Gerontological Nursing
Chapter Exam Questions
Course Introduction
Gerontological Nursing is a specialized field of nursing focused on the care of older adults, addressing their unique physiological, psychological, and social needs. The course covers aging processes, common health problems in older populations, and evidence-based interventions to promote healthy aging and manage chronic conditions. Students learn to deliver compassionate, person-centered care, advocate for their patients, and collaborate with interdisciplinary teams to enhance the quality of life and functional independence of elderly individuals in a variety of healthcare settings. Ethical and legal considerations, as well as communication techniques and cultural sensitivity, are emphasized to prepare nurses for the complexities of geriatric practice.
Recommended Textbook
Health Promotion Throughout the Life Span 8th Edition by Edelman
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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) Which of the following "investment" themes has been identified by the National Institute of Nursing Research? (select all that apply)
A) Interprofessional collaboration
B) Improving quality of life
C) End-of-life care
D) Increasing physical activity among Americans
Answer: B, C
Q3) An example of a Hispanic American nurse promoting cultural competency is:
A) providing translation services for all Hispanic Americans.
B) focusing on episodic care of illnesses with Hispanic Americans.
C) taking a class about the Hispanic American culture.
D) providing care for all Hispanic American persons in her clinic.
Answer: C
Page 3
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Chapter 2: Emerging Populations and Health
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Q1) What is the main focus of the National Institutes of Health (NIH)?
A) Addressing and reducing health disparities
B) Outlining nationwide health promotion and disease prevention
C) Protecting minority populations through development of health policies
D) Supporting communities in addressing health disparities
Answer: A
Q2) Which of the following ethnic groups has a disproportionately high death rate from unintentional injuries and suicide?
A) American Indian/Alaska Native Americans
B) Asian Americans
C) Latino/Hispanic Americans
D) Black/African Americans
Answer: A
Q3) A family has recently become homeless. Which of the following factors most likely contributed to this situation?
A) Being from an ethnic minority background
B) Declining rates of poverty
C) Having multiple chronic illnesses
D) Being unable to find affordable housing
Answer: D
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Chapter 3: Health Policy and the Delivery System
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Q1) Which of the following is a major factor limiting health care services in the United States?
A) Lack of nurses
B) Lack of health care facilities
C) Lack of funding
D) Lack of client interest in health promotion
Answer: C
Q2) Adoption of a Canadian-style health care system in the United States has the potential to:
A) decrease waiting times for tests and procedures.
B) create further health disparities.
C) increase the number of HMOs.
D) increase the amount of funding available for health care.
Answer: B
Q3) The person known as the father of British and American public health is:
A) Lillian Wald.
B) Edwin Chadwick.
C) Lemuel Shattuck.
D) Paul Ehrlich.
Answer: B
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Chapter 4: The Therapeutic Relationship
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Q1) A nurse is providing education about improving self-awareness to a small group of women who have been victims of domestic violence. Which of the following should the nurse recommend the clients do first to improve their self-awareness?
A) Use self-disclosure to share aspects of self.
B) Listen to and learn from others.
C) Listen to oneself and pay attention to emotions, thoughts, and reactions.
D) Use others to bounce back your own thoughts and recollections.
Q2) A nurse is working with a person to increase his daily exercise and activity. Which of the following statements by the nurse best demonstrates the use of reflection?
A) "I have also struggled with finding time to exercise on a regular basis."
B) "Regular exercise plays an important role in preventing many health problems."
C) "You said that you have difficulty making time in your day for exercise."
D) "It may be helpful if we developed a goal related to daily exercise. "
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Chapter 5: Ethical Issues Related to Health Promotion
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Q1) A nurse includes the statement, "Treat others the way you would like to be treated." when teaching a group of adolescents about bullying. Which type of ethical theory is being used in this example?
A) Descriptive value theory
B) Normative theory
C) Consequentialism theory
D) Duty-based theory
Q2) A nurse is providing care to a 15-year old female who has recently been diagnosed with a sexually transmitted infection (STI). Which of the following actions should the nurse take next?
A) Seek advice from an ethics expert.
B) Facilitate interaction between the adolescent and her parents/guardians.
C) Report the STI to the appropriate authorities.
D) Contact the adolescent's parents/guardians.
Q3) A nurse uses ethical reasoning to solve an ethical dilemma. Why would the nurse use this process?
A) Assists in predicting all of the possible consequences of future actions
B) Facilitates gathering of the most important information to solve the problem
C) Considers the importance of caring when solving the problem
D) Highlights salient aspects of future actions
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Chapter 6: Health Promotion and the Individual
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Q1) Which scenario represents a dysfunctional pattern?
A) Sexually active teenager who does not use condoms
B) Salesman who sleeps only 5 hours a night
C) Single mother of three children
D) Woman with a small extended family
Q2) A Hispanic mother tells the nurse that she has been using home remedies for her child's asthma. Which home remedy might this mother be using?
