Chapter 1: Health Defined: Objectives for Promotion and Prevention
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Q1) Building a partnership with an obese individual who is trying to lose weight requires the nurse to:
A) schedule a day to exercise with the individual.
B) go grocery shopping for the individual.
C) learn about the methods of weight loss.
D) give the individual a weight loss goal.
Answer: C
Q2) A nurse who uses findings from a randomized, controlled trial on the care of Foley catheters to change practice at an institution is practicing:
A) evidence-based medicine.
B) qualitative research.
C) quantitative research.
D) clinical judgment.
Answer: A
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Chapter 2: Emerging Populations and Health
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Q1) Which of the following statements about ethnic minorities in the United States is accurate?
A) It is estimated that the percentage of ethnic minorities will decrease during the next 30 years.
B) It is estimated that ethnic minorities will increase to one in two by 2050.
C) The increasing population of refugees has been a significant contributor to the increase in ethnic minorities.
D) The increasing population of ethnic minorities has helped decrease the health disparities faced by this population.
Answer: B
Q2) A health care professional is offering an educational session about providing culturally congruent care. Which of the following information would be included the presentation?
A) Hispanic Americans value keeping balance and harmony with the earth.
B) The oldest male is the decision maker in African American families.
C) Native Americans are present oriented, taking one day at a time.
D) The hot and cold concept of disease is part of the Asian American culture.
Answer: C
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4
Chapter 3: Health Policy and the Delivery System
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Q1) Which person is at highest risk for being uninsured?
A) 68-year-old retired mailman
B) 48-year-old on renal dialysis
C) 2-year-old whose parents work but do not have benefits through their employers
D) 27-year-old who attends college and works part time in a small pizza parlor
Answer: D
Q2) The country with the highest life expectancy for women in 2011 was:
A) France
B) Germany
C) Sweden
D) the United States
Answer: A
Q3) A nurse discussing the care of a person on the surgical unit following gastric bypass surgery with a friend is in violation of the:
A) Patient Self-Determination Act
B) Health Insurance Portability and Accountability Act of 1996
C) Americans with Disabilities Act
D) Civil Rights Act
Answer: B
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Page 5
Chapter 4: The Therapeutic Relationship
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Q1) A nurse has started admitting a new person on home care and is beginning to establish a relationship. Which of the following would be the most important thing for the nurse to do?
A) Complete the paperwork in a timely fashion
B) Establish open communication
C) Conduct a complete physical health assessment
D) Provide feedback to the person's questions
Q2) A nurse is working on values clarification with a person who has chosen to smoke during her pregnancy. Which of the following statements would be the most appropriate for the nurse to assist in this process? (select all that apply)
A) "Why do you smoke cigarettes?
B) "What do you value most in life?"
C) "Who has influenced your decision to smoke?"
D) "Is your decision to smoke consistent with your values?"
Q3) Which of the following statements about values is true?
A) It is impossible for someone to understand his or her values.
B) Values evolve over time; they are not static.
C) Values assimilated in childhood are those held for a lifetime.
D) Values clarification tells a person how to act.
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Page 6
Chapter 5: Ethical Issues Related to Health Promotion
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Q1) Which concept is aimed at interrupting potential ethical problems before they develop?
A) Feminist ethics
B) Preventive ethics
C) Metaethics
D) Normative ethics
Q2) A nurse whose religious beliefs prohibit abortion has been asked to participate in a termination of the pregnancy of a 16-year-old victim of date rape. According to the revised American Nurses Association's (ANA's) Code of Ethics for Nurses, which of the following actions should the nurse take next?
A) Suspend her religious beliefs and provide comfort and support for the client.
B) Quit her job and find another source of employment.
C) Notify her supervisor about her beliefs and request a change in assignment.
D) Refuse to participate in the abortion.
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Chapter 6: Health Promotion and the Individual
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Q1) Over the last week, a person has had finger stick glucose levels of 127, 132, 140, 138, 143, 145, and 140. This information allows the nurse to characterize the person's function pattern by utilizing which area of focus?
