NU629_Final Exam Questions

According to BEERS, which of the following statements is true? Select one: a.People older than 65 years consume more than one-third of all prescription drugs and purchase 40% of the OTC medications. b.Of people 65 years and older, 90% take prescription medications. c.People older than 65 years consume more than two-thirds of all prescription drugs and purchase 40% of the OTC medications. d.People older than 65 years consume more than two-thirds of all prescription drugs and purchase 55% of the OTC medications.

A

Choose the correct definition of pharmacodynamics. Select one: a.Response of the body to the drug that is affected by receptor blocking, post-receptor effects, and chemical interactions b.Time course of absorption, distribution across compartments, metabolism, and excretion of waste products in the body c.Time course of absorption, distribution across compartments, metabolism, and excretion of drugs in the body d.Response of the body to the drug that is affected by receptor binding, post-receptor effects, and chemical interactions

A

Choose the incorrect statement Select one: a.The USPSTP has found sufficient evidence to recommend against using visual examinations by clinicians to screen adults for skin cancer. b.Reducing your exposure to ultraviolet rays can help keep your skin healthy and lower your chances of getting skin cancer. c.Indoor tanning (using a tanning bed, booth, sunbed, or sunlamp to get tan) exposes users to high levels of UV radiation for the purpose of getting a tan. d.Certain physical characteristics put an individual at a greater risk for skin cancer.

A

Community-based participatory research is an action-oriented research method that involves a team approach, inclusive of ________. Select one: a.all participants b.an equal number of men and women c.vulnerable populations d.both children and the elderly

A

Marginalized people experience discrimination, poor access to health care, and resultant illnesses and traumas from environmental dangers or violence that make them vulnerable to ________. Choose the most comprehensive answer. Select one: a.a wide range of health problems b.to phone and emails scams c.to nutritional deficits related to diets high in fat d.to comorbidities related to issues with medication compliance

A

Read the following scenarios and choose the one that implements the correct preventive guideline recommendations. Select one: a.MaryAnn is 18 and presents to your office for her yearly well woman exam. She states that she is sexually active and has had three partners in the past nine months. You will screen MaryAnn for chlamydia and gonorrhea during her pelvic exam. b.Brian is a 22-year-old heterosexual male who presents for an annual exam and medication refill visit. Brian indicates that he is sexually active, asymptomatic, and has had two partners in the past 18 months. You will screen Brian for chlamydia and gonorrhea during his visit with the use of a urine screening test. c.Elizabeth is a 58-year-old female who is widowed and presents for your annual exam. She is considering dating again. You will screen Elizabeth for chlamydia and gonorrhea during her pelvic exam. d.Micah is a 27-year-old male who presents to your office with questions about STD screening. He states that he has been the recipient of anal penetration once in the past six months but denies receiving or performing oral sex. He denies any other sexual contact â" male or female. He denies any symptoms and wants the least invasive screening. You recommend an oral swab for chlamydia and gonorrhea just to âbe safe.â

A

Screening is not right for everyone or every health problem. Screenings uncover health problems in an efficient and economically feasible manner when certain factor(s) are present. Read the following scenarios and choose the one(s) most consistent with the requirements of preventative screening. Select one: a.Jacob is a 74-year-old male who smoked for 30+ years, but he quit smoking when he was 67. After his annual exam, you write orders for lab work and a CT of his lungs. b. MaryAnn is a 43-year-old female who presents to your office with complaints of a lump in her right breast. You do not have the same finding on exam and schedule her for a mammogram. c.Brittany is an 18-year-old pregnant female. During each of her OB visits, you run a urinalysis to screen for preeclampsia. d.Susan is a 26-year-old female who presents to your office for her annual well woman exam. She is married with two children under the age of four. As part of her annual screening, you test for GC and chlamydia, trichomonas, and bacterial vaginosis.

