Question 1

A nurse has been asked to develop a visiting plan for a mobile mammogram van. Which of the following factors would be considerations for the nurse when deciding which neighbourhoods to visit?

Accepted Answer

According to Statistics Canada, mortality rates are significantly higher in many areas for Indigenous Canadian people compared with the Canadian general population, including from tuberculosis, pneumonia, diabetes mellitus, unintentional injuries, intentional self-harm, breast cancer, and alcohol and drug abuse.

Question 2

Which of the following are the leading causes of death during middle adulthood? (Select all that apply.)

Accepted Answer

In the decade from 2001 to 2010, life expectancy increased for all groups of Canadians in the middle adult years. The leading causes of death during middle adulthood are heart disease, cancer, and unintentional injuries. Osteoporosis occurs most frequently in postmenopausal women who have fair complexions and are small, in sedentary individuals, and in people using corticosteroids on a long-term basis.

Question 3

Which of the following goals would be consistent with the Canadian Task Force on Preventive Health, as it pertains to screening and health promotion?

Accepted Answer

Increase the proportion of elementary and high schools that provide school health education to promote personal health and wellness in the following areas: handwashing or hand hygiene; oral health; growth and development; sun safety and skin cancer prevention; benefits of rest and sleep; ways to prevent vision and hearing loss; and the importance of health screenings and check-ups.
The Canadian Task Force on Preventive Health Care emphasizes screening but promotes such screening based on current guidelines. Accordingly, mammography for all women and colonoscopy for all adults is not appropriate nor is it consistent with current guidelines. By contrast, all high-school students would benefit from education on sun screening and skin cancer prevention. This goal, in fact, is a part of the published objectives. CT-scan screening for brain tumours is neither recommended nor is it part of the Canadian Task Force on Preventive Health Care goals and guidelines.

Question 4

REACH (Racial and Ethnic Approaches to Community Health) provides strategies to facilitate health promotion within diverse populations. The common thread to all of these strategies is:

Accepted Answer

The common thread is trust. The other choices depict objectives which are desirable in their own right within the context of community improvement but they are not a part of the REACH paradigm. REACH has been developed by the Centers for Disease Control and Prevention as a strategy to promote community health.

Question 5

A nurse would like to assist Canadians in improving their health. Which strategy would be most beneficial to improve the health of the Canadian public?

Accepted Answer

The greatest opportunity to improve the health of the Canadian people lies in addressing unhealthy, personal, behavioural risk factors. Intensive lifestyle changes can be effective not only in preventing chronic diseases but also in reversing their progression and significantly reducing health care costs. Improvement of the public's health is more likely to come from behaviour change than technology. Therefore, people deciding they are going to change their behaviour and stop smoking are likely to lead to improvements in the health of the public.

Question 6

Which of the following statements about the current prevalence of obesity in Canada is accurate?

Accepted Answer

The current statistics show that more than one in four Canadian adults has obesity. There remains a persistently high rate of obesity among Canadian youth, with approximately one in five youths aged 12 to 17 being classified according to reported height and weight as overweight or obese. Because of the increasing rates of obesity, unhealthy eating habits, and physical inactivity, we may see the first generation that will be less healthy and have a shorter life expectancy than their parents.

Question 7

According to the Canadian Health Measures Survey report, what percentage of adults 18 years of age or older are not accumulating the recommended amount of physical activity per week?

Accepted Answer

The Canadian Health Measures Survey data indicate that only 15% of Canadian adults are accumulating the recommended 150 minutes of moderate-to-vigorous physical activity per week; of this, only 5% of adults accumulate 150 minutes per week in at least 30-minute bouts five or more days per week.

Question 8

A nurse is providing care for a 15-year-old boy with a body mass index (BMI) of 28 kg/m². Which of the following best describes this boy?

Accepted Answer

The prevalence of obese children, adolescents, and adults is high and has increased in Canada. Children and adolescents (ages 2 to 19) are categorized as being overweight if their body mass index (BMI), expressed as weight divided by height², is between 25 and 29.9 kg/m², and is categorized as being obese if their BMI is 30 kg/m² or higher. Accordingly, the 15-year-old with a BMI of 28 kg/m² is considered to be overweight.

Question 9

Which of the following statements regarding obesity is correct according to Statistics Canada?

Accepted Answer

The prevalence of obesity in Canada remains high, and has been increasing for children, adolescents, and adults. As well, internationally the rates of overweight and obesity have increased. In Canada, obesity, overweight, and extreme obesity are typically reported on the basis of body mass index (BMI) values, as reported by Statistics Canada in its Overweight and Obese Adults (Self-Reported), 2014, Health Fact Sheets publication.

Quiz 6: Middle-Aged Adult, Screening, Health Education, Nutrition and Health Promotion