Primary Health Care Exam
Bank
Course Introduction
Primary Health Care is a foundational course that explores the principles, strategies, and practical applications of primary health care systems. Emphasizing community-based prevention, health promotion, and disease management, the course covers key topics such as accessibility, equity, interprofessional collaboration, and culturally competent care. Students examine the role of primary health care in improving population health outcomes, addressing social determinants of health, and integrating services at the local, national, and global levels. Through case studies and real-world examples, learners gain an understanding of how primary health care acts as the cornerstone of effective healthcare delivery and public health policy.
Recommended Textbook Health Promotion Throughout the Life Span 9th Edition by Carole Lium Edelman
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25 Chapters
738 Verified Questions
738 Flashcards
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Chapter 1: Health Defined: Objectives for Promotion and Prevention
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Sample Questions
Q1) Halbert Dunn (1961) introduced the concept of high level wellness, a health-illness continuum which factored in the individual's environment when determining a level of health.Which of the following statements is correct concerning his model?
A)Care recipients who are terminal or dying could not be classified as having high-level wellness.
B)The focus is on environment and the ability to achieve health on a personal and societal level.
C)It provides a view of health which is in opposition to the eudaimonistic model of health.
D)It is most closely aligned with a clinical model of health.
Answer: B
Q2) A major cause of death in the early twentieth century was A)cancer.
B)cerebrovascular disease.
C)heart disease.
D)infections.
Answer: D
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3
Chapter 2: Emerging Populations and Health
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Sample Questions
Q1) Which of the following nurses is most likely to provide culturally competent care?
A)A nurse who recognizes and accepts cultural diversity
B)A nurse who is knowledgeable in disease-specific epidemiology and treatment efficacy for different population groups.
C)A nurse who provides ethnocentric care in emergency scenarios where time matters
D)A nurse who assists diverse populations to integrate into the mainstream culture.
Answer: B
Q2) Which of the following individuals will most likely experience a disparity in health and health care? (Select all that apply.)
A)African American man
B)Unemployed woman
C)White middle-aged man
D)Single white woman
Answer: A, B, D
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Chapter 3: Health Policy and the Delivery System
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) An individual states that his family has insurance, but that paying for routine medical costs is very expensive because most routine services are paid for out of pocket.Which type of insurance plan does this individual most likely have?
A)High deductible health insurance plan (HDHP)
B)Point-of-service plan (POS)
C)Health maintenance organization (HMO)
D)Preferred provider organization (PPO)
Answer: A
Q2) Which of the following would be considered part of a vulnerable population? (Select all that apply.)
A)Deaf man
B)Cocaine-addicted teenage girl
C)Handicapped child
D)College graduate
Answer: A, B, C
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Chapter 4: The Therapeutic Relationship
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Sample Questions
Q1) 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?"
Q2) 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.
Q3) A nurse is in the process of establishing a therapeutic relationship with a person.Which of the following techniques should be used by the nurse? (Select all that apply.)
A)Learn about the person's interests.
B)Sit close to the person.
C)Show interest in the person's concerns.
D)Define the parameters of the relationship with the person.
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Page 6
Chapter 5: Ethical Issues Related to Health Promotion
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Sample Questions
Q1) An elderly care recipient has recently been diagnosed with cancer.The care recipient's family has asked the nurse to withhold this information from the care recipient because they feel that this information would cause the care recipient to give up on life and become very depressed.The nurse believes the care recipient should be told this information.Which ethical principle is being upheld by the nurse?
A)Justice
B)Beneficence
C)Veracity
D)Nonmaleficence
Q2) A nurse believes that it is his responsibility to ensure the safety of the public by administering flu shots to everyone in the community.Which ethical theory is being used by the nurse?
A)Descriptive value theory
B)Normative theory
C)Consequentialism theory
D)Duty-based theory
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Chapter 6: Health Promotion and the Individual
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Sample Questions
Q1) A nurse is counseling a person with a dysfunctional sleep pattern.Which of the following recommendations would the nurse most likely give the person?
A)Read in bed until he falls asleep.
B)Avoid fluids after 7 PM.
C)Exercise immediately before bedtime.
D)Watch television in the recliner in the evening.
Q2) 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.
Q3) A nurse administers the T-ACE test to a pregnant woman.The woman's responses result in a score of 3.This score indicates that the woman
A)requires interventions for problem drinking.
B)lacks evidence of problem drinking.
C)requires interventions for sexually transmitted disease risks.
D)lacks evidence of sexually transmitted disease risks.
