Deck 8: Health Promotion and Illnessdisability Prevention

Question 1

An older adult patient has recently experienced some difficulty sustaining an erection as a result of medication he has been prescribed.The nurse best assesses the patient's perception of his own sexuality by asking:

A)"How are you and your wife coping with your sexual dysfunction?"
B)"What problems has your sexual dysfunction caused between you and your wife?"
C)"What impact has this dysfunction had on your ability to be intimate with your wife?"
D)"Are you and your wife prepared to deal with this dysfunction over the long term?"

Answer 1

"What impact has this dysfunction had on your ability to be intimate with your wife?"

Question 2

Using social cognitive theory,which action by the nurse will have the most impact on older adults' participation in health promotion behaviors?

A)Creating a walking club in the community
B)Offering private nutritional counseling
C)Providing meals at the senior center
D)Handing out educational materials

Answer 2

Creating a walking club in the community

Question 3

To engage the older adults who frequently attend a senior citizens' center in primary disease prevention,the nurse:

A)immunizes those attending a weekly luncheon against the H₁N₁ virus.
B)arranges for a colorectal cancer screening at the center.
C)schedules a speaker to discuss cooking for diabetic patients.
D)surveys the members to identify health issues of interest to them.

Answer 3

immunizes those attending a weekly luncheon against the H₁N₁ virus.

Question 4

The nurse is discussing an older adult's past marital history during the admission assessment.The nurse can best determine that the patient has a healthy ability to cope with emotional stressors when the patient states:

A)"After my husband died,I managed to raise and educate our two children by myself."
B)"Since my husband's death,I've grown even closer to my sisters."
C)"It's been hard since my husband died,but you manage to go on somehow."
D)"After my husband died,I married a good man who was there for me and my children."

Question 5

When assessing the older adult for bowel health,the nurse is most effective in obtaining subjective data when asking:

A)"Would you describe your bowel movements as usually normal?"
B)"Do you have a problem with constipation?"
C)"How often do you usually have a bowel movement?"
D)"Have your bowel movements changed recently?"

Question 6

A nurse is working with a woman who has been reluctant to start a walking program for her osteoporosis.What assessment by the nurse is most important?

A)Fear of falling
B)Lack of time
C)Lack of energy
D)Pain with movement

Question 7

Financial considerations are a major barrier to the older adult's participation in health promotion because:

A)most older adults have accepted poor health as a part of growing older.
B)Medicare often does not cover the cost of preventive services.
C)many already have been diagnosed with chronic illnesses.
D)they generally place more value on saving their disposable income.

Question 8

A male patient complains about the digital rectal prostate exam and blood work for prostate-specific antigen (PSA)and asks,"How long am I expected to do this?" What response by the nurse is best?

A)"Every year for the rest of your life."
B)"Until you turn 75 years of age."
C)"You can quit when you turn 80."
D)"There are no guidelines on this."

Question 9

A nurse is assessing a patient's ability to manage existing health problems.What question by the nurse is most helpful?

A)"Can you tell me why it's important to test your blood glucose level at least daily?"
B)"What were the results of your most recent A1C blood test?"
C)"Which pharmacy do you use when your prescription needs to be refilled?"
D)"Have you been experiencing pain in your feet?"

Question 10

The nurse has the greatest impact on a patient's health promotion when:

A)evaluating a diabetic patient's ability to administer his insulin injections.
B)encouraging an obese patient to limit both fat and carbohydrate intake.
C)volunteering to take blood pressures at a community health fair.
D)educating the patient about vitamin D and calcium to prevent bone loss.

Question 11

A nurse wishes to volunteer in a tertiary health care activity.What activity would the nurse choose?

A)Teaching about safer sexual behaviors
B)Greeting women at an emergency pregnancy clinic
C)Assisting women who are having radiation therapy
D)Finding home health safety resources

Question 12

The nurse admitting an 89-year-old patient to an assisted living facility notes that the patient is currently taking numerous prescribed and over-the-counter medications.The nurse's initial intervention is to:

A)confirm with the physician that all the medications are required.
B)evaluate the patient's understanding of why he is taking each medication.
C)explain to the patient the dangers of taking so many different medications.
D)review the listed medications for possible interactions.