A

What are: feeling sick, having nothing to do, being along, family fighting, not having enough money to spend, being pressured to get good grades, feeling left out of a group, being compared to older siblings? Select one: a.Stressors frequently identified by children b.Stressors frequently identified by adolescents c.Stressors frequently identified by young and middle age adults d.Stressors frequently identified by older adults

A

When a health care provider decides they know what is best for the patient, this is known as ________. Select one: a.paternalism b.class advocacy c.case advocacy d.brokering

A

Which of the following scenarios best describes the abilities of a nine-month-old? Select one: a.Micah is sitting on his mom's lap and they are playing pat-a-cake as you come into the room. He comes to you when you offer to take him from Mom, but soon afterwards is babbling and you think you hear him say "Mama" and reach out to her. b.Micah is sitting on the exam table with Mom at his side. He is raking some blocks across the table and as you get closer he is reaching for Mom and seems anxious. c.Micah is walking around the room and you notice that he is talking and says, "Me want juice." d.Micah is sitting on his mom's lap and they are playing pat-a-cake as you come into the room. While you and Mom are talking, Micah user two fingers to pick up small blocks from Mom's hand.

A

Which of the following statements demonstrates ambivalence (mixed feelings)? Select one: a.I need to lose some weight, but I hate exercising. b.I agree that I should lose weight. c.I don't want to lose weight. d.I don't have any concerns about my weight.

A

How can childhood developmental milestones be noted? Choose all that apply. Select one or more: a.Playing b.Learning c.Speaking d.Acting

ABCD

Listening may appear passive, but it is a very active experience. Choose the reason(s) providers should hone their listening skills. Select one or more: a.Listening helps providers gather important information they might otherwise miss. b.Listening will promote the provider-client relationship. c.Patients whose providers listen to them are more comfortable and satisfied with their care, making the patients more willing to open up and be honest. d.Listening can save providers time, because they develop an ability to quickly grasp the essence of the patients' concerns. This allows providers to move from topic to topic.

ALL ABCD

The American Diabetic Association published nutritional recommendations and interventions for the primary prevention of diabetes. Their recommended changes for moderate weight loss for adults and adolescents at risk for Type 2 DM includes which of the following? Choose all that apply. Select one or more: a.Reduction of calories and intake of dietary fats b.Regular physical activity (30 minutes per day or 2.5 hours per week) c.Encouragement of foods containing whole grains d.Greater intake of low glycemic index foods rich in fiber

ALL ABCD

Choose the correct statement(s) regarding the burden of disease as related to syphilis in pregnancy. Select one or more: a.Late or limited prenatal care has been associated with congenital syphilis. b.Nearly 70% of infants with congenital syphilis are born to mothers who received prenatal care. c.Detection and treatment of maternal syphilis often occurs too late to treat the fetus and prevent congenital syphilis. d.Recent data suggest that while screening rates for syphilis infection are generally high, the proportion of women screened earlier in pregnancy remains low (For example, 20% of women are screened only at the time of delivery.)

All ABCD

Listening may appear passive, but it is a very active experience. Choose the reason(s) that providers should hone their listening skills. Select one or more: a.Listening helps providers gather important information that they might otherwise miss. b.Listening will promote the provider-client relationship. c.Patients whose providers listen to them are more comfortable and satisfied with their care—making the patients more willing to open up and be honest. d.Listening can save providers time, because they develop an ability to quickly grasp the essence of the patients' concerns. This allows providers to move from topic to topic.

All ABCD

Sickle cell disorder is most common in people of African descent but is also common in families from the following region(s). Choose all that apply. Select one or more: a.South and Central America Correct b.Caribbean Islands Correct c.Mediterranean Countries d.India and Saudi Arabia

All ABCD

When considering the aspect of communication, which of the following statement(s) is/are true? Choose all that apply. Select one or more: a.The ability to ask questions thoughtfully and effectively is close to the heart of good quality patient care. b.The tone, pacing, wording, and clarity of questioning are all building blocks to quality communication. c.Demonstrating a sense of curiosity and good listening are solid components of quality communication. d.Asking a question and getting a response are complicated when communicating with another human being.

All ABCD

Which of the following is (are) social determinants of health? Choose all that apply. Select one or more: a.Access to social and economic opportunities and the nature of social interactions and relationships b.Resources and supports available in homes, neighborhoods, and communities c.Quality of schooling and the safety of workplaces d.Cleanliness of water, food, and air

All ABCD

Which of the following statement(s) is (are) true? Choose all that apply. Select one or more: a.The ability to use asking thoughtfully and effectively is close to the heart of good quality patient care. b.The tone, pacing, wording, and clarity of questioning are all building blocks to quality communication. c.Demonstrating a sense of curiosity and good listening are solid components of quality communication. d.Asking a question and getting a response are complicated when communicating with another human being.

