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

Question 1

A nurse is educating a client about reducing her risk factors for the development of colorectal cancer.Which lifestyle change 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

Answer 1

Reduction in consumption of processed meats

Question 2

Which characteristic indicates a man is at a higher risk for developing prostate cancer?

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

Answer 2

Has a father or brother who has had prostate cancer

Question 3

When a nurse advises a client who has HIV not to donate blood,plasma,or organs,which level of prevention is being used?

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

Answer 3

Tertiary prevention

Question 4

When a client has designated someone else to make health care decisions when he or she is unable to do so,the client is using:

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

Question 5

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 6

A woman needs to take some time off from work to care for her invalid mother.Which health policy 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 )

Question 7

Which indicator would a nurse most likely use to learn more about the overall health of a population?

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

Question 8

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 9

A nurse providing preconceptual counseling to a woman recommends taking which supplement to help prevent neural tube defects?

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

Question 10

The nurse is caring for an elderly client who has written advance directives.This means that the:

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

Question 11

Which activity would a community health nurse most likely implement to reduce the prevalence of sexually transmitted diseases (STDs)in the community?

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 IV drug abuse.
D) Develop an STD clinic to increase community access to services.

Question 12

Which action would a nurse take when implementing Wagner's Chronic Care Model (CCM)?

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 13

Which goal does the nurse plan to obtain when providing contraceptive counseling to a female?

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 14

A nurse is educating a community women's group about the importance of monthly breast self-exam and annual mammograms.Why is this community health education 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 15

Testicular cancer is commonly found in which age-group?

A) 10 to 14 years
B) 15 to 40 years
C) 36 to 50 years
D) 51 to 70 years

Question 16

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 17

Which situation may indicate 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 18

Developing a community-based exercise program for a group of women who have cardiovascular disease is an example of which level of prevention?

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

Question 19

Which person would be considered obese?

A) An individual with a body mass index (BMI) of 10
B) An individual with a BMI of 20
C) An individual with a BMI of 30
D) An individual with a BMI of 40

Question 20

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 21

Which nursing intervention would be appropriate for the nurse to implement when working with incarcerated adults who are being released from prison?

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 22

Which considerations should be made by a nurse when caring for an elderly female population? 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.

Question 23

What is the purpose of adult day health centers?

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

Question 24

Which is the best strategy for the nurse to use to combat health disparities in special populations?

A) Increase awareness of one's own views and values.
B) Recognize available community resources.
C) Advocate for health policy changes.
D) Understand special conditions and concerns for various populations.

Question 25

Which factor has the largest impact on health disparities among all populations?

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

Question 26

Which 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

Question 27

Which essential elements should be considered by the nurse who is planning to implement Wagner's Chronic Care Model (CCM)? Select all that apply.

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

Question 28

Which statement 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 29

An elderly person is living independently in a single room in a full-service life care community.This living arrangement is described as:

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