A) Acupuncture
B) Cupping
C) Hot tea
D) Massage
Q3) Which classification system fulfills needs that are exclusive to nursing?
A) The International Classification of Nursing Practice (ICNP)
B) The International Classification of Functioning, Disability, and Health (ICF)
C) The International Nursing Diagnoses Classification (NANDA-I)
D) The Nursing Diagnostic System (NDS)
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Chapter 7: Health Promotion and the Family
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Q1) A nurse is assessing how a family will transition and adapt after their youngest child leaves for college. By using this framework, which of the following perspectives is the nurse implementing?
A) Risk-factor
B) Structural-functional
C) Open systems
D) Developmental
Q2) Which of the following would be described as a family structural component?
A) Income earner of the house
B) Socialization for the family
C) Immunization of infants
D) Launching of children
Q3) 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
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Chapter 8: Health Promotion and the Community
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Q1) The study of a population is referred to as (a):
A) community pattern.
B) windshield survey.
C) demography.
D) community diagnosis.
Q2) A parish nurse is concerned about the number of parishioners who smoke. How would the parish nurse best address this issue?
A) Ban smoking on parish property.
B) Invite local experts to participate in a health fair at the parish.
C) Find literature about smoking cessation.
D) Hand out free nicotine-replacement systems.
Q3) Which of the following is a stage of change? (select all that apply)
A) Reflection
B) Action
C) Maintenance
D) Acceptance
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Chapter 9: Screening
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Q1) The proportion of people with a condition who correctly test positive when screened is known as:
A) sensitivity.
B) specificity.
C) validity.
D) efficacy.
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) Which of the following analyses is used to determine the optimal use of resources to reach a predetermined constant end point or the desired health outcome?
A) Cost-benefit ratio analysis
B) Cost-effectiveness analysis
C) Cost-efficiency analysis
D) Cost-disease analysis
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Page 11
Chapter 10: Health Education
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Q1) A teenager, who lives at home with her parents and school-aged brother, has been diagnosed with anorexia nervosa. Which of the following would be the most appropriate teaching goal for this family?
A) Increased energy level
B) Improved coping
C) Enhanced self-esteem
D) Facilitated family conversation
Q2) A nurse is developing learning objectives for an individual who has been placed on a low-fat, low-cholesterol diet. Which is an example of an appropriately written cognitive learning objective?
A) The individual will understand the importance of a low-fat, low-cholesterol diet.
B) The individual will correctly identify and purchase low-fat, low-cholesterol foods.
C) The individual will believe that his heart will benefit from a low-fat, low-cholesterol diet.
D) The individual will feel healthier if he follows a low-fat, low-cholesterol diet.
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Chapter 11: Nutrition Counseling for Health Promotion
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Q1) A community health nurse is educating health care providers in a local clinic about steps to take to help their clients improve their health-related behaviors. Which of the following would be included as the nurse teaches about the acronym LEARN?
A) Explain how small changes can affect health.
B) Acknowledge that action needs to be taken.
C) Negotiate an agreement.
D) Refer to community resources.
Q2) A person has been diagnosed with salmonellosis. Which of the following symptoms would the person most likely exhibit? (select all that apply)
A) Bloody diarrhea
B) Vomiting
C) Hypoactive bowel sounds
D) Abdominal cramping
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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Page 13
Chapter 12: Exercise
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Q1) 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
Q2) A nurse is developing an exercise program for a person with moderate osteoarthritis of the knees. Which of the following forms of exercise would the nurse include in this program?
A) Step aerobics
B) Running
C) Water aerobics
D) Bike riding
Q3) A nurse is caring for a man who states he is ready to start exercising. Which of the following actions should the nurse take next?
A) Do nothing because he has already made the decision to implement a change.
B) Provide him with information on the benefits of exercising.
C) Develop an exercise prescription with him.
D) Schedule a follow-up in 2 months to see if he still feels the same way.
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Page 14
Chapter 13: Stress Management
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Q1) A nurse is caring for a person who has a diagnosis of "Sleep disturbance related to stress as evidenced by excessive daytime fatigue." Which of the following nursing interventions would most likely to assist this person?
A) Encourage daytime naps.
B) Encourage exercise one hour before bedtime.
C) Encourage a cool shower before bedtime.
D) Encourage a consistent sleep-wake schedule.
Q2) A nurse is educating a client about the four-step approach to active listening. Which of the following actions should the nurse suggest the client take first?
A) Formulate a nonaggressive response.
B) Mirror the person's feelings.
C) Hear what is being said.
D) Listen to the response.
Q3) Which of the following statements concerning spirituality is correct?
A) Spirituality is a search for the meaning of existence.
B) To fully experience spirituality, one needs a religious affiliation.