All ABCD

Developing skills in this area is essential for success at the collegiate level. Select one: a.Adaptability b.Time management c.Healthy diet d.Personal accountability

B

If alcohol is consumed, it should be in moderation " ________ " and only by adults of legal drinking age. Select one: a.up to four drinks per day for women and up to five drinks per day for men b.up to one drink per day for women and up to two drinks per day for men c.no more than 15 drinks per week for men or women, but binge drinking is not recommended d.no more than five to seven drinks in one setting for women and no more than eight to ten drinks in one setting for men

B

Not taking medications or participating in treatment as prescribed is defined as: Select one: a.nontreatment b.nonadherence c.forgetfulness d.adherence

B

Obesity in children is more prevalent in which of the following ethnicities? Select one: a.Hispanics and Non-Hispanic Whites have the highest rate of obesity. b.Hispanics, American Indian/Alaska Native, and Non-Hispanic Blacks have the highest rate of obesity. c.Non-Hispanic Whites and Non-Hispanic Blacks have the highest rate of obesity. d.Non-Hispanic Blacks and American Indian/Alaska Natives have the highest rate of obesity.

B

Providers sharing patient records with the patient has allowed people to see for themselves what is being written about them and to feel they have control over their records is called ________. Select one: a.Distrust b.Transparency decades. c.Misgiving d.Limited responsibility

B

Read the following scenarios and choose the correct exchange based on the USPSTF Guidelines. Select one: a.Lois is 83 years old and is here for her annual physical. Lois is in good health and states she does not believe she needs to be screened for osteoporosis because she eats three to four Tums a day. You agree. At Lois's age, she no longer falls within the required age guidelines for screening. b.Kathy is a 66-year-old female who presents to your office to establish care, and you recommend a bone density screen since Kathy is over 65. c.Susan is a 58-year-old female who states she has a hx of a fractured hip related to a MVA when she was 45. You discuss her increased risk for osteoporosis and recommend she have a bone density test to evaluate the strength of her bones. Incorrect d.Kim is 48 years old and has a history of a total hysterectomy when she was 36 years old. She is unable to take hormone replacement and is concerned about her bones. Kim is active and maintains a diet rich in healthy foods. You reassure Kim that she does not need to worry about osteoporosis and that, per the guidelines, she does not need a bone density scan.

B

Read the following scenarios. Choose the scenario that best depicts the role of the provider in relation to health planning and the USPSTF Guidelines. Select one: a.Jacob is a 22-year-old male who smokes two ppd and comes to your office to discuss his cough. As the provider, you discuss the health risk of smoking. You provide Jacob with information related to e-cigarettes and a pamphlet with tips to help him quit smoking. He is to schedule a follow-up visit to discuss his success with quitting smoking in two weeks. b.Judith is 68 and presents to your office for an annual exam. She is asking about having an ultrasound done to screen for ovarian cancer. She states that she has a friend who went to the ER with abdominal pain and they found ovarian cancer, so she wants to be screened. As the provider, you discuss that the USPSTF does not recommend routine screening for women who are asymptomatic or not known to have high-risk hereditary cancer syndrome c.Alice is a 24-year-old female who is homeless and lives in a tent camp in downtown Seattle. You are seeing Alice today in the free clinic and you approach the subject of birth control. Alice tells you that doesn't like putting anything foreign in her body so she uses the "rhythm method". Alice last had intercourse about two weeks ago. You explain to Alice that you want to help make sure she doesnât become pregnant and that you are going to place a Nexplanon â" implantable birth control. The clinic just received a grant for these devices. You step out to go get the device for Alice. d.Martine is 8 years old and is here with his mother for his school physical. He is 51 inches tall and weighs 88 pounds. Martine is obese, and during the visit you take time to discuss diet, exercise, and your concerns for his overall health. Per the USPSTF Guidelines, you have fulfilled all the requirements of preventative services for this scenario.

B

Secondary prevention aims to prevent further illness in persons who are already diagnosed with a disease. Review the following scenarios and choose the one that best represents secondary prevention. Select one: a.Joe is 54-year-old with hypertension and hypercholesterolemia. Joe's PCP is recommending a fasting blood sugar be drawn with his next appointment. b.Sally is a 48-year-old Type II diabetic. She is taking three different P.O. medications to help control her blood sugar, and her Hgb A1C is 7.5. Sally's provider is insisting that she be stricter with her diet and that she increase her physical activity. If this doesn't improve her BS, she will need to start insulin c.Harold is an 80-year-old male with hypertension. His BP has been increasing over the past few months and since Harold recently fell, he is doing less walking and his BP continues to rise. Harold's provider is recommending he increase his Lisinopril to BID. d.Jacob is a 14-year-old male who is overweight. Jacob is depressed because he is being bullied at school and his PCP recommends counseling.

