Question 1

An 80-year-old woman has found a lump in her breast and is in the clinic.What question by the nurse is most appropriate?

Accepted Answer

B

Question 2

The nurse is seeing a 68-year-old woman for a physical exam in the family practice clinic.The woman complains about having another pelvic exam.What response by the nurse is best?

Accepted Answer

B

Question 3

A nurse planning primary disease prevention interventions for a 64-year-old patient includes which of the following? (Select all that apply. )

Accepted Answer

A,C,D

Question 4

Which action by the nurse has the greatest impact on a patient's health promotion?

Accepted Answer

Educating a patient about vitamin D and calcium to prevent bone loss has the greatest impact on a patient's health promotion as it is a preventative measure for a chronic condition that affects quality of life. Evaluating a diabetic patient's ability to self-administer insulin injections, encouraging an obese patient to limit both fat and carbohydrate intake, and volunteering to take blood pressures at a community health fair are all important nursing actions, but they may not have the same level of impact on overall health promotion as educating a patient about preventative measures for a chronic condition.

Question 5

The student learns the Medicare guidelines for preventive health and reimbursement policies.Which statements follow the guidelines? (Select all that apply. )

Accepted Answer

The answer of The student learns the Medicare guidelines for...

Question 6

When assessing the older adult for bowel health,the nurse is most effective in obtaining subjective data when asking

Accepted Answer

This question is open-ended and specific, allowing the patient to provide detailed information about their bowel movement frequency, which is crucial for assessing bowel health.

Question 7

The nurse is discussing an older adult's past marital history during the admission assessment.Which statement by the patient best indicates the ability to cope with emotional stressors?

Accepted Answer

The statement "After my husband died, I managed to raise and educate our two children by myself" indicates that the patient was able to cope with the emotional stress of losing a spouse and manage the responsibilities of raising children on her own. This demonstrates resilience and adaptability, which are positive coping skills. The other options mention relying on others for support (B), simply getting by (C), or finding a new partner (D), which do not necessarily indicate strong coping skills.

Question 8

A nurse wishes to volunteer in a tertiary health care activity.What activity would the nurse choose?

Accepted Answer

Assisting women who are having radiation therapy would be a suitable activity for a nurse volunteering in tertiary healthcare. Tertiary healthcare involves the specialized and advanced medical treatment of patients with complex and serious health conditions, which can include cancer patients receiving radiation therapy. By assisting these women during their treatment, the nurse would be contributing to their care in a meaningful way.

Question 9

When the home health nurse assists the older adult patient with rearranging furniture within the home to prevent the patient from falling,the nurse is demonstrating

Accepted Answer

Health protection refers to actions taken to prevent illness and injury, such as rearranging furniture to prevent falls. Health promotion is focused on maintaining or improving overall health and well-being, while health prevention and disease prevention are more focused on identifying and preventing specific diseases or conditions.

Question 10

A nurse is assessing a patient's ability to manage existing health problems.What question by the nurse is most helpful?

Accepted Answer

The answer of A nurse is assessing a patient's ability...

Question 11

A patient has not followed up with recommendations made by the nurse to participate in cardiac rehabilitation after a myocardial infarction.What factors are most important for the nurse to assess in determining the cause of this behavior? (Select all that apply. )

Accepted Answer

The factors the nurse should assess include any financial barriers (A), transportation barriers (B), the patient's beliefs about the benefits of cardiac rehabilitation (C), and the location of the clinic (D). Ethnicity of providers (E) is not a relevant factor in this situation.

Question 12

The nurse wishes to participate in a community secondary prevention activity.Which activity does the nurse choose?

Accepted Answer

Administering blood pressure screenings at a mall is a community secondary prevention activity because it aims to detect and intervene early in the progression of hypertension, a risk factor for many chronic diseases. By screening individuals in a public space such as a mall, the nurse can reach a wide range of people and potentially prevent complications associated with uncontrolled hypertension. Dispensing free flu vaccinations at a clinic and teaching about the risks of sun exposure are also important public health interventions, but they primarily focus on primary prevention rather than secondary prevention. Fitting impoverished older adults with glasses is important for improving quality of life, but does not necessarily fall under the category of secondary prevention.

Question 13

A male patient complains about the digital rectal prostate exam and blood work for prostate-specific antigen (PSA)and asks,"How long am I expected to do this?" What response by the nurse is best?

Accepted Answer

The current guidelines suggest that prostate cancer screening, including PSA testing, can be discontinued at age 70, assuming the patient has no significant risk factors or symptoms.

Question 14

The nurse admitting an 89-year-old patient to an assisted living facility notes that the patient is currently taking numerous prescribed and over-the-counter medications.The nurse's initial intervention is to

Accepted Answer

The best initial intervention is to review the listed medications for possible interactions to ensure the patient's safety and well-being. Confirming with the physician that all medications are required and evaluating the patient's understanding of why each medication is taken can be done later after ensuring there are no harmful interactions. Explaining the dangers of taking so many medications may cause unnecessary anxiety to the patient without addressing the issue of potential interactions.

Question 15

An older adult patient has recently experienced some difficulty sustaining an erection as a result of medication he has been prescribed.Which question by the nurse best assesses the patient's perception of his own sexuality?

Accepted Answer

This question addresses the patient's personal perception and the impact of his dysfunction on his intimacy with his wife, rather than just asking about coping or preparedness for the dysfunction.

Question 16

During a home visit,a nurse is assessing the nutritional awareness of an older adult patient who lives alone.What action by the nurse is most effective in obtaining objective information?

Accepted Answer

Observing the patient eat a meal that he or she has prepared is the most effective way for the nurse to obtain objective information about the patient's nutritional status. It allows the nurse to see what types of foods are being consumed, portion sizes, cooking methods, and overall meal patterns. Asking the patient to describe what they ate for all three meals yesterday may not be entirely accurate and some patients may not have a good recall of their diet. Asking to see what types of foods the patient keeps readily available may give some insight into what types of foods are in the house, but it does not provide information on how they are being prepared or consumed. Reviewing the components of a healthy diet is valuable information for the patient, but it does not provide objective information on the patient's current nutritional status.

Question 17

Financial considerations are a major barrier to the older adult's participation in health promotion because

Accepted Answer

Medicare often does not cover the cost of preventive services, thus creating a financial barrier for many older adults to participate in health promotion. Although options A, C, and D may also be relevant factors, they do not directly address the financial barrier.

Question 18

A nurse frequently stops by a senior citizens' center and wants to offer primary prevention activities.Which activity would the nurse most likely provide?

Accepted Answer

Primary prevention focuses on preventing the onset of diseases or illnesses by promoting healthy behaviors and reducing exposure to risk factors. Immunizing against the flu is a primary prevention activity as it helps prevent the occurrence of flu and its complications. The other options involve detecting or managing pre-existing conditions and are more likely to be classified as secondary or tertiary prevention activities.

Question 19

A nurse routinely assesses patients for alcohol use.What principle guides this assessment?

Accepted Answer

The answer of A nurse routinely assesses patients for alcohol...

Question 20

The primary focus of the health belief model of health promotion is addressed when the nurse which of the following?

Accepted Answer

The health belief model focuses on individual beliefs and perceptions about health behaviors. Asking the patient if he believes smoking puts him at risk for lung cancer addresses this focus by assessing the patient's belief about the health consequences of smoking. The other options may be related to health promotion, but do not specifically address the primary focus of the health belief model.

Quiz 8: Health Promotion and Illnessdisability Prevention