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?

Accepted Answer

Obesity,physical inactivity,smoking,heavy alcohol consumption,a diet high in red or processed meats,and insufficient intake of fruits and vegetables are risk factors for colorectal cancer.

Question 2

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

Accepted Answer

Having a father or brother who has had prostate cancer places a man at higher risk for developing 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?

Accepted Answer

Tertiary prevention includes those interventions aimed at disability limitations and rehabilitation from disease,injury,or disability.

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:

Accepted Answer

Durable medical power of attorney is the legal way for a client to designate someone else to make health care decisions when he or she is unable to do so.

Question 5

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

Accepted Answer

Prostate is the most common non-skin cancer and second leading cause of cancer deaths in the United States.

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?

Accepted Answer

The FMLA provides job protection and continuous health benefits where applicable for eligible employees who need extended leave for their own illness or to care for a family member.

Question 7

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

Accepted Answer

Life expectancy is a measure that is often used to gauge the overall health of a population.

Question 8

Which statement about eating disorders is correct?

Accepted Answer

Those with bulimia are usually concerned with the shape and weight of their body.Those with anorexia view themselves as normal or overweight; purging is associated with bulimia; and anorexia is considered to have more complications than bulimia.

Question 9

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

Accepted Answer

400 micrograms of folic acid are recommended daily.

Question 10

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

Accepted Answer

Two parts of advance directives are the living will and a durable power of attorney.An advance directive indicates treatment choices if clients become incapacitated.

Question 11

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

Accepted Answer

The goal of Healthy People 2020 is to promote responsible sexual behaviors,strengthen community capacity,and increase access to quality services to prevent STDs and their complications.Nursing activities should align with these goals.

Question 12

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

Accepted Answer

Use of electronic health records,provider reminders for key evidence-based care components,interprofessional teams communicating regularly,and community health classes to educate people with chronic diseases are various ways the CCM is being implemented.Creating a budget is not a way to use CCM.Administration of immunizations and conducting depression screenings do not address the management of the most common and costly chronic diseases: heart disease,diabetes,stroke,cancer,and arthritis.

Question 13

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

Accepted Answer

The goal of contraceptive counseling is to ensure that women have appropriate instruction to make informed choices about reproduction.The nurse should provide a non-judgmental approach during counseling and allow the woman to choose the appropriate contraceptive method.Nurses do advocate for reproductive services for women,but that is not a goal of contraceptive counseling.Reduction in the health risks of the individual is a goal of preconceptual counseling.

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?

Accepted Answer

Secondary prevention measures,including screening techniques,makes a difference in the death rates for breast cancer.Early detection often means cure whereas late detection typically results in an unfavorable prognosis.

Question 15

Testicular cancer is commonly found in which age-group?

Accepted Answer

Testicular cancer is commonly found in men 15 to 40 years old.

Question 16

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

Accepted Answer

Hospice would be the best form of care for a person in the last stages of dying.

Question 17

Which situation may indicate elder abuse?

Accepted Answer

Theft or mismanagement of money or resources is an element of abuse.

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?

Accepted Answer

Tertiary prevention includes those interventions aimed at disability limitation and rehabilitation from disease,injury,or disability.

Question 19

Which person would be considered obese?

Accepted Answer

A person is considered obese when the BMI reaches 30.

Question 20

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

Accepted Answer

HRT does not prevent heart disease.To prevent heart disease,women should avoid smoking,reduce fat and cholesterol intake,limit salt and alcohol,maintain a healthy weight,and be physically active.

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