Question 13

The nurse is seeing a 68-year old woman for a physical exam in the family practice clinic.The woman complains about having another pelvic exam.What response by the nurse is best?

A)"I know it's uncomfortable,but it's important to do it."
B)"You are past the age where this exam is recommended."
C)"Why don't you want to have your pelvic exam?"
D)"This will be the last time you need this exam."

Question 14

During a home visit,a nurse is assessing the nutritional awareness of an older adult patient who lives alone.The nurse is most effective in obtaining objective information when:

A)asking to see what types of foods the patient keeps readily available.
B)reviewing the components of a healthy diet with the patient.
C)asking the patient to describe what he or she ate for all three meals yesterday.
D)observing the patient eat a meal that he or she has prepared.

Question 15

A patient who is homeless has not followed through with getting an influenza vaccination.What response by the nurse to a student is most appropriate?

A)"It's hard to be proactive when you are hungry."
B)"If the patient would just come in,we have the shot."
C)"These patients never follow through on directions.
D)"Too bad we can't take the shot to him where he is."

Question 16

The primary focus of the health belief model of health promotion is addressed when the nurse:

A)accompanies the assisted living residents on a walk before dinner.
B)asks a senior citizens' group what health screening they want to have.
C)plans a program on cooking diabetic-friendly meals in cooperation with a dietician.
D)asks the patient if he believes smoking puts him at risk for lung cancer.

Question 17

The nurse wishes to participate in a community secondary prevention activity.Which activity does the nurse choose?

A)Administering blood pressure screening at a mall
B)Dispensing free flu vaccinations at a clinic
C)Fitting impoverished older adults with glasses
D)Teaching about the risks of sun exposure

Question 18

When the home health nurse assists the older adult patient with rearranging furniture within the home to prevent the patient from falling,the nurse is demonstrating:

A)health promotion.
B)health protection.
C)health prevention.
D)disease prevention.

Question 19

An 80-year-old woman has found a lump in her breast and is in the clinic.What question by the nurse is most appropriate?

A)How long have you had this lump?
B)If it's cancer,are you willing to treat it?
C)Do you have cancer in your family?
D)Are you having any pain right now?

Question 20

A nurse routinely assesses patients for alcohol use.What principle guides this assessment?

A)The older adult must balance risks to benefits of use.
B)Alcohol causes older adults to fall and should not be consumed.
C)There are no data on risks or benefits after the age of 75.
D)Alcohol-related diseases are more severe in older people.

Question 21

A patient has not followed up with recommendations made by the nurse to participate in cardiac rehabilitation after a myocardial infarction.What factors are most important for the nurse to assess in determining the cause of this behavior? (Select all that apply. )

A)Out-of-pocket costs
B)Transportation problems
C)Beliefs about the benefits
D)Location of the clinic
E)Ethnicity of providers

Question 22

The student learns the Medicare guidelines for preventive health and reimbursement policies.Which statement follows the guidelines? (Select all that apply. )

A)Medicare pays for an annual pneumococcal vaccination.
B)Medicare covers annual influenza vaccinations.
C)Pap smears and pelvic exams are covered once every 2 years.
D)Annual fecal occult blood tests are covered for those who are from 50 to 85 years of age.
E)A bone density scan is covered every 2 years (a co-payment is required).

Question 23

A nurse planning primary disease prevention interventions for a 64-year-old patient includes which of the following? (Select all that apply. )

A)Giving an influenza vaccination in early autumn of each year.
B)Suggesting the patient attend "Cooking to Manage Hypertension" classes taught by a registered dietician.
C)Giving a pneumococcal vaccination to celebrate the patient's 65th birthday.
D)Identifying several local smoking cessation support groups.
E)Providing the patient with a take-home occult stool screening kit.