Deck 21: Adult Health

Question 1

A community health nurse is working with other professionals to develop preventive programs to address the leading cause of death in men and women. Which measure would be appropriate?

A) Risk reduction for heart disease
B) Cancer screening
C) Safety education
D) Flu vaccine immunization

Answer 1

Risk reduction for heart disease

Question 2

When developing teaching programs for a community of adult men and women, which would the community health nurse establish as a key aspect for this community's ability to follow through with the teaching?

A) Life expectancy
B) Health disparity
C) Health literacy
D) Financial ability

Answer 2

Health literacy

Question 3

When assessing a population for health disparities, which would the nurse least likely evaluate?

A) Race
B) Education
C) Age
D) Sexual orientation

Answer 3

Age

Question 4

Which statement about life expectancy is most accurate?

A) The life expectancy for White Americans is 2.8 years greater than for Black Americans.
B) The life expectancy for Black Americans is 4.4 years greater than for Hispanic Americans.
C) In the United States, life expectancy continues to decline.
D) There is a 5-year gap in life expectancy between women and men.

Question 5

A community health nurse is working with a grant-funded project to address stroke prevention nationwide. After reviewing statistics related to stroke, which would the nurse identify as having the greatest need for this type of program?

A) North central
B) Southeast
C) Southwest
D) Pacific northwest

Question 6

The nurse educator is aware that the nursing student has a grasp of the major health problems of adults when the nursing student makes which statement?

A) "Morbidity and mortality among adults does not vary much by age, gender, and race/ethnicity."
B) "The six leading causes of death in adults include suicide, Alzheimer's disease, and homicide."
C) "Diseases of the heart are the first cause of death in adults."
D) "Malignant neoplasms, chronic lower respiratory diseases, unintentional injuries, and diabetes mellitus are not among the six leading causes of death in adults."

Question 7

The following is a list of the top five causes of unintentional injuries accounting for the majority of adult deaths due to injury. Order these in their proper sequence from first to fifth.
1) Fire arms
2) Suffocation
3) Motor vehicle crashes
4) Poisoning
5) Falls

A) 1, 3, 5, 2, 4
B) 5, 3, 1, 4, 2
C) 3, 5, 1, 2, 4
D) 3, 1, 4, 5, 2

Question 8

A community health nurse is preparing a presentation about drug use and abuse for a group of adults. Which would the nurse include as the one of the fastest growing forms of drug abuse?

A) Cocaine
B) Alcohol
C) Prescription drugs
D) Heroin

Question 9

After teaching a group of students about the major types of cancer affecting men and women, the instructor determines that the teaching was successful when the students identify which as the number one cause of cancer deaths among adults?

A) Colon
B) Pancreatic
C) Esophageal
D) Lung

Question 10

A client presents to the community health clinic with complaints of changes in urination. Which would lead the community health nurse to suspect that the client has benign prostatic hypertrophy (BPH)?

A) Nighttime frequency
B) Dysuria
C) Hematuria
D) Flank pain

Question 11

When developing community health programs targeting adult men, which would the nurse need to integrate into the plan?

A) Improved quality of education programs available for men
B) Increased access of health services by men as compared to women
C) Limited male gender-specific research
D) Increased awareness of men's health issues

Question 12

A community health nurse is reviewing research related to women's health. Which would the nurse use to obtain information about postmenopausal women's health?

A) The Women's Health Study
B) The Women's Health Initiative
C) The Nurses' Health Study I
D) The Nurses' Health Study II

Question 13

While working in a community health clinic, a community health nurse interviews a 24-year-old client. Which would lead the nurse to suspect that the client is binge eating?

A) Significant weight loss from dieting last year
B) Participation in excessive exercise
C) Exaggerated concern about body shape
D) Severe emaciation

Question 14

Which statement by a women's group indicates that they have understood the teaching about heart disease and women?

A) "More women die of breast cancer than heart disease."
B) "Women experience similar symptoms as men."
C) "Hormone replacement therapy protects the heart."
D) "Heart disease is the number one killer of women."

Question 15

Which statement about coronary heart disease and stroke is most accurate?

A) Cardiovascular disease kills more women than men.
B) Stroke kills more men than women.
C) White persons are more likely to have their first stroke earlier than Black persons.
D) Risk factors for cardiovascular disease are not known.

Question 16

A community health nurse working in a local women's health clinic is planning a teaching session for a group of women about menopause. Which would the nurse include in the teaching session?

