NU629 Health Promotion Disease Prevention
Week 15 Quiz
Question 1The concept of cultural respect has a positive effect on patient care delivery by enabling providers to deliver services that are respectful of and responsive to the health beliefs, practices, and cultural and linguistic needs of diverse patients.
True
False
Question 2The major goals of health promotion are ________.
a.helping people of all ages stay healthy
b.optimizing health in cases of chronic disease or disability
c.creating healthy environments
d.All of these answers are .
Question 3Health disparities within the United States remain a major concern within our health system. Read the following options and choose the statement(s).
a.African Americans, compared to other ethnicities, are more likely to develop chronic illnesses and to experience ill effects or to die from these conditions.
b.Elderly White and young Native American men are most likely to kill themselves, whereas young African American and Hispanic men are more likely to be killed by others.
c.Health care for immigrants, refugees, and temporary residents is complicated by the diversity of languages, health practices, food choices, and culturally based definitions of health.
d.The population with mental illness is usually defined broadly to include even those individuals with mild anxiety and depression.
Question 4The social determinants of health are the social conditions in which people are born, live, work, and age, including the health care system.
True
False
Question 5Global health is public health for the world, with issues that include vulnerability of refugee populations, the marketing of harmful products, pandemics, epidemics, and global climate change.
True
False
Question 6Community assessments done with collaboration and involvement from the stakeholders within the community sets community-based programs up for success.
True
False
Question 7When preparing nurses to provide culturally competent care, which of the following statements is most accurate?
a.The nurse should learn material about different cultures as quickly as possible.
b.Know yourself and show respect for others when dealing with different cultures.
c.The nurse should know it is best to apply standards from one culture to other cultures.
d.The patient and their family who come from a different culture than the nurse often struggle to teach others.
Question 8 Trauma-informed care shifts the focus from "What happened to you?" to "What is wrong with you?"
True
False
Question 9Community assessments require collaboration and should be done with the community and not on the community.
True
False
Question 10The World Health Organization was a pioneer in defining the community as a collective body of individuals identified by geography, common interests, concerns, characteristics, or values.
True
False
Question 11Good nutrition is one of the primary determinants of good health.
True
False
Question 12There are nine steps in the health planning process. The primary goal of these steps is to:
a.Identify health concerns
b.Point out to the individual how they can change their behaviors
c.Motivate the individual to do better
d.Actively involve both the client and the nurse in the process
Question 13Despite American's status within the world, undernutrition does exist in the United States, and iron deficiency anemia, although a rare nutritional deficiency, can occur in those who are nutritionally challenged.
True
False
Question 14The American Diabetic Association has published nutritional recommendations and interventions for the primary prevention of diabetes. The recommendations for moderate weight loss in adults and adolescents at risk for Type 2 diabetes include which of the following? Choose all that apply.
a.Reduction of calories and intake of dietary fats
b.Regular physical activity
c.Increasing consumption of whole grain food
d.Greater intake of low glycemic index foods rich in fiber
Question 15Complementary therapies can play a vital role in helping individuals manage stress.
True
False
Question 16Complementary therapies such as yoga, meditation, and imagery can help individuals reduce their stress.
True
False
Question 17Nurse practitioner programs need to concentrate on increasing student's comfort with culturally diverse client groups and stressing a deeper cultural knowledge in clinical practice.
True
False
Question 18Which of the following groups is more likely to be illiterate in the United States?
a.Minorities of all ethnicities
b.White native-born Americans
c.Foreign-born immigrants
d.Hispanics and Latinos
Question 19Read the following the scenarios and choose the interchange that best reflects listening.
a.Good morning Mr. Smith. Can you remind me what medications you are taking?
b.Good morning Mr. Smith. I’m so sorry to hear about your wife’s passing.
c.Good morning Mr. Smith. I wanted to ask a few questions this morning to see what we need to cover during your visit.
d.Good morning Mr. Smith. Tell me what’s on your mind today.
Question 20Diagnostic decision-making trees often require practitioners to ask the right questions to be able to make choices and recommendations. There are two primary types of questions that can be asked. Choose the best two statements that represent these primary types of questions.
Select one or more:
a.I’m going to give you a questionnaire to complete.
b.You indicated that you were not happy.
c.What is your address?
d.How are you feeling today?
Question 21The USPSTF deferred recommendations on sickle cell screening to the Health Resources and Services Administration (HRSA) Discretionary Advisory Committee on Heritable Disorders in Newborns and Children (DACHDNC). What is the recommendation from HRSA?
a.Only families of African descent need to be screened.
b.No screening is necessary if both parents were screened as newborns.
c.This is an optional screening.
d.Every newborn screening program should include a Uniform Screening Panel that screens for 35 core disorders and 26 secondary disorders.
Question 22The Women's Health Initiative studies caused controversy when trials were halted. The disinformation that came from the halting of the trials caused a panic. What are the current recommendations for healthful diet and exercise and the use of hormone replacement therapy in postmenopausal women?
a.The USPSTF recommends against the use of combined estrogen and progestin for the primary prevention of chronic conditions in postmenopausal women.
b.The UPSTF recommends the use of estrogen alone for the primary prevention of chronic conditions in postmenopausal women who have had a hysterectomy.
c.The USPSTF recommends that primary care professionals utilize behavioral counseling to help promote a healthful diet and physical activity for everyone.
d.The USPSTF recommends that all women follow a healthful diet and exercise plan; however, those on hormone replacement therapy tend to gain the most benefits.
