Erikson, which of the following teenagers is at risk for not meeting his developmental task?
arrested for petty theft
A toddler has been diagnosed with amblyopia. Which of the following treatment measures would most likely be prescribed for the child?
patching of the eye
Healthy People 2020 objectives provide a framework for
prevention.
A deviation of the line of vision from the midline resulting from extraocular muscle weakness or imbalance is known as
strabismus
A system used to evaluate the necessity, appropriateness, and efficiency of the use of the health care system, the purpose of which is to lower costs by discouraging unnecessary treatments, is known as
utilization review.
Obtaining data though observation via all of one's senses is called a
windshield survey
Which of the following theorists has been associated with the ethics of care?
Carole Gilligan
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
There is sometimes a conflict between health promotion and autonomy within a society. Which of the following concepts may be jeopardized in the course of public safety?
Civil liberties within a society
Which model of health is most likely used by a person who does not believe in preventive health care?
Clinical model
A nurse is collecting data for a family assessment using Gordon's functional health patterns. The nurse learns that the family has no books in the home to read to the preschool-age children. To which of the following functional health patterns does this information pertain?
Cognitive-perceptual
Which functional health pattern provides information about problem-solving and decision-making within communities?
Cognitive-perceptual pattern
Which of the following best describes the primary goal of community nurses?
Create a culture of health promotion/health protection with the community.
A person states, "My grandmother is the decision maker in our family." Which of the following is being described by the person?
Culture
Which of the following types of ethical theories tells us how people act toward each other and their environments and what they believe are good or moral actions?
Descriptive value theories
A nurse is assessing how a family will transition and adapt after their youngest child leaves for college. By using this framework, which of the following perspectives is the nurse implementing?
Developmental
The person known as the father of British and American public health is
Edwin Chadwick.
Which of the following statements concerning sleep patterns in teenagers is correct?
Electronic devises have been associated with sleep deprivation.
A nurse is planning to deliver an educational program to individuals with diabetes. Which of the following should be the initial action taken by the nurse to ensure the success of the program?
Establish teacher-learner goals with the individuals
The study of a population is referred to as (a)
demography.
According to Piaget, which of the following developmental stages is applicable for the teenage years?
formal operations
The process of dynamic change with adaptation in the system's parts, and how community systems and subsystems interact is known as
function of a community.
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
health.
