Deck 13: Working With Client As Individual: Health and Wellness Across the Lifespan

Question 1

Which one of the following examples would constitute secondary prevention by a CHN who wants to promote improved health in obese women?

A)Educating women about the risks of obesity
B)Preventing long-term complications of pre-existing hypertension
C)Modification of women's diet and medications, as indicated
D)Screening using a full glucose tolerance test

Answer 1

Screening using a full glucose tolerance test

Question 2

Which of the following examples constitutes tertiary prevention by a CHN who wants to promote improved health in obese children?

A)Establishing lifestyle improvement programs through local youth organizations
B)Evaluating the food intake of a group of children for a 48-hour period
C)Providing educational programs to overweight prospective parents because they are at greater risk of having overweight children
D)Measuring body mass index in children during regularly scheduled well-child assessments

Answer 2

Establishing lifestyle improvement programs through local youth organizations

Question 3

According to the Comprehensive School Health Framework of health promotion, which one of the following is the correct definition of primordial prevention?

A)Interventions aimed at educating children about health risks
B)Preventing risk factors of health issues from ever occurring
C)Screening activities aimed at improving student health
D)Activities aimed at reducing the health complications associated with disease

Answer 3

Preventing risk factors of health issues from ever occurring

Question 4

Which measure needs to be included in the primary prevention of osteoporosis in women?

A)A diet rich in calcium and vitamin D
B)Exposure to sunlight for 40 minutes a day, recommended as an alternative source of vitamin D
C)Exercise, especially non-weight-bearing activity
D)Weight control

Question 5

Which of the following statements is the best definition of women's health?

A)Women's health is health care taken in fostering gynecological and reproductive wellness.
B)Women's health is health care that assists the transition from girlhood to womanhood and through menopause.
C)Women's health includes health promotion, health protection, and health maintenance across a woman's lifespan.
D)Women's health is the management and treatment of conditions unique to the female sex.

Question 6

Which one of the following is the nursing specialty that focuses on holistic care of older adult clients?

A)Older adult care
B)Geriatrics
C)Geripsychiatric nursing
D)Gerontological nursing

Question 7

The second leading cause of cancer deaths in Canadian women is colorectal cancer.Which of the following options is key to improving long-term survival in women with colorectal cancer?

A)Screening and treatment
B)Primary prevention and early detection
C)Providing information and chemotherapy
D)Prevention of infections and smoking cessation

Question 8

Which referral would be the best recommendation by the CHN for a physically and mentally challenged older adult who wants to continue living with her family but whose family members are all working outside the home?

A)Adult daycare services
B)Home health care
C)Long-term care
D)Older adult centres

Question 9

Which type of prevention is exemplified by the administration of vaccines to promote child and adolescent health?

A)Primary prevention
B)Secondary prevention
C)Tertiary prevention
D)Both primary and secondary prevention

Question 10

Testicular cancer is a common solid-tumour malignancy affecting men age 15 to 35.Which one of the following is the most common symptom of testicular cancer?

A)Low back pain
B)Fatigue
C)Painless, firm scrotal mass or swelling
D)Mild to moderate pressure to the scrotum

Question 11

CHNs who work with older adults who have cognitive impairment and their caregivers should be aware of the difference between depression, delirium, and dementia, in order to identify the health concern accurately and intervene accordingly.Which of the following descriptions relates specifically to dementia?

A)Dementia is a mood disorder.
B)Dementia is acute confusion.
C)Dementia means forgetfulness.
D)Dementia is progressive intellectual impairment.

Question 12

Which one of the following examples constitutes tertiary prevention by a CHN who wants to promote better health in women with diabetes?

A)Establishing lifestyle improvement programs for women at risk of developing diabetes
B)Including presentations on lifestyle management at women's conferences
C)Monitoring blood glucose levels closely and recommending necessary diet modifications
D)Screening glucose levels in women at risk for developing diabetes

Question 13

Which of the following areas should be targeted by the community health nurse (CHN) who wishes to successfully establish a program to decrease childhood mortality rates?

A)Accidents and injuries
B)Acquired immune deficiency syndrome (AIDS)
C)Childhood obesity
D)Vaccine-preventable diseases

Question 14

Which of the following is the most important action to be taken by the CHN who wishes to decrease childhood obesity?

A)Lobbying legislators to enact stronger legislation regarding unhealthy lunches and food from snack machines in schools
B)Increasing availability of nutrition programs in which schoolchildren are taught to make healthy food choices
C)Involving the entire family in the management of obesity in a child
D)Providing after-school activities and summer camps that focus on diet and exercise

Question 15

Which of the following is the primary determining factor of poor health outcomes in women?

A)Feelings of powerlessness
B)Lack of knowledge
C)Poverty
D)Stress