B

Stacey is 26 years old and is 12 weeks pregnant. Today, she has no protein in her urine and her BP is 104/62; however, with her last pregnancy she developed proteinuria with hypertension and had to be placed on bedrest for the last trimester of her pregnancy. Select one: a.Per the USPSTF Guidelines, you will recommend that Stacey start a low dose aspirin daily due to her risk of preeclampsia when she reaches 16 weeks. b.Per the USPSTF Guidelines, you will recommend that Stacey start a low dose aspirin daily immediately as she is 12 weeks pregnant and high risk for preeclampsia. c.Per the USPSTF Guidelines, you will have Stacey return to the office for weekly protein urine dips, and when or if she develops proteinuria you will initiate low dose aspirin therapy. d.Per the USPSTF Guidelines, you will order a bleeding time and PTT test today while she is in the office and initiate Lovenox therapy at 1mg /kg/day.

B

The USPSTF screening for hypertension in adults is best applied to which of these scenarios? Select one: a.Mary is a 16-year-old Hispanic female. As her PCP, you would request that she check her BP and HR three times in the next two weeks and call the office with results. b.John is a 32-year-old Caucasian male who is in your office with complaints of anxiety. His BP is 186/100. You recommend John check his BP outside of the office and call with those results before starting any medications. c.Jack is a 46-year-old Native American male here to establish care. His BP is 160/82. You prescribe an ACE Inhibitor and a two-week follow-up appointment. d.Calvin is a 52-year-old African American male who has documented BPs outside of your office of 152â"174/76â"102. You prescribe Calvin an ACE inhibitor.

B

To initiate change and adherence to treatment, motivational interviewing works by activating patients' own ________. Select one: a.guilt b.motivation c.family d.spouse

B

What type of high-fidelity model can be used to teach the core principles of psychiatric-mental health nursing? Select one: a.Imagery b.Simulation c.Rendering d.Visualization

B

Which of the following groups is more likely to be illiterate in the United States? Select one: a.Minorities of all ethnicities b.White native-born Americans c.Foreign-born immigrants d.Hispanics and Latinos

B

Your employer encourages participating in community outreach and as part of this program, you work in a free clinic at an inner-city public school one day a month. The following activities are on your schedule today. Choose the scenario that best reflects the correct USPSTF guideline. Select one: a.Shantele is 15, almost 16, and an honor student. She is planning on graduating early and will have an academic scholarship to a local university. You believe Shantele to be low risk for unhealthy use of alcohol so you choose not to perform the alcohol screen that you would normally do on this age group. b.Many school systems participate in the Youth Risk Behavior Surveillance System (YRBSS) through the CDC. You will be attending a meeting this afternoon to discuss the results. There are six categories listed in the report and it includes behaviors that contribute to unintentional injuries and violence. The data can be viewed by state. c.Mitchel is 17 and stops by the clinic for a physical. You have your nurse let Mitchel know that he will need to be completely undressed and put on a gown as you will need to do a testicular exam as a routine screening for testicular cancer. d.Your afternoon at the school is considered a screening day. You are making a list of what you wish to screen for and you know that you will screen for tobacco use but you are going to skip vaping as this is a safe alternative.

B

________ is one of the primary determinants of good health. Choose the most correct answer. Select one: a.Good carbohydrate control b.Good nutrition c.Stable blood sugars d.Healthy body weight

B

Choose all the statement(s) that are true about motivational interviewing (MI). Select one or more: a.MI is a form of trickery. b.MI is a skillful clinical style. c.MI elicits patients own good motivations. d.MI involves more guiding than directing.