A) Menopause involves very noticeable and characteristic symptoms.
B) The symptoms are usually temporary lasting for a month or two.
C) It can occur as early as age 40 but more commonly ages 45 to 55 years.
D) Going 6 months without a period signals menopause.

Question 17

During a home visit to a family, a community health nurse encourages the mother, aged 42, and grandmother, aged 67, to have a clinical breast examination at which frequency?

A) Monthly
B) Yearly
C) Every 2 years
D) Every 3 years

Question 18

As part of a health screening program, a community health nurse determines that a client is infected with the human papillomavirus (HPV). The community health nurse encourages the client to take which action?

A) Get a mammogram immediately.
B) Have her blood glucose level checked.
C) Undergo testing for a breast cancer gene.
D) Have a pelvic examination and Pap smear.

Question 19

A nurse is instructing the adult male members of a family on how to perform testicular self-examination. Which information would the nurse include when teaching this group of clients?

A) Performing the examination every 3 months
B) Completing the examination right after a hot shower
C) Examining both testicles at the same time
D) Reporting a slight difference in size of one testicle

Question 20

Which statement best describes the role of the community health nurse in promoting the health of adult men 35 to 65 years of age?

A) Anticipatory guidance to men approaching each stage and help them with ways to manage life more effectively.
B) Men of this age do not need to enhance their self-care skills.
C) A positive attitude toward aging is not helpful to men at this time in their lives.
D) Men of this age should exercise sporadically.

Question 21

When developing a plan of care for a group of male clients experiencing erectile dysfunction, which would the nurse expect to institute first?

A) Lifestyle changes
B) Adjustments to current medications
C) Psychotherapy
D) Behavior modification

Question 22

Which diagnostic would a community health nurse recommend adult men and women over the age of 50 receive yearly?

A) Electrocardiogram
B) Tetanus booster
C) Flexible endoscopy
D) Hemoccult stool testing

Question 23

A community health nurse, who is working with a program to foster early detection of prostate cancer, recommends prostate-specific antigen testing and a digital rectal examination for men with average risk starting at which age?

A) 40 years
B) 45 years
C) 50 years
D) 55 years

Question 24

The community health nurse is developing an education session targeting young adult women regarding sexual health. For this population group, the nurse would be sure to integrate specific information regarding which most common bacterial sexually transmitted infection (STI) during the education session?

A) Herpes
B) Chlamydia
C) Syphilis
D) HIV

Question 25

The community health nurse is discussing menopause with a student nurse. Which response made by the student nurse indicates that the teaching was effective?

A) "Women's estrogen levels decline over time."
B) "Perimenopause symptoms can last up to 10 years."
C) "Menopause is diagnosed after the cessation of menstrual periods for 6 consecutive months."
D) "Hot flashes are often the last symptom a woman may experience during perimenopause."

Question 26

Which statement by the community health nurse best highlights why it would be important to include information about the "Go Red" campaign in an education fair targeting women?

A) "Women have atypical heart symptoms and often delay treatment."
B) "Heart disease is prevalent and everyone needs to be aware of how to prevent it."
C) "The community needs to be aware of the genetic link to heart disease."
D) "Everyone needs to know how to seek treatment."

Question 27

The community health nurse is teaching about lifestyle changes for men who have been diagnosed with testicular cancer. Which level of prevention would the nurse be implementing?

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

Question 28

The community health nurse is working with the local hospital in offering free mammograms using the mobile mammography unit. Which level of prevention would the nurse be implementing?

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

Question 29

A nurse is caring for a client who has difficulty understanding follow- up instructions related to the diagnosed disease process. During the teach- back session, the client tells the nurse that the client finished second grade. What does the nurse recognize as the most likely to be an outcome of this circumstance?

A) The client may use emergency services more than primary care.
B) The client will have less hospitalizations related to the chronic condition.
C) The client will have an extended life expectancy.
D) The client has English as the first language learned.

Question 30

A nurse is preparing to develop a screening program with clients with a history of cardiovascular disease (CVD). Which disorders does the nurse expect to target? Select all that apply.

A) Hypertension
B) Coronary heart disease (CHD)
C) Stroke
D) Arrhythmias
E) Peripheral vascular disease
F) Cardiomyopathies
G) Valvular heart disease
H) Chronic lower respiratory diseases

Question 31

A nurse is caring for a client who is seeing a clinic health care provider for increased fatigue and a family history of type 2 diabetes. Which other risk factors in the client's history support screening for diabetes? Select all that apply.

A) Body mass index of 40
B) Age greater than 45 years
C) History of gestational diabetes
D) Exercising three times a week
E) Native American race