Question 1

The nurse is preparing an educational program for parents of children with celiac disease. To develop a successful program for this community, which concept is important for the nurse to employ?&#10;A) Treat the relationship with the community as a partnership.&#10;B) The nurse alone has the power to shape and influence the behaviors of the community members.&#10;C) Current community values only play a small role in changing behaviors of community members.&#10;D) There is usually no need to include community leaders when developing a program for the community.

Accepted Answer

It is very important for the nurse to understand that community members must be worked with in partnership. Community leaders and members must be included when developing programs with ultimately successful outcomes. Behaviors of individuals within a community are influenced and shaped by community values and social norms. Communities can change individual behavior by promoting desirable behaviors and environments.

Question 2

A community member asks the difference between primary, secondary, and tertiary health prevention activities. Which statement by the nurse is an accurate interpretation?&#10;A) &#34;Tertiary health prevention activities are used to prevent health conditions from occurring.&#34;&#10;B) &#34;Primary health prevention activities are often very individualized and focus on disease management.&#34;&#10;C) &#34;Secondary health prevention activities are provided to detect the early development of a health condition.&#34;&#10;D) &#34;Tertiary health prevention activities are often provided for a community and not used to target individuals.&#34;

Accepted Answer

Primary health prevention activities are prevention-oriented activities that are delivered to a community. Secondary health prevention activities are used to screen for potential or actual health problems that are developing or have developed. Tertiary health prevention activities are provided for individuals to help manage an existing health condition.

Question 3

The nurse is performing a community needs assessment. Which concept is accurate regarding the influence that an individual's peers can have on health promotion behaviors?&#10;A) Peers are more often associated with negatively influencing individual health promotion behaviors.&#10;B) Only adolescents and the elderly are susceptible to peer influences regarding health promotion behaviors.&#10;C) Peers can positively influence health promotion behaviors, especially if the peer is experiencing benefits from the behavior.&#10;D) Celebrity spokespersons have been found to have very little impact on individual health promotion behaviors.

Accepted Answer

Peers can have a powerful and positive influence on individual health promotion behaviors. Peers are especially influential when they have experienced improvements in their health that can be visualized by others. Peers can exert more influence during specific life stages. Celebrity spokespersons are often seen by community members as their peers and they do have the power to promote positive lifestyle changes.

Question 4

The nurse is providing education for a community regarding risk factors for chronic diseases. Which statement from the audience indicates that more teaching is required?&#10;A) &#34;A diet with lots of fruits and vegetables will help reduce my risk.&#34;&#10;B) &#34;I need to get my blood pressure under control and stop drinking so much to help cut my risk.&#34;&#10;C) &#34;I didn't know how much my bad diet could increase my risk for developing a chronic disease.&#34;&#10;D) &#34;So, I don't have to lose my extra weight. I just need to stop smoking to prevent a chronic disease from developing.&#34;

Accepted Answer

Reducing the number of identified risk factors dramatically reduces the individual's risk for developing a chronic disease. Increasing the amount of fruits, vegetables, and whole grains reduces risk. Smoking, a poor diet, a sedentary lifestyle, and alcohol intake have been identified as strong risk factors for chronic disease development in the United States. A poor diet has been associated with the development of circulatory problems, diabetes, and cancer.

Question 5

A client reports scoring high on the Healthy Eating Index. What should the nurse recall about this index?&#10;A) A low score indicates a healthy eating pattern&#10;B) A high score increases the risk for developing chronic diseases&#10;C) A high score decreases the risk for developing chronic diseases&#10;D) A low score indicates compliance with Healthy People 2020 nutrition guidelines

Accepted Answer

A score of 100 means complete compliance with these guidelines, and a score of 0 means the respondent completely ignored the dietary recommendations. The total score is comprised of evaluating the amount and type of intake in each food group. The HEI is often used as a tool to evaluate the dietary quality of individuals who are subjects in observational research and later correlated to the risk of chronic disease. The index is not correlated with Healthy People 2020.

Question 6

The nurse examines the leading indicators included in Healthy People 2010. Which is measured as a leading indicator?&#10;A) Pollution levels&#10;B) Underweight people&#10;C) H1N1 influenza cases&#10;D) People with endocrine disorders

Accepted Answer

The leading indicators in Healthy People 2020 are: Physical activity, Overweight and obesity, Tobacco use, Substance abuse, Responsible sexual behavior, Mental health, Injury and violence, Environmental quality, Immunization, and Access to healthcare.

Question 7

A young client has developed a possible food allergy. What should the nurse anticipate being prescribed for this client?&#10;A) A food diary&#10;B) Cytotoxic testing&#10;C) Oral food challenge test&#10;D) Provocation-neutralization testing

Accepted Answer

Prior to developing a treatment plan, the healthcare provider would ask the child or parent to keep a food diary, detailing every food product ingested and the amount. There are other alternative food allergy testing methods such as provocation-neutralization testing and cytotoxic testing, but these are not recognized by leading professional allergy organizations as reliable tools for identifying a food allergy. The oral food challenge test is not identified as a testing method to identify a food allergy.