BCD

For which of the following is STOPP the acronym? Select one: a.Screening tool of pharmacodynamic prevention b.Screening tool of pharmacy prevention c.Screening tool of older people's prescriptions d.Screening tool to alert to right treatment

C

How many serious diseases are childhood immunizations designed to help prevent? Select one: a.24 b.12 c.14 d.26

C

Identify the populations that have a greater-than-average risk of developing health problems. Choose the answer that is most correct. Select one: a.The poor, children, and women b.Elderly, women, and ethnic minorities c.The poor, children, women, elderly, immigrants, and ethnic minorities. d.Immigrants, poor, children, women, and elderly

C

Intimate partner violence (IPV) is common in the United States but often remains undetected. Although estimates vary, IPV (including sexual violence, physical violence, and stalking) is experienced by approximately 36 percent of U.S. women and 33 percent of U.S. men during their lifetime. Severe physical violence is experienced by 21 percent of U.S. women and 15 percent of U.S. men during their lifetime. Which of the following is the best definition of IPV according to the USPSTF? Select one: a.The term "intimate partner violence" refers to acts whereby a trusted person causes or creates risk of harm to an adult. b.The term "intimate partner violence" refers to acts whereby a trusted person (for example, a caregiver) causes or creates risk of harm to an older adult. c.The term "intimate partner violence" refers to physical violence, sexual violence, psychological aggression (including coercive tactics, such as limiting access to financial resources), or stalking by a romantic or sexual partner, including spouses, boyfriends, girlfriends, dates, and casual hookups. Severe physical violence includes being hit with a fist or something hard, kicked, hurt by pulling hair, slammed against something, hurt by choking or suffocating, beaten, burned on purpose, or threatened with a knife or gun. d."Intimate partner violence" is usually associated with situations of power imbalance and may include bullying, gaslighting, and abuse in the workplace.

C

Living with ________ challenges a households ability to obtain food and make healthy choices and can exacerbate stress and chronic disease risk. Select one: a.food access b.poor nutrient-dense foods c.food insecurity d.recommended daily allowance

C

Stress is of both theoretical and practice interest to nurses. The World Health Organization's Global Burden of Disease Survey estimated that the global impact of stress-related conditions would continue to rise; therefore, by the year 2020, ________ disorders, including stress-related conditions, will be the second most prevalent health problem, second only to ischemic heart disease. Select one: a.Generalized depressive disorder b.Bipolar disorder c.Depression and anxiety disorders d.Pseudo-anxiolytic disorder

C

Technology has become an integral part of our world over the last decade, and now there are many opportunities to explore its use inside medicine. Which of the following are being used to drive technology driven medical trends? Select one: a.Telehealth; smart phones; search engines b.Smart phones; telehealth c.Smart phones; telehealth; search engines; social media d.Search engines; smart phones; telehealth

C

The CDC and USPSTF recommend screening all high-risk individuals for hepatitis C and tuberculosis. Read the following scenarios and choose the best option. Select one: a.Jose is a 38-year-old male who has lived in Mexico for the past 25 years. He is returning to the United States because his mother is ill. Jose is covered in tattoos; his arms, chest, and back are full, and he is working on his legs, with several new drawings having been started. He denies any IV drug use and states that he is heterosexual and has had one partner for the past 15 years. Jose has come to your office to establish care and prescription refills. After talking with Jose, you feel that he is at risk for Hep C and TB. b.Maria is a 24-year-old female who is in your office today with her baby. The baby is happy, smiling, and appears well cared for. Maria admits to using heroin and has shared needles in the past. She states that she had her baby a year ago. You verify that her Hep C screen was negative when she delivered. She denies using now, stating that she quit when she found out she was pregnant. Maria is at risk for having hepatitis C, and you order a screening test. c.Mike is a 38-year-old male who just finished a 10-year sentence for multiple armed robberies. You volunteer at the local health clinic and are seeing Mike for the first time. Due to his history of being incarcerated, Mike is at risk for TB and Hep C. d.Karen is a 16-year-old female who states she had sex for the first time two weeks ago with Manuel. They have gone to school together since kindergarten, but she is worried she could have contracted an STD because they didnât use protection. Since they didn't use protection, you perform a pelvic exam and do âregular STDâ screening test, but you also order a Hep C and TB test as well.

