Deck 20: Health Risks Across the Life Span

Question 1

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) Patient Self-Determination Act
B) Personal Responsibility and Work Opportunity Reconciliation Act
C) Temporary Assistance for Needy Families (TANF)
D) Family and Medical Leave Act (FMLA)

Answer 1

Family and Medical Leave Act (FMLA)

Question 2

A nurse is providing preconceptual 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

Answer 2

Folic acid

Question 3

A nurse has just met the parents of a 10-year-old child who has been diagnoses with a congenital heart defect.When interviewing the parents,which of the following would be a priority question for the nurse to ask?

A) What are the learning needs of your child?
B) What does your child eat on a typical day?
C) Does your child have a good peer support network?
D) Does your child have a medical home?

Answer 3

Does your child have a medical home?

Question 4

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

Question 5

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

A) Antialcohol program
B) Antismoking program
C) Careful driving program
D) Safe sex program

Question 6

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 7

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

Question 8

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 9

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 10

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 11

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) Lack of exercise
D) Unprotected sex

Question 12

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 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 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 power of attorney
D) A Do-Not-Resuscitate (DNR) order

Question 15

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 16

A nurse is caring for a child who has been diagnosed with a chronic health condition.Which of the following conditions would the child most likely have?

A) Heart disease
B) Down syndrome
C) Emphysema
D) Arthritis

Question 17

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 18

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 19

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 20

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 21

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 22

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 23

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 24

A nurse is providing nutrition counseling to the parents of a 4-year-old.Which of the following recommendations is the nurse most likely to provide?

A) It is recommended that the child consume approximately 10 ounces of grains on a daily basis.
B) It is recommended that the child consume approximately four cups of dairy on a daily basis.
C) It is recommended that the child consume approximately four cups of fruits and vegetables daily.
D) It is recommended that the child consume approximately 10 ounces of protein on a daily basis.

Question 25

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 26

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

Question 27

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?

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 every day.
D) Try to get at least 8 hours of sleep a night.

Question 28

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?

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 29

A nurse is implementing Wagner's Chronic Care Model (CCM).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 30

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

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

Question 31

A nurse is conducting a screening for type 2 diabetes for children attending a local school.In addition to an elevated BMI,which of the following risk factors should the nurse consider?

A) Caucasian descent
B) Family history of type 2 diabetes
C) Birthweight greater than 9 pounds
D) Poverty

Question 32

Which of the following interventions would the nurse most likely implement when addressing the problem of asthma among school-aged children?

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 33

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 34

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 35

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

Question 36

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?

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 37

Which of the following adolescent(s)would receive care from the advanced practice nurse without parental consent?

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