Deck 20: Health Risks Across the Life Span

Question 1

If underlying causes were listed on autopsy reports, which of the following would be the most common cause of unnecessary death in the United States?

A)Alcohol
B)Guns
C)Tobacco
D)Unprotected sex

Answer 1

Tobacco

Question 2

Which of the following best describes where health care dollars in the United States be focused to improve breast cancer cure rates?

A)Education for women about breast cancer
B)Early detection programs with referral to ongoing access to a care provider
C)Primary prevention programs
D)Tertiary care through long-term follow-up

Answer 2

Early detection programs with referral to ongoing access to a care provider

Question 3

Which of the following behaviors results in men being less healthy than women?

A)Concentration on sports, hunting, and other dangerous recreational choices
B)Employment in stressful positions more so than women
C)Preference to spend money on priorities other than health care
D)Reluctance to visit physicians

Answer 3

Reluctance to visit physicians

Question 4

Which of the following best describes the current research findings related to the use of hormone replacement therapy (HRT)?

A)HRT does not prevent heart disease.
B)Use of HRT is recommended to prevent osteoporosis.
C)When used with complementary therapies, HRT is most effective.
D)HRT is a contributing cause of breast cancer.

Question 5

A school nurse wants to decrease the rate of obesity among children. Which of the following actions in the community would be most effective?

A)Lobby legislators to enact stronger legislation regarding school lunches and snack machines in schools.
B)Increase nutrition programs in schools that teach children to make healthy food choices.
C)Involve the entire family in the planning and managing of nutrition, especially when a child in the family is obese.
D)Provide after-school and summer camps that focus on diet and exercise.

Question 6

A nurse would like to learn more about the overall health of a population. Which of the following indicators would the nurse most likely use?

A)Life expectancy
B)Mortality rate
C)Morbidity rate
D)Health status

Question 7

A mother says, "My son wants me to let him buy a car. I must admit, I certainly get tired of driving him around to all his sports and other activities. Do you think I should let him have a car?" Which of the following statements would be the best response by the nurse?

A)"Absolutely, it will help him recognize the cost of gas and maintenance."
B)"Certainly. Most young men want their own car, and peer pressure can be painful."
C)"It depends on whether you trust your son to drive safely."
D)"No, adolescent males cannot be trusted with an automobile."

Question 8

A nurse wants to establish a program to decrease the death rate among adolescents. Which of the following programs should be developed?

A)Anti-alcohol program
B)Anti-smoking program
C)Careful driving program
D)Safe sex program

Question 9

A nurse is performing a health assessment on a young adult female. Which of the following comments by the client would cause the nurse to be concerned?

A)"I can't believe I didn't get that promotion. I thought I was the best candidate."
B)"I can't believe they didn't admit me to that graduate program with my good undergraduate grades!"
C)"I can't believe how lonely it is around the house since my spouse died."
D)"I can't believe how little I care about anything anymore since that diagnosis."

Question 10

Which of the following situations would most likely indicate elder abuse?

A)A daughter refuses to visit her mother due to work commitments.
B)A child runs around a grandparent's house breaking items.
C)A young man repeatedly steals money from his grandmother.
D)An elderly person demands that the family come for dinner.

Question 11

A nurse is new to the community but wants to begin planning immediately for health promotion programs. Even though the nurse does not yet know the community, which of the following programs would be good to plan first?

A)Alcohol and tobacco cessation programs
B)Cancer screening programs
C)Cardiac health education programs
D)Exercise for life programs

Question 12

Which of the following children is most at risk for being abused?

A)A 1-year-old
B)A 6-year-old
C)A 9-year-old
D)A teenager

Question 13

A nurse is providing contraceptive counseling to a female client. Which of the following is the most appropriate outcome of this counseling?

A)Encourage the individual to choose abstinence.
B)Ensure the individual is educated to make an informed choice about reproduction.
C)Advocate for increased funding for reproductive services.
D)Reduce the health risks of the individual.

Question 14

A woman needs to take some time off from work to care for her invalid mother. Which of the following health policies allows her to take an extended leave from work to care for a family member?

A)Personal Responsibility and Work Opportunity Reconciliation Act
B)Women's Health Equity Act (WHEA)
C)Temporary Assistance for Needy Families (TANF)
D)Family and Medical Leave Act (FMLA)

Question 15

A client has designated someone else to make health care decisions when he or she is unable to do so. Which of the following methods is the client using to make health care decisions?

A)An advance directive
B)A living will
C)A durable medical power of attorney
D)The Patient Self-Determination Act

Question 16

A nurse wants to establish a program to decrease the death rate among children. Which of the following health problems should be the target of this program?

A)Accidents and injuries
B)AIDS
C)Childhood obesity
D)Vaccine-preventable diseases

Question 17

A community health nurse is planning to implement an intervention to reduce the prevalence of sexually transmitted diseases in the community. Which of the following actions would most likely be taken by the nurse?

A)Establish immunization clinics to prevent STDs.
B)Educate people with HIV about the mode of transmission.
C)Explain to women that HIV is transmitted to women usually by IV drug abuse.
D)Develop a STD clinic to increase community access to services.

Question 18

Which statement about eating disorders is correct?

A)Individuals with anorexia frequently complain about weight loss.
B)Purging is associated with anorexia.
C)Most women with bulimia are concerned with the shape and weight of their body.
D)Bulimia is considered to have more medical complications than anorexia.