A) Age-developmental
B) Functional
C) Individual-environmental
D) Pattern
Q2) Erikson's task of autonomy vs. shame and doubt occurs during which stage of development?
A) Infancy
B) Early childhood
C) Late childhood
D) Early adolescence
Q3) The nurse has determined that a person has a dysfunction in the nutritional-metabolic pattern. Which action would be the next step for the nurse to take?
A) Weigh the person.
B) Set a goal weight with the person.
C) Ask the person what her favorite foods are.
D) Develop a plan for weight loss.
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Page 8
Chapter 7: Health Promotion and the Family
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Q1) A nurse is conducting an environmental assessment as part of a family assessment. Which of the following would the nurse assess? (select all that apply)
A) Garbage collection in the neighborhood
B) Convenience stores in the neighborhood
C) Safety of the home
D) Climate of the home
E) None of above
Q2) A nurse is collecting data for a family assessment using Gordon's functional health patterns. The nurse learns that the family has no books in the home to read to the preschool-age children. To which of the following functional health patterns does this information pertain?
A) Roles-relationship
B) Cognitive-perceptual
C) Health-perception-health-management
D) Self-perception-self-concept
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Chapter 8: Health Promotion and the Community
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Q1) Partnering with school-based clinics and local pediatric dentists so that children can have access to preventive dental care is an example of a(n):
A) codependent function.
B) independent function.
C) interdependent function.
D) dependent function.
Q2) The process of dynamic change with adaptation in the system's parts, and how community systems and subsystems interact is known as:
A) structure of a community.
B) community health promotion.
C) community diagnosis.
D) function of a community.
Q3) A nurse is interviewing members of a substance abuse unit at a local Veterans Administration (VA) hospital. Which of the following parts of a community is the nurse assessing?
A) Structure of a community
B) Subsystem of a community
C) Supra system of a community
D) Interaction of a community
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Page 10
Chapter 9: Screening
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Q1) A nurse is planning to offer a depression screening at a local community center. Which of the following should be considered prior to implementation of the program?
A) Limited referral sources in the community
B) Limited support groups in the community
C) Insufficient evidence that depression screening tools are cost effective
D) Insufficient evidence mental health screening is appropriate
Q2) A nurse is working at a women's health clinic and is asked by a client when she should return for her next Pap smear. Which of the following resources would the nurse use to find the most current recommendations?
A) National Health Information Center
B) Healthy People 2020
C) U.S. Preventive Services Task Force (USPSTF) website
D) Centers for Disease Control and Prevention (CDC) website
Q3) For which of the following is Type 2 diabetes mellitus screening recommended?
A) Overweight woman
B) Teenager
C) Man with hypertension
D) Woman with a family history of Type 2 diabetes mellitus
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Chapter 10: Health Education
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Q1) A nurse is developing health education content for an educational session with adults about the prevention of cardiovascular disease. Which of the following domains should be considered when developing the teaching plan? (select all that apply)
A) Cognitive
B) Psychomotor
C) Gross motor
D) Affective
Q2) The primary objective of social marketing is to:
A) plan behavior.
B) analyze behavior.
C) limit behavior.
D) change behavior.
Q3) A nurse distributes a demographic questionnaire to attendees of a weight management program. Which step in the teaching-learning process is being implemented?
A) Assessment
B) Development
C) Implementation
D) Evaluation
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Page 12
Chapter 11: Nutrition Counseling for Health Promotion
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Q1) Which of the following people is at greatest risk for a hip fracture secondary to osteoporosis?
A) A 66-year-old White woman
B) A 66-year-old African American woman
C) A 66-year-old White man
D) A 66-year-old African American man
Q2) A nurse is counseling a person with heart disease. Which of the following statements made by the individual would require the nurse to provide additional education?
A) "I drink skim milk on a regular basis."
B) "I try not to eat foods that have added salt on the label."
C) "I eat American cheese about once every 2 weeks."
D) "I add salt to many of the food that I eat to enhance the flavor."