C) Stress always strengthens the quest for spirituality.
D) Spirituality always prevents depression, which is common following a stressful event.
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Chapter 14: Complementary and Alternative Strategies
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Q1) A person asks the nurse to explain the difference between acupuncture and acupressure. Which statement would be the appropriate response by the nurse?
A) Acupressure uses massage and oil aromatherapy to stimulate meridian points.
B) Acupuncture has been shown to relieve nausea and vomiting, but acupressure is not effective in relieving these symptoms.
C) Acupressure stimulates meridian points by using pressing and stretching movements.
D) Acupressure is achieved by applying more pressure to the fine needles inserted as part of acupuncture.
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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Page 16
Chapter 15: Overview of Growth and Development Framework
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Q1) According to Piaget's theory of cognitive development, which of the following statements is correct?
A) Cognitive function continues to become refined throughout life.
B) A child's greatest task is to make sense of the world around him or her.
C) Culture plays a major role in cognitive development.
D) Learning precedes development.
Q2) A nurse is attending a continuing education program about growth and development. Why is it necessary that nurses are well educated about this content? (select all that apply)
A) Have a better understanding of genetics and genomics
B) Can meet the requirements of Healthy People 2010
C) Can provide more effective health education
D) Can deliver anticipatory guidance to families
Q3) The nurse is caring for a person who donated a kidney to a stranger in need. According to Gilligan's stages of moral development, the person who donated the kidney is in which of the following stages?
A) Preconventional
B) Conventional
C) Postconventional
D) Midconventional
Page 17
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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) A nurse is caring for a woman during the fourth stage of labor. Which of the following best describes an action the nurse would take during this stage?
A) Providing constant reinforcement and education about the labor process and assisting the woman with pushing
B) Explaining unusual interventions such as the use of a fetal heart monitor
C) Assisting with labor discomfort by modeling breathing
D) Teaching the new mother positioning of the infant to assist with breast-feeding
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Chapter 17: Infant
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Q1) Where do most accidents occur?
A) In the home
B) In the car
C) At day care
D) On the playground
Q2) An infant is going through the toys in his toy box. He looks at each one before dropping it to the floor and picking the next toy out of the box. Using a growth and development perspective, which of the following conclusions can the nurse draw by assessing this behavior?
A) The infant is testing his limits.
B) The infant is exploring his environment.
C) The infant is expressing his emotions.
D) The infant is developing fine motor skills.
Q3) A new young mother asks the nurse what she should do to play with her 3-month-old infant. Which of the following suggestions should the nurse provide?
A) Take the infant for a walk outside.
B) Place several toys around the infant when lying on the floor.
C) Rock the infant in a rocking chair.
D) Search the Internet for toys highly recommended for infants.
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Page 19
Chapter 18: Toddler
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Q1) A toddler needs to have blood drawn at his next appointment. Which of the following actions would the nurse suggest that the mother do with the child before the next visit?
A) Tell the child about the blood work on the day that the appointment is scheduled.
B) Tell the child about the blood work right before leaving the house for the appointment.
C) Tell the child when they are in the office right before the phlebotomist enters the room.
D) Do not tell the child about the blood work.
Q2) How many words are in a toddler's receptive language at 24 months of age?
A) 500 words
B) 1200 words
C) 2400 words
D) 3600 words
Q3) Which is a common temperament pattern described by Chess and Thomas?
A) The fussy child
B) The happy child
C) The unhappy child
D) The slow-to-warm-up child
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Chapter 19: Preschool Child
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Q1) A nurse is discussing genetic disorders with a local community group. Which of the following statements would the nurse make during the presentation?
A) Downs syndrome is most likely to appear during the preschool years.
B) Hemophilia is most likely to appear during the preschool years.
C) Cystic fibrosis is most likely to appear during the preschool years.
D) Multiple sclerosis is most likely to appear during the preschool years.
Q2) A 4-year-old child tells the school nurse that he invented a new song. Which of the following would be the best response by the nurse?
A) Congratulate the child on a job well done.
B) Tell the child that he is too young to invent anything.
C) Nicely tell the child that it does not sound like a song.
D) Ask the child to come back later when there is more time to listen to the song.
Q3) Which of the following foods will a 5-year-old child need help eating?
A) Pudding
B) Macaroni and cheese
C) Chicken
D) Jelly sandwich
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Chapter 20: School-Age Child
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Q1) A school nurse is planning a series on nutrition. Which of the following factors should the nurse take into account?
A) Television commercials frequently advertise food-related products.
B) Children watch approximately two hours of television a day.
C) Each day, approximately 60% of children eat fast food.
D) A child is three times more likely to eat in a restaurant than at home.
Q2) During a school gift fair, a parent asks the school nurse what gift would be most appropriate for her 6-year-old child. Which of the following should the nurse encourage the parent to purchase?