Question 19

Which of the following is of the greatest concern for the nurse who works with high school students?

A)Alcohol use
B)Motor vehicle accidents
C)Sports-related injuries
D)Unprotected sex

Question 20

A nurse is providing pre-conceptual counseling to a young woman. Which of the following supplements would the nurse most likely recommend?

A)Iron
B)Calcium
C)Folic acid
D)Vitamin C

Question 21

Toward whom is the TLC model targeted?

A)Caregivers of older persons with health problems
B)Community organizations that offer services for the elderly
C)Elderly clients with health problems
D)Nurses who care for older clients

Question 22

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

A)Home health
B)Assisted living
C)Nursing home
D)Hospice

Question 23

A nurse's mother leans forward and says, "My best friend fell the other day and now she's in the hospital. I'm really worried about getting osteoporosis. What do you think I should do?" What should the nurse recommend? (Select all that apply.)

A)Ask your doctor for hormone replacement therapy.
B)Continue to abstain from alcohol and not use tobacco.
C)Eat foods high in calcium such as fortified skim milk.
D)Eat lots of green leafy vegetables.

Question 24

A nurse is working with incarcerated adults who are being released from prison. Which of the following nursing interventions would be most appropriate for the nurse to implement?

A)Connect offenders with community-based mental health programs.
B)Provide community supervision for mentally ill offenders.
C)Advocate for increased prison time to decrease recidivism rates.
D)Educate about available state resources.

Question 25

Which of the following characteristics indicates a man is at a higher risk for developing prostate cancer?

A)Being of Caucasian descent
B)Has not had a PSA test
C)Has a father or brother who has had prostate cancer
D)Has benign prostatic hypertrophy (BPH)

Question 26

Which of the following will provide the highest benefit to an older adult's well-being?

A)Eligibility for Medicare and Social Security
B)Higher socioeconomic status, income, and education
C)Senior citizen privileges such as senior citizen centers and senior citizen discounts
D)Social networks that give support and meaning to life

Question 27

A health care provider is working with elderly clients who have ongoing chronic disease. Which of the following strategies can best assist them with healing? (Select all that apply.)

A)Advocating for increased support for elderly persons
B)Eliminating signs and symptoms of disease
C)Managing any chronic diseases to prevent complications and delay deterioration
D)Maximizing self-care capacity

Question 28

A nurse is implementing Wagner's Chronic Care Model. Which of the following actions would the nurse most likely take?

A)Educate a community group about hypertension control.
B)Create a budget for chronic disease management.
C)Administer immunizations to community members.
D)Conduct depression screenings in the community.

Question 29

Which of the following interventions would the nurse most likely implement when addressing the problem of asthma among school-aged children? (Select all that apply.)

A)Assess schools and day care centers for environmental "friendliness."
B)Share nutritional information with all students in the school.
C)Develop home and environmental assessment guides.
D)Teach all school personnel how to use rescue inhalers.

Question 30

Which of the following factors has the largest impact on health disparities among all populations?

A)Ethnicity
B)Education level
C)Lifestyle choices
D)Poverty

Question 31

Which of the following adolescent(s) would receive care from the advanced practice nurse without parental consent? (Select all that apply.)

A)A 16-year-old who is living on his own (not with his parents)
B)A pregnant adolescent
C)An adolescent in an emergency situation
D)An adolescent whose diagnosis has a serious prognosis

Question 32

Which of the following is the best way to ensure good nutrition in infants?

A)Breastfeeding only
B)Feed them only brand-name baby foods
C)Feed them only brand-name cereals
D)Feed them only brand-name formulas

Question 33

A nurse is implementing a tertiary prevention program to promote health among middle-aged women with diabetes. Which of the following best describes the intervention being implemented by the nurse?

A)Developing lifestyle improvement programs for women at risk for diabetes
B)Presenting lifestyle management presentations at women's conferences
C)Monitoring blood glucose levels closely and modifying diet accordingly
D)Screening glucose levels of women at risk for development of diabetes

Question 34

A nurse wants to promote improved health for obese children in the community. Which of the following best describes a tertiary prevention measure that the nurse would implement?

A)Establish lifestyle improvement programs through local youth organizations.
B)Evaluate the food intake of a group of children for a 48-hour period.
C)Provide education programs to overweight expectant parents.
D)Evaluate the body mass index of children at regularly scheduled well-child exams.

Question 35

A client explains to the nurse that it is just impossible for her and her husband to continue to have his mother in the home alone during the day while they work because the woman becomes confused and has fallen twice. Which of the following community resources should the nurse recommend?

A)Adult day health
B)Home health
C)Long-term care
D)Senior center

Question 36

After seeing a public education program on the need for screening colonoscopy and the dangers of colorectal cancer, an older friend asks the nurse, "I'm really scared of getting cancer. What can I do to avoid that kind of cancer?" Which of the following recommendations should be made by the nurse? (Select all that apply.)

A)Avoid smoking or much alcohol.
B)Choose poultry or fish rather than red or processed meat.
C)Eat lots of fruits, vegetables, and fiber each day.
D)Try to get at least 8 hours of sleep a night.

Question 37

A nurse advises a client who has HIV not to donate blood, plasma, or organs. Which of the following levels of prevention is being used?

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