Question 23Stacey is 26 years old and is 12 weeks pregnant. Today, she has no protein in her urine and her BP is 104/62; however, with her last pregnancy she developed proteinuria with hypertension and had to be placed on bedrest for the last trimester of her pregnancy.
a.Per the USPSTF Guidelines, you will recommend that Stacey start a low dose aspirin daily due to her risk of preeclampsia when she reaches 16 weeks.
b.Per the USPSTF Guidelines, you will recommend that Stacey start a low dose aspirin daily immediately as she is 12 weeks pregnant and at high risk for preeclampsia.
c.Per the USPSTF Guidelines, you will have Stacey return to the office for weekly protein urine dips, and when or if she develops proteinuria you will initiate low dose aspirin therapy.
d.Per the USPSTF Guidelines, you will order a bleeding time and PTT test today while she is in the office and initiate Lovenox therapy at 1mg /kg/day.
Question 24The CDC makes the following statements about chronic disease: Six in 10 adults in the United States have a chronic disease. Four in 10 adults in the United States have two or more chronic diseases. Chronic diseases are the leading cause of death and disability in the United States. Tobacco use, poor nutrition, lack of physical activity, and excessive alcohol use are key lifestyle risks for chronic disease. Now that you have reviewed these statements from the CDC, read the following scenarios and choose the one that most reflects the statistics on chronic disease.
a.Jason is a 34-year-old male who exercises five days a week, does not smoke, and drinks only on special occasions. He was just diagnosed with glaucoma.
b.Amelia is 18 months old and just stopped walking. She refuses to bear weight on her right leg, and the x-ray shows concerns for a bone tumor.
c.Kerri is a 78-year-old female who fell down four steps due to the ice and broke her left hip. She is concerned she may have osteoporosis.
d.Sandy is a 56-year-old female with frequent episodes of shingles. She is diabetic, has hypertension, and continues to smoke. Sandy's BMI is 38.
Question 25If alcohol is consumed, it should be in moderation " ________ " and only by adults of legal drinking age.
a.up to four drinks per day for women and up to five drinks per day for men
b.up to one drink per day for women and up to two drinks per day for men
c.no more than 15 drinks per week for men or women, but binge drinking is not recommended
d.no more than five to seven drinks in one setting for women and no more than eight to ten drinks in one setting for men
Question 26List five bullet points related to the DEPRESSION Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 27List five bullet points related to the COLORECTAL CANCER Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 28List five bullet points related to the PROSTATE CANCER Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 29List five bullet points related to the LUNG CANCER Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 30List five bullet points related to the CARDIOVASCULAR DISORDERS Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 31List five bullet points related to the HUMAN PAPILLOMAVIRUS Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
causes almost all cervical cancers
can cause cancer in mouth, vulva and oropharynx
blacks and hispanics have higher rate of HPV associated cancer
more common in males than females in the US
80% of sexually active men and women will be infected in their lifetime
Question 32Which of the following is the best example of secondary prevention?
a.Illness present and disease present
b.Illness absent and disease absent
c.Illness present and disease absent
d.Illness present and disease present
Question 33List five bullet points related to the PEDIATRIC IMMUNIZATIONS Preventive Guideline. Use information learned from the CDC Learning Modules and the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 34List five bullet points related to the TESTICULAR CANCER Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
white males 4 to 5 times more likely to be diagnosed than black males
median age for diagnosis is age 33
risk factors are family hx and age
unavoidable because of risk factors
can be treated successfully, risk of mortality is 1 in 5,000
4 - Not sure the point highlighted
Question 35List five bullet points related to the HEPATITIS B Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 36List five bullet points related to the CERVICAL CANCER Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 37List five bullet points related to the HEPATITIS C Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 38Which of the following is the best example of primordial prevention?
a.Transferring a patient to a skilled nursing unit instead of discharging to home
b.Public service announcements related to use of seatbelts, helmets, and drunk driving
c.Applying a cast/splint to a fractured wrist
d.A couple seeking genetic testing prior to conceiving
Question 39List five bullet points related to the SEXUALLY TRANSMITTED INFECTION Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 40List five bullet points related to the ADULT IMMUNIZATIONS Preventive Guideline. Use information learned from the CDC Learning Modules and the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable as applicable.
Question 41List five bullet points related to the BREAST CANCER Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 42The overreaching goals of Healthy People Initiatives are: Attain healthy, thriving lives and well-being, free of preventable disease, disability, injury, and premature death; and eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all.
True
False
Question 43List five bullet points related to the SMOKING/VAPING Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 44List five bullet points related to the FALL PREVENTIVE Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 45Which of the following is the best example of tertiary prevention?
a.DTaP; MMR; HIB immunizations
b.Participating in cardiac rehab
c.Upstream evaluation of air quality
d.Elective surgical procedures
