MS CH 4
Which statement made by the client indicates understanding of the Centers for Disease Control and Prevention and U.S. Preventive Services Task Force recommendation for prostate screening frequency?
"I will see you next year for my prostate exam." Explanation: Prostate examinations should be done yearly. PSA levels are assessed every 2 years after age 50. Colonoscopy examinations are every 5 years.
Meningcoccal
1 or more does after 19
Human papillomavirus vaccine
3 does for males up to the age of 21 years, females up to the age of 26 years; men who have sex with men between 22 and 26 years
what percent of people older than 65 years have one or more chronic illnesses and may are limited in their activity.
80 % of people
Bone density screening
Based on identification of primary and secondary risk factors prior to onset of menopause if indicated
Blood chemistry Profile Complete Blood Count Lipid Profile
Baseline at age 20 years, then as mutually determined by patient and clinician
electrocardiogram
Baseline at age 40, then as mutually determined by patient and clinician
Which is an example of a direct measurement technique used to evaluate the teaching-learning process?
Behavioral observation Explanation: Direct measurement techniques include behavioral observation, checklists, and anecdotal notes to document the behavior. Client satisfaction surveys, attitude surveys, and oral questioning, and instruments that evaluate specific health status variables, are indirect measurements.
Td or Tdap vaccine
Every 10 years
Tuberculosis skin test
Every Two Years
Pneumococcal conjugate vaccine (PCV13)
Given once to adults 65 years and older regardless of health status. Given to those ages 19 to 64 years if immunocompromised, asplenic, with cerebrospinal fluid leakage or cochlear implants.
Pneumococcal Polysaccharide Vaccine (PPSV23)
Given routinely in a series to all adults ages 65 years and older. Given in a series to adults younger than 65 years who have chronic heart, lung or liver disease; diabetes; alcoholism and smoking
Health education is important for all patients and families. Of the four groups listed below, which group is most in need of health teaching?
Patients with chronic illnesses, because life-long interventions and adjustments can improve the quality of life Explanation: People with chronic illnesses and disabilities are among those most in need of health education. Health education can favorably change a patient's behavior and increase his ability to cope with and manage his health, and improve his understanding of the options, risks, and benefits of care, treatment, and services.
Older adults, who are more subject to falls, may fracture one or more ribs and be more susceptible to which condition after a rib fracture?
Pneumonia Explanation: Older adults, who are more subject to falls, may fracture one or more ribs and be more susceptible to pneumonia after a rib fracture. Confusion, asthma attacks, and bronchospasm are not conditions that occur after a rib fracture.
A nurse is teaching an older adult about a medication that the client will take at home. The nurse assesses which of the following factors as promoting adherence to the medication regimen?
The client's daughter is present and provides care to the client at home. Explanation: Older adults may have problems that affect adherence to medication regimens. An adequate support system, such as involvement from family members, will assist with adherence. Hearing impairment, lack of financial resources, and forgetfulness are factors that will negatively affect client adherence.
Routine health examination
Yearly
Zooster vaccine
after age 60
The nurse is educating the client about management of diabetes. Which statement by the student would indicate to the nurse that further teaching is necessary?
"Checks of blood glucose level are to be done ac and hs." Explanation: When providing education, the nurse is to give clear information and avoid the use of medical terminology or "jargon" as in ac and hs.
Vision screening glaucoma
baseline at 40 years, every 2-3 years until 70 than yearly
Pap smear test
every 3 years
Colonoscopy test
every 3-5 years after age 50 years
Hep B vaccine
series of 3 does (now, 1 month later, than 5 months after the second date)
digital rectal exam
yearly
