Question 1

Which of the following individuals is at risk for developing osteoporosis? (Select all that apply.)

Accepted Answer

Osteoporosis occurs most frequently in postmenopausal women who have fair complexions and are small, sedentary individuals.It also occurs in people on long-term steroid use.It rate of osteoporosis increases with age.

Question 2

A community health nurse is caring for a variety of different people in the community.Which of the following individuals would the nurse recognize as being at risk to experience increased stress related to family dynamics? (Select all that apply.)

Accepted Answer

Approximately 21 million children, about 28 percent of children in the United States, lived with one parent in 2012, most typically the mother.The single most significant health risk in families headed by a single mother is poverty.Family life may also be threatened by older children living at home, opposition to a child's partner, or the inability to establish satisfactory relationships with potential or actual partners or sons-in-law and daughters-in-law.For example, parents frequently become emotionally involved in the athletic activities of their children to the extent that the failure of a 6-year-old to play a winning softball game causes a great deal of parental anguish.The 60-year-old couple whose children are successful would not have stressors specifically related to this status.The normal course of events is for children to grow up, leave the family of origin, and become successful in their own right.

Question 3

Which of the following diseases disproportionately affects non-Hispanic black persons? These persons are affected with a greater incidence than what would be expected based on population demographics OR because they have a higher morbidity/mortality for the disease as compared to Whites.(Select all that apply.)

Accepted Answer

Of concern is that Black Americans are less likely to be diagnosed with heart disease, but they are 30% more likely to die from it compared to the population in general.Black adults are less likely to survive 5 years after diagnosis than White adults.Non-Hispanic Black Americans share a disproportionate burden of human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS).Black men are eight times more likely than non-Hispanic White men to have HIV/AIDS.Black women are 20 times more likely to have HIV/AIDS than non-Hispanic White women and almost 5 times that of Hispanic/Latino women.It 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.Black persons are less likely to be diagnosed with osteoporosis than White persons.

Question 4

Which of the following medications is generally recommended to help preserve cardiovascular health in middle-age women?

Accepted Answer

Only aspirin is recommended to help maintain cardiovascular health.It lowers the risk of clot formation.None of the other choices offers medications, which are recommended.

Question 5

An occupational health nurse is planning injury-prevention educational sessions.Which of the following considerations should be made by the nurse?

Accepted Answer

The role of the occupational health nurse is focused on keeping the work site safe for employees.Experienced and new workers alike may not know all of the strategies to prevent injury.They need to be educated regarding such matters.OSHA applies to all companies.Annual, not every 2 years, TB testing is recommended for food handling.Union approval is not required to remove an employee from a job for safety or health reasons.Physical and cognitive changes, which are part of middle age, may predispose workers to injury (i.e., decline in vision/hearing).Removing a worker from a particular job may be indicated if the worker might endanger coworkers, if the worker has a disease condition that might be aggravated by the job, or if the worker is taking prescribed medications with potentially harmful side effects.The worker must be aware of the protective clothing that should be worn, sanitation measures for the work environment, general hygiene measures, and proper immunization.

Question 6

Which of the following statements is correct concerning lifestyle change programs?

Accepted Answer

Lifestyle change programs last at least 8 to 12 weeks and include assessment, education, and evaluation components to help individuals implement long-term modifications in health behavior and experience the results of their instituted changes.To maintain these long-term changes and to develop a healthy lifestyle, a supportive organizational environment is needed.This type of environment includes health-promoting physical settings, corporate policies and culture, ongoing programs, and employee ownership of programs.

Question 7

The occupational health nurse working for a large corporation is a member of a task force to improve the work environment.Which of the following suggestions by the nurse would help to improve work conditions? (Select all that apply.)

Accepted Answer

On-site facilities that improve health (walking paths) and psychological well-being (support groups, counseling) will help to create a positive work environment.Occupational health nurses would appropriately facilitate such initiatives.Depending on the food vendor, implementing such service may not be beneficial to the employees.Commonly, food vendors have palatability and salability vs healthy choices as the overriding criteria for food offerings.Accordingly, food vendors commonly offer food high in fat and sodium.

Question 8

A nurse is discussing sexuality with middle-age men and women.Which of the following information should be stressed by the nurse?

Accepted Answer

Unintended pregnancies are highest in middle-aged women.Men are more vulnerable to sexual dysfunction as compared to women.Adults in middle age represent 71% of all new cases of HIV/AIDS.HIV infection is not rare among middle-age adults.In fact, the majority of new cases occur in middle-aged adults.Both cardiovascular disease and diabetes can result in erectile dysfunction.

Quiz 23: Middle-Age Adult