Q3) Which of the following individuals would be at greatest risk to develop Type 2 diabetes?
A) White, 50-year-old woman, obese, second child weighed 10 pounds at birth
B) African American, 55-year-old man, hypertension, exercises regularly
C) Hispanic, 22-year-old woman, healthy weight, family history of diabetes
D) White, 75-year-old man, history of prostate cancer and high triglycerides
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Chapter 12: Exercise
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Q1) A nurse is providing care to a person who has lower back pain. Which of the following exercises would the nurse recommend to assist with pain reduction?
A) Walking
B) Pilates
C) Swimming
D) Bike riding
Q2) A woman is going for a 2-hour hike in the Grand Canyon and she asks the nurse how much fluid she should take along with her. Which of the following recommendations should be given by the nurse?
A) Bring at least 24 ounces of water.
B) Bring at least 72 ounces of water.
C) Bring at least 24 ounces of sports drink.
D) Bring at least 72 ounces of sports drink.
Q3) A nurse is providing care for a 10-year-old child with a BMI at the 80th percentile. Which of the following best describes this child?
A) Normal weight
B) Overweight
C) Obese
D) Morbidly obese
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Page 14
Chapter 13: Stress Management
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Q1) A nurse is assisting a client in values clarification. Which of the following actions should the nurse assist the client to complete first?
A) Develop a religious affiliation to assist with the process.
B) Identify what is meaningful in one's life.
C) Act in a way that is consistent with one's beliefs.
D) Use beliefs held by others as a guideline for life.
Q2) A nurse is demonstrating how to use effective communication when dealing with conflict. Which of the following statements would be most appropriate for the nurse to make?
A) "I am so angry that you are late again that you are grounded for a week."
B) "When you miss an appointment, I am hurt."
C) "Because you cannot be on time, you cannot have the car for a week."
D) "I feel anxious when you do not come home on time because I worry about your safety."
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15
Chapter 14: Complementary and Alternative Strategies
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Q1) The nurse is assisting an individual who is interested in music therapy. Which of the following statements made by the person indicates an understanding of this type of therapy?
A) "I will select the music I listen to carefully. Energetic or rap music is not a good choice."
B) "I will need to find someone who has specialized in this type of therapy for best results."
C) "Chants, electronic sounds, or 'designer music' is generally the best choice."
D) "The music I choose may be different than what my spouse prefers."
Q2) The nurse has formulated a nursing diagnosis for a person with carpal tunnel syndrome of "Energy Field Disturbance r/t Slowing or Blocking of Energy Flow Secondary to Repetitive Motion Injury." Which of the following actions must the nurse take first when planning interventions for this person?
A) Move his or her hands over the person.
B) Obtain permission to use healing touch therapy.
C) Explain healing touch therapy.
D) Focus on the area of disturbed energy flow.
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Chapter 15: Overview of Growth and Development Framework
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Q1) A nurse who is conducting a parenting class is asked how to select a good day care center for an 18-month-old child. Which of the following responses should be made by the nurse?
A) "Day care centers that schedule age-appropriate educational videos increase verbal ability."
B) "Human interaction increases a toddler's verbal skills, so select a day care center that values adult-to-toddler interaction."
C) "Learning to understand the meaning of words is increased when toddlers are exposed to educational DVDs, so select a day care center that has an extensive library of age-appropriate, educational DVDs."
D) "There really is no difference in the quality of day care centers based on whether or not videos or DVDs are used for educational purposes."
Q2) Which of the following statements is correct related to the concept of growth
A) Growth occurs mainly during early childhood.
B) Older adults do not experience growth-related changes..
C) Growth refers only to the increase in the size of specific organs and systems.
D) Growth occurs throughout the life cycle.
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Page 17
Chapter 16: The Prenatal Period
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Q1) During a prenatal visit, a nurse discovers that a Black woman has been occasionally craving and eating clay. Which of the following actions should be taken by the nurse?
A) Tell the client that many pregnant women crave such nonfood substances, and it is not a problem.