C

What are the four guiding principles of motivational interviewing? Select one: a.Direct, Guide, Follow, and Mix-n-Match b.Asking, Listening, Informing, Collaboration c.Resist, Understand, Listen, Empower d.Collaborative, Evocative, Autonomy, Empower

C

What are the four guiding principles of motivational interviewing? Select one: a.Direct, guide, follow, and mix-n-match b.Asking, listening, informing, collaborating c.Resist, understand, listen, empower d. Collaborative, evocative, autonomy, empower

C

Primary prevention focuses on persons who are at risk for disease. Review the following scenarios and choose the one that best represents primary prevention. Select one: a.Harold is an 80-year-old male with hypertension. His BP has been increasing over the past few months and since Harold recently fell, he is doing less walking and his BP continues to rise. Harold's provider is recommending that he increase his Lisinopril to BID. b.Sally is a 68-year-old Type II diabetic. She is taking three different P.O. medications to help control her blood sugar and her Hgb A1C is 8.7. Sally's provider is recommending she begin sliding scale insulin therapy. c.Joe is 54-year-old with hypertension and hypercholesterolemia. Joe's PCP is recommending a fasting blood sugar be drawn with his next appointment.

C Primary prevention aims to "prevent" a disease state from occurring. PP strategies reduce the occurrence or delay the onset of disease such as diabetes, heart disease, stroke, and cancer; secondary prevention activities promote health within the limits of the illness or disability. The correct answer is: Joe is 54-year-old with hypertension and hypercholesterolemia. Joe's PCP is recommending a fasting blood sugar be drawn with his next appointment.

Haden just delivered her 3rd child at home. She and the baby are both doing well. The midwife who was present for the birth should ________. Choose all that apply. Select one: a.not treat the newborn with prophylactic ocular topical medication to prevent gonococcal ophthalmia neonatorum because this is a hospital acquired infection and not needed as Haden had a home delivery. b.discuss the option to do the newborn PKU screening, as this is an optional screening in the state where Haden lives c.order the PKU screening test that needs to be completed within one to two days of birth d.treat the newborn with prophylactic ocular topical medication to prevent gonococcal ophthalmia neonatorum

C & D The correct answers are: Order a PKU screening test that needs to be completed within one to two days of birth, as this is required in all 50 states; treat the newborn with prophylactic ocular topical medication to prevent gonococcal ophthalmia neonatorum.

All vegetables, fruits, whole grains, seafood, eggs, beans and peas, unsalted nuts and seeds, fat-free and low-fat dairy products, and lean meats and poultry when prepared with little or no added solid fats, sugars, refined starches, and sodium are ________. Select one: a.a key part of having food access b.part of a daily recommended diet for vegans c.all high in fiber d.examples of nutrient-dense foods

D

Choose the correct definition of pharmacokinetics. Select one: a.Response of the body to the drug that is affected by receptor binding, post-receptor effects, and chemical interactions b.Response of the body to the drug that is affected by receptor blocking, post-receptor effects, and chemical interactions c.Time course of absorption, distribution across compartments, metabolism, and excretion of waste products in the body d.Time course of absorption, distribution across compartments, metabolism, and excretion of drugs in the body

D

For which of the following is START the acronym? Select one: a.Screening tool of pharmacy prevention b.Screening tool to accommodate right treatment c.Screening tool to ask for recommended treatment d.Screening tool to alert to right treatment

D

How can developmental milestones be noted in children? Choose all that apply. Select one: a.Play b.Learn c.Speak d.Act

D

How could a poor directing style, done with a lack of grace, leave a patient feeling? Select one: a.Personally relevant b.Suspicious of provider motives c.Well informed d.Unheard and dissatisfied

D

How do vaccinations help individuals fight off disease? Select one: a.Vaccines contain antibodies to fight infection. b.Vaccines are weakened germs that are genetically modified to be safe in humans. c.Vaccines fight off disease by helping the body create antigens to the disease. d.Vaccines introduce a small number of antigens into the individuals body.

D

How do vaccinations help individuals fight off disease? Select one: a.Vaccines contain antibodies to fight infection. b.Vaccines are weakened germs that are genetically modified to be safe in humans. c.Vaccines fight off disease by helping the body to create antigens to the disease. d.Vaccines introduce a small number of antigens into the individual's body.

D

Obesity related health conditions continue to be documented in the literature. Choose the correct statement(s) below regarding those disease processes. Select one: a.Health disease, Type 1 DM, stroke, and colon cancer b.Heart disease, Type 1 and 2 DM, and certain types of cancers c.Heart disease, Type 2 DM, and certain types of cancers d.Heart disease, stroke, Type 2 DM, and certain types of cancers

D

Rates of binge drinking are ______ for students living off campus (and not with parents) and those living in fraternity or sorority houses. Select one: a.24% higher b.25% lower c.The lowest d.The highest

D

Read the following scenarios and choose the interchange that best reflects listening. Select one: a.Good morning, Mr. Smith. Can you remind me what medications you are taking? b.Good morning, Mr. Smith. I'm so sorry to hear about your wife's passing. c.Good morning, Mr. Smith. I wanted to ask a few questions this morning to see what we need to cover during your visit. Incorrect d.Good morning, Mr. Smith. Tell me what's on your mind today.

