Deck 30: Major Health Issues and Chronic Disease Management of Adults Across the Life Span

Question 1

The nurse is caring for an elderly client who has written advanced medical directives.Which of the following best describes what this means?

A) The client has made decisions regarding treatment if he becomes incapacitated.
B) The client has a living will.
C) The client has a Do Not Resuscitate order.
D) The client's family has decided on a medical treatment regimen.

Answer 1

The client has made decisions regarding treatment if he becomes incapacitated.

Question 2

A woman needs to take some time off from work to care for her invalid mother.Which of the following health policies allows her to take an extended leave from work to care for a family member?

A) Personal Responsibility and Work Opportunity Reconciliation Act
B) Women's Health Equity Act (WHEA)
C) Temporary Assistance for Needy Families (TANF)
D) Family and Medical Leave Act (FMLA)

Answer 2

Family and Medical Leave Act (FMLA)

Question 3

A nurse is investigating the overall health status of a population.Which of the following indicators would most likely be used by the nurse?

A) Life expectancy
B) Health status
C) Morbidity rate
D) Prevalence

Answer 3

Life expectancy

Question 4

A nurse is educating a community women's group about the importance of monthly breast self-exam and annual mammograms.Which of the following best describes why this community health education is important?

A) Increased screening will lead to a decreased incidence of breast cancer.
B) Early detection of breast cancer typically leads to a better prognosis.
C) The death rate of breast cancer continues to rise.
D) The potential harm from screening needs to be discussed.

Question 5

A nurse advises a client who has HIV not to donate blood,plasma,or organs.Which of the following levels of prevention is being used?

A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion

Question 6

A nurse is providing home care for several elderly clients in the community.Which of the following situations would most likely be indicative of elder abuse?

A) A daughter refuses to visit her mother due to work commitments.
B) A child runs around a grandparent's house breaking items.
C) A young man repeatedly steals money from his grandmother.
D) An older person demands that the family come for dinner.

Question 7

A nurse is caring for a client who has designated someone else to make health care decisions when he or she is unable to do so.Which of the following is being used by the client?

A) An advanced medical directive
B) A living will
C) A durable medical power of attorney
D) The Patient Self-Determination Act

Question 8

A nurse is providing preconceptual counseling to a woman.Which of the following supplements would be recommended to help prevent neural tube defects?

A) Iron
B) Calcium
C) Folic acid
D) Vitamin C

Question 9

A nurse is educating a client about reducing her risk factors for the development of colorectal cancer.Which of the following lifestyle changes should the nurse recommend?

A) Increase in consumption of dairy products
B) Reduction in consumption of processed meats
C) Decrease in exposure to the sun
D) Increase in sedentary lifestyle

Question 10

A nurse is implementing Wagner's Chronic Care Model (CCM).Which of the following actions would most likely be taken by the nurse?

A) Educate a community group about hypertension control
B) Create a budget for chronic disease management
C) Administer immunizations to community members
D) Conduct depression screenings in the community

Question 11

Which of the following characteristics indicates a man is at a higher risk for developing prostate cancer?

A) Being of Caucasian descent
B) Has not had a prostate-specific antigen (PSA) test
C) Has a father or brother who has had prostate cancer
D) Has benign prostatic hypertrophy (BPH)

Question 12

Current research on hormone replacement therapy (HRT)has found that it:

A) does not prevent heart disease.
B) should be used to prevent osteoporosis.
C) is useful with complementary therapies.
D) causes breast cancer.

Question 13

A nurse is caring for a client who is considered obese.Which of the following best describes this client?

A) An individual with a body mass index (BMI) of 15
B) An individual with a BMI of 20
C) An individual with a BMI of 30
D) An individual with a BMI of 25

Question 14

A nurse is providing contraceptive counseling to a female.Which of the following goals does the nurse plan to obtain?

A) Encourage the individual to choose abstinence
B) Ensure the individual is educated to make an informed choice about reproduction
C) Advocate for increased funding for reproductive services
D) Reduce the health risks of the individual

Question 15

A community health nurse would like to reduce the prevalence of sexually transmitted diseases (STDs)in the community.Which of the following activities would most likely be used?

A) Establish immunization clinics to prevent STDs
B) Educate people with HIV about the mode of transmission
C) Explain to women that HIV is transmitted to women usually by intravenous drug abuse
D) Develop an STD clinic to increase community access to services

Question 16

Testicular cancer is commonly found in which age-group?

A) 10 to 14 years
B) 15 to 40 years
C) 41 to 50 years
D) 51 to 70 years

Question 17

Which type of cancer is the second leading cause of cancer deaths in the United States?

A) Gastrointestinal
B) Prostate
C) Skin
D) Testicular

Question 18

A nurse is developing a community-based exercise program for a group of women who have cardiovascular disease.Which of the following levels of prevention is being used?

A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion

Question 19

An older person is in the last stages of dying.Which type of care would be the best for him?

A) Home health
B) Assisted living
C) Nursing home
D) Hospice

Question 20

Which statement about eating disorders is correct?

A) Individuals with anorexia frequently complain about weight loss.
B) Purging is associated with anorexia.
C) Most women with bulimia are concerned with the shape and weight of their body.
D) Bulimia has more medical complications than anorexia.

Question 21

Which of the following factors has the largest impact on health disparities among all populations?

A) Ethnicity
B) Education level
C) Lifestyle choices
D) Poverty

Question 22

An elderly person is living independently in a single room in a full-service life care community.Which of the following terms best describes this living arrangement?

A) Adult daycare
B) Home care
C) Nursing home
D) Assisted living

Question 23

Which of the following factors are cited as obstacles to improving men's health? (Select all that apply.)

A) Reluctance to consult their primary care provider
B) Emphasis of physical strength and competitiveness on masculinity
C) Lack of a primary care provider
D) Lack of access to health care by African American and Hispanic men
E) Emphasis on the male role as the head of the family

Question 24

What is the purpose of adult day health centers?

A) Provide support of life until death occurs
B) Provide assistance to people who may need help with activities of daily living (ADLs)
C) Provide treatment for those needing rehabilitation
D) Provide respite care relief for caregivers

Question 25

A nurse plans to address the increasing prevalence of depression in the community.Which of the following would be the best strategy to implement?

A) Educate the community about how depression affects men
B) Recognize available community resources
C) Advocate for health policy changes
D) Understand how free clinics are able to provide mental health services to those without health insurance

Question 26

Which of the following statements about health disparities is accurate?

A) African American women have a much higher incidence of breast cancer.
B) Health disparities are the result of negligent health care practices.
C) Health disparities vary among racial/ethnic groups.
D) Men have more obstacles to receiving health care than women.

Question 27

A nurse is working with incarcerated adults who are being released from prison.Which of the following nursing interventions would be most appropriate to implement?

A) Connect offenders with community-based mental health programs
B) Provide community supervision for mentally ill offenders
C) Advocate for increased prison time to decrease recidivism rates
D) Educate about available state resources

Question 28

A nurse is caring for an elderly female population.Which of the following considerations should be made? (Select all that apply.)

A) Postmenopausal women are more likely than men to experience hypertension.
B) Women use more health services than men.
C) Women report lower rates of disability than men.
D) Women and men have similar socialization patterns.
E) Postmenopausal women are less likely than men to experience depression.

Question 29

A nurse is planning to implement Wagner's CCM.Which of the following essential elements should be considered by the nurse? (Select all that apply.)

A) Clinical information systems
B) Evidence-based change
C) Self-management support
D) Community
E) Clinical practice guidelines