A) A box of wooden blocks of various sizes for sorting
B) A jar of sea shells in various shapes, colors, and textures
C) A world map
D) A beginning encyclopedia of animals
Q3) A nurse is discussing sleep patterns in school-age children. Which of the following should be stressed by the nurse?
A) Sharing a bed with siblings/parents has a long-lasting psychological impact.
B) School-age children need between 6 and 9 hours of sleep a night.
C) Daytime naps are important in children until they reach the age of 9 or 10.
D) School-age children generally agree with and adhere to a regular bedtime.
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Page 22
Chapter 21: Adolescent
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Q1) A mother is concerned because her daughter has been taking a nap every day after school. Which of the following statements would be the best response by the nurse?
A) "Don't worry; all teenagers do that."
B) "Tell me about your daughter's schedule."
C) "Let's bring her in for some blood work."
D) "Have you addressed the topic of drugs with you daughter?'
Q2) A teenager has been using acne medications for the last 14 days. Her acne is no better, and in fact, it is a little worse. What information should the nurse offer this girl?
A) "Wash your face at least four times a day, making sure to scrub well."
B) "The medications can make acne appear worse at first; try to give it a few more weeks."
C) "Avoid all chocolate products."
D) "Because it is summertime, it would be good for your skin if you lie out in the sun for a few hours each day."
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Chapter 22: Young Adult
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Q1) A 32-year-old woman visits the occupational health nurse because of malaise. Which of the following assessment data indicates that the client may be experiencing achievement-oriented stress?
A) Sleeping 10 hours per day
B) Unintentional loss of 10 pounds in the past 3 weeks
C) Expressed fear of company layoffs
D) Calling in sick once every 2 weeks for the past month
Q2) A 26-year-old client has a total cholesterol of 206 mg/dL and an LDL of 110. Which of the following conclusions can be drawn by the nurse?
A) The client has achieved the target levels for cholesterol in young adults.
B) The client has a very low risk of developing heart disease.
C) The client requires counseling about cardiac disease risk factors.
D) The client has early-onset cardiac disease.
Q3) The parents of a young adult female have recently divorced. Which of the following is the young adult most likely to experience?
A) Relief
B) Depression
C) Unemployment
D) Inability to sustain own relationships
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Page 24
Chapter 23: Middle-Age Adult
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Q1) A community health nurse is caring for a variety of different people in the community. Which of the following individuals would the nurse recognize as being at risk to experience increased stress related to family dynamics? (select all that apply)
A) A 54-year-old couple whose young adult daughter and grandson move back into their home
B) A 44-year-old single mother raising three adolescent children without child support
C) A 60-year-old couple whose children have established successful careers in another state
D) A 36-year-old couple whose child plays competitive tennis
Q2) A nurse has received a grant to provide a community-based education series for middle-age adults. Which of the following topics would allow the nurse to have the greatest impact on the health of members of this age group?
A) Diet and exercise
B) Seat belt use
C) Depression screening
D) Cancer prevention
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Chapter 24: Older Adult
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Q1) A nurse is planning to write a grant for a health promotion project in the community. Which of considerations should the nurse make when determining the appropriate population for this project?
A) The fastest growing population is children under the age of 12.
B) The fastest growing population is young Black American adults.
C) The fastest growing population is White middle-age adults.
D) The fastest growing population is non-White older adults age 65 and older.
Q2) A nurse is assigned to provide care for a 96-year-old bedridden man who experiences severe pain from a chronic neurological disease. The man asks the nurse to please help him leave this world so that his suffering ends. Which of the following actions would be most appropriate for the nurse to take?
A) Assist the doctor with the man's request
B) Refuse to care for the man
C) Contact the pain care specialist
D) Provide the man with names of doctors who participate in assisted suicide
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Chapter 25: Health Promotion in the Twenty-First Century
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Q1) A nurse using the four-step public health approach to respond to violence. Which of the following actions would occur as the nurse identifies risk and protective factors?
A) Planning a community-based educational program to respond to violence
B) Reviewing police reports and population-based surveys
C) Interviewing local community members about their experiences with violence
D) Examining characteristics in the community where violence has not occurred
Q2) Which of the following information about anthrax is correct?
A) Anthrax is a viral infection.
B) Anthrax can cause skin lesions or pneumonia.
C) Anthrax is spread by person-to-person contact.
D) Anthrax is treated by IV penicillin for 30 days.
Q3) Which of the following individuals assessed by the nurse is experiencing interpersonal violence? (select all that apply)
A) A 16-year-old female who hides in her apartment due to civil unrest in the country
B) A 32-year-old male whose co-worker sends him insulting e-mails at work
C) A 19-year old male who has attempted suicide
D) A 78-year-old female living in a nursing home who is force-fed by aides
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