D

Read the following scenarios and choose the one that follows the USPSTF guidelines. Select one: a.Micah is 35 and his brother, who is 57, just had a MI. You recommend that Micah start taking a statin to help prevent him from developing cardiovascular disease. b.Betsy has brought her five-year-old son in to have his vision checked. While in the office, you note that she has her two-year-old daughter with her as well. You explain to Betsy that it is recommended that children aged two to five have their vision screened, so you go ahead and screen both of her children. c.Dennis is a 22-year-old gay male who presents to the office worried that he has a STD. He states that he has had multiple sexual partners in the past six months. You reassure Dennis that you will run test for STDs but that you won't need to check for syphilis as he is not at high risk for having contracted this disease. d.JR is a 54-year-old male. As a matter of primary prevention, you recommend that JR start on statin therapy to help prevent the development of cardiovascular disease.

D

Screening for obesity in children and adolescents should occur at what age? Select one: a.Eight years of age and older b.When the child starts kindergarten c.With first menstrual cycle for females and age 12 for males d.Six years of age and older

D

The CDC makes the following statements about chronic disease:Six in 10 adults in the United States have a chronic disease.Four in 10 adults in the United States have two or more chronic diseases.Chronic diseases are the leading cause of death and disability in the United States.Tobacco use, poor nutrition, lack of physical activity, and excessive alcohol use are key lifestyle risks for chronic diseaseNow that you have reviewed these statements from the CDC, read the following scenarios and choose the one that most reflects the statistics on chronic disease. Select one: a.Jason is a 34-year-old male who exercises five days a week, does not smoke, and drinks only on special occasions. He was just diagnosed with glaucoma. b.Amelia is 18 months old and just stopped walking. She refuses to bear weight on her right leg, and the x-ray shows concerns for a bone tumor. c.Kerri is a 78-year-old female who fell down four steps due to the ice and broke her left hip. She is concerned she may have osteoporosis. d.Sandy is a 56-year-old female with frequent episodes of shingles. She is diabetic, has hypertension, and continues to smoke. Sandy's BMI is 38.

D

The USPSTF has deferred recommendations on sickle cell screening to the Health Resources and Services Administration (HRSA) Discretionary Advisory Committee on Heritable Disorders in Newborns and Children (DACHDNC). What is the recommendation from HRSA? Select one: a.Only families of African descent need to be screened. b.No screening is necessary if both parents were screened as newborns. c.This is an optional screening. d.Every newborn screening program should include a Uniform Screening Panel that screens for 35 core disorders and 26 secondary disorders.

D

The USPSTF has made the following recommendation in relation to Weight Loss to Prevent Obesity-Related Morbidity and Mortality in Adults: Behavioral Interventions Select one: a.The USPSTF recommends that clinicians offer or refer adults with a body mass index (BMI) of 34 or higher to intensive, multicomponent behavioral interventions. b.The USPSTF recommends that clinicians offer or refer adults with a body mass index (BMI) of 36 or higher to intensive, multicomponent behavioral interventions. Incorrect c.The USPSTF recommends that clinicians offer or refer adults with a body mass index (BMI) of 28 or higher to intensive, multicomponent behavioral interventions. d.The USPSTF recommends that clinicians offer or refer adults with a body mass index (BMI) of 30 or higher to intensive, multicomponent behavioral interventions.