B) Ignore the comment because pica is acceptable in some rural Black cultures.
C) Encourage the client to eat it with plenty of water because of the risk of constipation.
D) Stress the importance of an appropriate diet and avoiding pica in a culturally sensitive way.
Q2) During the first prenatal visit, the pregnant woman informs the nurse that she cannot wait to start wearing maternity clothes. This finding is based on an assessment of which functional health pattern?
A) Cognitive-perceptual pattern
B) Self-perception-self-concept pattern
C) Health-perception-health-management pattern
D) Values-beliefs pattern
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18
Chapter 17: Infant
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Q1) A mother asks a nurse what the best toy would be for her 2-month-old. Based on the growth and development of the infant, which of the following recommendations should be made by the nurse?
A) Colorful mobile with music
B) Rattle
C) Stuffed teddy bear
D) Play telephone
Q2) A nurse is encouraging parents to immunize their infants. Which of the following strategies would be the best way for the nurse to facilitate this?
A) Send a reminder for immunizations to the parents.
B) Talk to the parents about immunizations during office visits.
C) Track clients who have not been immunized.
D) Memorize the CDC immunization schedule.
Q3) During a home visit to the home of a 3-month-old infant, which environmental finding requires immediate anticipatory guidance?
A) A pool in the backyard without a gate
B) The lack of smoke detectors
C) The lack of childproof latches on drawers and cupboards
D) Two azalea plants in the living room
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Page 19
Chapter 18: Toddler
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Q1) The inability of a toddler to put him- or herself in another's shoes is known as:
A) autonomy.
B) egocentrism.
C) self-perception.
D) integrity.
Q2) Approximately how much sleep do toddlers require each day?
A) 10 hours
B) 11 hours
C) 12 hours
D) 13 hours
Q3) A mother expresses her concern and frustration over the fact that her toddler has not been successful at toilet training yet. Which of the following would be the best response by the nurse?
A) "Don't worry; it will happen eventually."
B) "How long does the child stay dry during the day?"
C) "Train him on a regular toilet instead of a potty chair."
D) "Here is a training schedule to follow."
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Chapter 19: Preschool Child
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Q1) The school nurse is observing the development of gross motor skills of young children at the school and watches a child who is learning how to throw a ball overhand. How old is this child?
A) 3 years old
B) 4 years old
C) 5 years old
D) 6 years old
Q2) A mother tells the nurse her 3-year-old child has not been himself lately. The nurse examines the child. Which of the following physical findings would be cause for concern? (select all that apply)
A) Bruises
B) Pale skin
C) Enlarged lymph nodes
D) Hives
Q3) Which of the following is a hallmark of Piaget's preconceptual substage?
A) Using language to function symbolically
B) Using concrete thought processes
C) Using mental abstracting
D) Using transductive reasoning
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Page 21
Chapter 20: School-Age Child
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Q1) Which of the following statements made by a parent is most helpful when discussing rules of the household?
A) "You did not feed the dog like you promised, so you cannot have ice cream for dessert."
B) "I was upset when you did not feed the dog like you promised. We all need to help take care of him because he depends on us. Let's talk about what happened."
C) "Why did you forget to feed the dog? Would you like me to forget to feed you?"
D) "What you did was bad. We all need to care for the dog."
Q2) Which of the following children is at risk for developing encopresis?
A) A 6-year-old child who takes Colace on a daily basis to soften stool
B) A 3-year-old child who is not fully toilet-trained
C) A 5-year-old child who has been in four foster care homes since age 3
D) A 4-year old child who sleeps soundly at night
Q3) Which of the following statements about smoking is true?
A) Black children begin smoking at an earlier age than do White children.
B) Almost 80% of schools prohibit tobacco use in all locations.
C) Each day over 6000 children try smoking.
D) Tobacco use prevention programs should be initiated in eighth grade.