Question 8

A young client experiences nausea and vomiting after eating peanut butter. Which additional symptom should indicate to the nurse that the client is experiencing an allergic reaction?&#10;A) Hives&#10;B) Diarrhea&#10;C) Constipation&#10;D) Abdominal bloating

Accepted Answer

Hives, gastrointestinal symptoms, and itching indicate that the client has released histamine because of an immune response and has had an allergic reaction. Food intolerance is associated with abdominal bloating, constipation, diarrhea, and gas production. Food intolerances do not involve an immune system response.

Question 9

The nurse is preparing teaching for the parents of a child with a food allergy. Which topic should the nurse identify as important for this family?&#10;A) Dealing with food intolerance&#10;B) How to administer epinephrine&#10;C) The importance of avoiding milk&#10;D) The importance of avoiding shellfish

Accepted Answer

Clients with food allergies should avoid any form of the offending food. However, if the client accidentally ingests the offending food and experiences an allergic reaction, it will be important for the client or people close to the client, to be able to give the client an injection of epinephrine. Food allergies are very different from food intolerance problems and this information would not be included in the nursing care plan. For adults, the most common allergens are shrimp, lobster, crab, and other shellfish; fish; peanuts; tree nuts such as walnuts and other nuts; and eggs. For children, cow's milk, peanuts, eggs, and tree nuts are the primary allergens. It is important for the client to avoid only the foods that produce an allergic reaction. In the question, there is no mention of which food has produced an allergic reaction in this client.

Question 10

While educating a client regarding food safety in the United States, the client names the Centers for Disease Control and prevention as the organization that publishes a list of recalled food products. Which response should the nurse make to this client?

A) "Yes, the Centers for Disease Control is involved in monitoring food safety."
B) "No, the United States Department of Agriculture provides this information."
C) "No, the Food and Drug Administration provides this service and produces its own research about nutrition."
D) "No, the Environmental Protection Agency provides this service and other online resources about the foods that we eat."

Unlock Deck

Unlock for access to all 16 flashcards in this deck.

Unlock Deck

k this deck

Accepted Answer

The United States Department of Agriculture ensures the meat, eggs, and poultry are safe and wholesome and can be consumed by people living in the United States. Also, they provide resources and online information about nutritional values of the foods we eat. They conduct their own research about nutrition and offer a current listing of recalled food products. The Food and Drug Administration monitors safety of dietary supplements and processed foods (except poultry, meat, and eggs). The Centers for Disease Control and Prevention monitors foodborne illnesses and provides information about infectious disease epidemics. The Environmental Protection Agency regulates pesticide use on food products and has established water quality standards.

Question 11

A client is requesting healthy recipes made with vegetables and an online basal metabolic index calculator. To which online resource should the nurse direct this client to use?&#10;A) Environmental Protection Agency&#10;B) The Food and Drug Administration&#10;C) United States Department of Agriculture&#10;D) Centers for Disease Control and Prevention

Accepted Answer

The answer of A client is requesting healthy recipes made...

Question 12

A client develops vomiting and diarrhea after eating at a local restaurant. Which intervention should the nurse include in this client's plan of care?&#10;A) Teach the importance of avoiding seafood&#10;B) Teach the importance of eating fresh fruits and vegetables&#10;C) Teach the importance of washing hands after coughing or sneezing&#10;D) Teach the importance of refrigerating leftover items within two hours after a meal is served

Accepted Answer

The answer of A client develops vomiting and diarrhea after...

Question 13

The nurse suspects that a client with severe abdominal cramps and diarrhea has a possible foodborne illness. Which client statement should indicate to the nurse that the client may be experiencing food intoxication?

A) "I drank some unpasteurized juice."
B) "We picked some blackberries in the country and ate them."
C) "I canned my own tomatoes, but when I ate them, they just didn't taste right."
D) "We went camping, and I don't think I cooked my fish long enough before I ate it."

Unlock Deck

Unlock for access to all 16 flashcards in this deck.

Unlock Deck

k this deck

Accepted Answer

The answer of The nurse suspects that a client with...

Question 14

A client has developed memory problems, difficulty hearing, and tremors. Which food should the nurse consider as possibly causing these symptoms?&#10;A) Fish&#10;B) Raw vegetables&#10;C) Unpasteurized milk&#10;D) Improperly cooked poultry

Accepted Answer

The answer of A client has developed memory problems, difficulty...

Question 15

A client reports using bottled water to mix formula for an infant. Which health problem is this infant prone to developing later in life?&#10;A) Cancer&#10;B) Diabetes&#10;C) Dental caries&#10;D) Hypertension

Accepted Answer

The answer of A client reports using bottled water to...

Question 16

The nurse is assessing a client who developed nausea, vomiting, and diarrhea after eating undercooked meat. Which organism should the nurse suspect that the client ingested? (Select all that apply.)&#10;A) Shigella&#10;B) Salmonella&#10;C) Norwalk Virus&#10;D) Campylobacter&#10;E) Giardia intestinalis

Accepted Answer

The answer of The nurse is assessing a client who...

Deck 11: Nutrition and Health Promotion