D

The USPSTF recommends early screening for syphilis infection in all pregnant women. Untreated syphilis infection in pregnant women can be transmitted to the fetus (congenital syphilis) at any time during pregnancy or at birth. Congenital syphilis is associated with all of the following EXCEPT: Select one: a.Stillbirths b.Bone deformities c.Neurological impairment d.Preterm labor

D

The most commonly reported STD in the United States is ________. Select one: a.hepatitis C b.trichomoniasis c.herpes d.chlamydia and gonorrhea

D

Think of the communication styles discussed as a continuum. This allows for a trusting relationship to build between provider and patient and the honoring of the patient's wishes. However, providers frequently overuse one communication style. Read the following scenario and choose the interaction that depicts this overused style.Ester is an 83-year-old female who returns for a blood pressure recheck. You review Ester's list of BP readings for the past two weeks and you note that her BP for the past four days has been 162/88 in the afternoon. You explain to Ester that you want her to increase her BP medication and follow up in three months. Select one: a.Ester states that she doesn't want to change her medication, you ask why, and she tells you she doesn't like to take pills. Despite her concern you leave a new prescription and ask her to call with BP readings in a couple of weeks. b.Ester states that she doesn't want to change her medication, you ask why, and she tells you she doesn't like to take pills. You spend time discussing that the change you are seeing is over the past week and she explains that she has had company and they have all left to go back home. Ester would like to check her BP for a few more days and call you back. You both agree to this option. c.Ester states that she doesn't want to change her medication, you ask why, and she tells you she doesn't like to take pills. You spend time discussing her readings and she explains that she has had company and that they left last evening. Ester would like to check her BP for a few more days and call you back. You find out from Ester that she is also going to have more company this next week and you discuss pros and cons of changing her medication and who will be at her home. This past week she had nieces and nephews that made her nervous but next week her eldest daughter is coming to work on a quilt. With this is in mind you both agree to this option. d.Ester states that she doesn't want to change her medication, but you insist and leave her with a new prescription.

D

Undernutrition has been documented in individuals living under the poverty level, and in children, adolescent, and the elderly. Of the four nutrient deficiencies listed, which is the most common? Select one: a.Calcium deficiency b.Vitamin D deficiency c.Vitamin B12 deficiency d.Iron deficiency

D

What are: establishing oneself in a productive career, nourishing long-term relationships, childbearing, and child rearing? Select one: a.Stressors frequently identified by adolescents b.Stressors frequently identified by older adults c.Stressors frequently identified by children d.Stressors frequently identified by young and middle age adults

D

What communication style helps patients voice and clarify what they are experiencing and feeling? Select one: a.Collaborative b.Direct c.Guiding d.Listening

D

What does social screenings have to do with good health? Select one: a.Social screenings provide clinicians an opportunity to demonstrate how versatile they can be. b.Social screenings should be done by a social worker in primary care practices so that the providers can focus on medicine. c.Providers should focus on medicine and then refer patients to the state offices of children's services so they can be set up with the appropriate screening services. d.Learning about the environment in which our patients live gives us insight into their daily struggles. These screenings help providers to identify risk factors that need to be addressed so that patients can achieve optimal health

D

What is the main downfall of asking serial questions? Select one: a.Providers find it difficult to recognize change talk when using this technique. b.Serial questions do not allow the provider to shift between communication themes. c.Serial questions make the practitioner appear like he or she is really interested and taking a lot of time with the patient. d.Serial questions tend to evoke defensiveness, often leading to answers that are half-truths as a means of protecting self-esteem.

D

What is the main downfall of asking serial questions? Select one: a.Providers find it difficult to recognize change talk when using this technique. b.Serial questions do not allow the provider to shift between communication themes. c.Serial questions make the practitioner appear to be really interested and taking a lot of time with the patient. d.Serial questions tend to evoke defensiveness, often leading to answers that are half-truths as a means of protecting self-esteem.

D

What percentage of lifetime cases of mental health conditions begin by the age of 24? Select one: a.10 percent b.25 percent c.50 percent d.75 percent

D

What percentage of lifetime cases of mental health conditions begin by the age of 24? Select one: a.10% b.25% c.50% d.75%

D

What supports a regular exercise, healthy eating, and a consistent study schedule? Select one: a.Occasional counseling sessions b.Strict medication compliance c.Adherence to class schedules d.Regular sleeping patterns

D

Which of the following is considered the authoritative source to clinical preventive services? Select one: a.UpToDate b.American Association of Family Practice Providers c.CDC d.United States Preventive Services Task Force (USPSTF)

D

________ refers to the ability of individuals to walk to nearby destinations. Select one: a.Commute b.Activity score card c.Sallis physical activity environment d.Walkability

D

Which of the following is(are) social determinants of health? Choose all that apply. Select one: a.Access to social and economic opportunities and the nature of social interactions and relationships b.Resources and supports available in homes, neighborhoods, and communities c.Quality of schooling and the safety of workplaces d.Cleanliness of water, food, and air

D, if choose all its all