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Chapter 21: Adolescent
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Q1) Which of the following are symptoms or warning signs of anorexia nervosa? (select all that apply)
A) Lack of menstruation in females
B) Preoccupation with food
C) Eating only small amounts of certain foods
D) Dramatic weight fluctuations
E) None of above
Q2) What percentage of adolescent females suffer from an eating disorder in the United States?
A) 5%
B) 10%
C) 15%
D) 20%
Q3) Which of the following teenagers is exhibiting a behavior that cause for concern and requires further evaluation?
A) Is always very happy
B) Is agitated and has trouble sleeping
C) Has a lot of homework and stays up late to finish it
D) Values his friend's opinion more than his parent's opinion
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Page 23
Chapter 22: Young Adult
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Q1) A nurse is working in the community to prevent bicycle and motorcycle fatalities. Which of the following measures would be most effective for the nurse to promote?
A) Use of helmets
B) Increasing the minimum age for motorcycle licensure
C) Construction of bike paths along busy roads
D) Right-of-way laws for bicyclists
Q2) The university health services nurse is preparing a disease prevention program for college students. Which of the following information should the nurse include in the program?
A) Living in the dorm increases one's risk of developing meningococcal disease.
B) The mortality rate from meningococcal disease is very low.
C) There are no antiviral medications that can treat meningococcal outbreaks.
D) A vaccine for meningococcal disease has not been developed.
Q3) Which of the following circumstances accounts for one of the leading cause of death in young adults?
A) Tobacco use
B) Binge drinking and driving
C) Illegal drug use
D) HIV infection
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Page 24
Chapter 23: Middle-Age Adult
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Q1) A 52-year-old postmenopausal woman tells the nurse that she is afraid she will develop osteoporosis like her mother did. Which of the following statements is the most appropriate response by the nurse?
A) "The American diet is much better now than when your mother was your age, so you have enough calcium in your diet to keep your bones strong."
B) "You have a strong genetic risk factor. There is not much we can do to stop the process."
C) "You need about 1000 mg of calcium a day to keep your bones strong. Let's talk about your diet."
D) "Tell me about your diet, how much walking you do each day, and what medications you take."
Q2) The occupational health nurse is asked to develop a plan to reduce work-related injuries. Which of the following recommendations would the nurse stress as the most effective way to reduce work-related injuries?
A) Make the work environment smoke-free.
B) Reduce environmental noise levels.
C) Conduct regular walk-through assessments at the worksite.
D) Increase paid personal days from one to three.
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Page 25
Chapter 24: Older Adult
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Q1) An 80-year-old person is admitted to the hospital. During the health assessment process, which of the following conditions should the person be screened for by the nurse? (select all that apply)
A) Polypharmacy
B) Kidney failure
C) Illegal drug use
D) Alcoholism
E) None of above
Q2) A person is preparing to return home following a 2-week hospital stay for congestive heart failure and pneumonia. Which of the following referrals would be most beneficial for the person?
A) Transportation assistance
B) Home-delivered meals
C) Adult day care
D) Home health nursing
Q3) Which of the following individuals would be at greatest risk of injury?
A) 80-year-old who does not have air conditioning or a fan
B) 70-year-old who has new dentures
C) 68-year-old who has difficulty tasting salt in food
D) 84-year-old who needs hearing aids
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Chapter 25: Health Promotion in the Twenty-First Century
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Q1) A nurse is advocating for improved disease prevention and health promotion within the local community. Which of the following interventions would the nurse most likely implement?
A) Educate community members about the violence rates that exist within the community.
B) Administer flu shots for elderly at a local senior citizens center.
C) Participate in a disaster planning committee within the community.
D) Talk with a state legislator about improved access to health care for the uninsured and underinsured.
Q2) A nurse is working with UNAIDS to fight against HIV/AIDS at the global level. Which of the following activities would the nurse most likely be involved in?
A) Determining prevalence rates of HIV/AIDS in African countries
B) Administering antiretroviral medications to pregnant women who are HIV positive
C) Providing treatment access for all HIV-positive individuals who need medication
D) Reporting confirmed cases of HIV to the World Health Organization
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