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Chapter 7: Health Promotion and the Family
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Sample Questions
Q1) A nurse is making a final home visit with a family to evaluate the nursing care plan.Which of the following actions would the nurse most likely complete during this visit?
A)Obtain vital signs from all members of the family.
B)Ask the family members to state the goals that were previously developed.
C)Collect data similar to that which was collected at the initial visit for comparison.
D)Educate about the importance of using role relationships to create a healthy family.
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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Sample Questions
Q1) Which of the following health concerns should the nurse have as a priority when planning care for a community?
A)The limited recreational areas identified through a windshield survey
B)The high crime rate reported in the town records
C)The absence of health clinics on the local bus route
D)The lack of grocery stores within walking distance identified by the community
Q2) Which of the following statements is correct concerning political lobbying?
A)It is a form of influence peddling and thus illegal.
B)Nurses can and often do participate in lobbying.
C)It is legal but also considered unprofessional for a nurse to lobby.
D)Nurses may, in fact, lobby but they may not accept pay for this role.
Q3) A community believes many people in that community lead sedentary lives because they lack safe areas in which to exercise.What action should the nurse take in order to confirm or reject these beliefs?
A)Walk around the neighborhood.
B)Interview members of the community.
C)Obtain town morbidity and mortality rates.
D)Go to the town hall to obtain the number of parks in the community.
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Page 10
Chapter 9: Screening
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Sample Questions
Q1) Which of the following statements regarding screening for Down's Syndrome via blood work is NOT accurate?
A)It is an invasive but highly accurate test.
B)It can detect occult maternal cancer.
C)It is a form of genomic testing.
D)It has decreased the incidence of amniocentesis.
Q2) A nurse is implementing a test that screens for hypercholesterolemia.Which of the following parameters should this test have?
A)No cutoff point
B)Low cutoff point
C)Intermediate cutoff point
D)High cutoff point
Q3) Which of the following goals would be consistent with Healthy People 2020, as it pertains to screening and health promotion?
A)Promoting mammography for all women
B)Encourage colonoscopy to screen for colorectal cancer for all adults
C)Educate high-school students regarding sun safety
D)Increase screening via cat scans to detect for brain tumors.
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Chapter 10: Health Education
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30 Flashcards
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Sample Questions
Q1) A nurse is developing learning objectives for an individual who is becoming more physically active.Which of the following is an example of an appropriately written affective learning objective?
A)The individual will understand the importance of daily exercise.
B)The individual will demonstrate the importance of daily exercise.
C)The individual will verbalize the importance of daily exercise.
D)The individual will believe in the importance of daily exercise.
Q2) The goal for the educational session is for the individual to correctly demonstrate proper technique for checking blood sugar levels.Which of the following teaching strategies would be most effective?
A)Provide the individual with one-on-one education about blood sugar monitoring.
B)Provide the individual with a scenario about blood sugar monitoring.
C)Provide the individual with the opportunity to practice blood sugar monitoring.
D)Provide the individual with a blood sugar monitor.
Q3) The primary objective of social marketing is to
A)plan behavior.
B)analyze behavior.
C)limit behavior.
D)change behavior.
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Page 12
Chapter 11: Nutrition Counseling for Health Promotion
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A school nurse is using height and weight measurements to calculate the body mass index (BMI) of the students.How will the nurse use these data?
A)BMI can be correlated to a specific percentage of body fat.
B)BMI can be used to help identify children who have the potential to become overweight.
C)BMI can be used to determine if a child will develop Type 1 diabetes.
D)BMI is higher with low muscle mass thus can identify children who do not exercise enough.
Q2) A nurse is working with a family that is experiencing food insecurity.Which of the following statements best describes this family?
A)Members of this family are susceptible to food-borne illness.
B)This family's access to adequate food is limited by lack of money.
C)This family is unable to purchase fresh fruits and vegetables.
D)Members of this family are obese.
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Chapter 12: Exercise
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Sample Questions
Q1) Which of the following is the definition of physical fitness?
A)Painless joint mobility and muscle flexibility when engaging in exercise
B)The ability to perform physical activity without undue fatigue or risk of injury
C)Achieving at least 85% of age-specific activity levels
D)Heart rate and respiratory rate returning to baseline within 30 seconds after exercise
Q2) A nurse is providing an educational program addressing the importance of being physically active.The nurse states that individuals should engage in exercise for a minimum of 30 minutes of activity on most days of the week.For which of the following individuals is that recommendation appropriate? (Select all that apply.)
A)A 54-year-old with hypercholesterolemia
B)A 66-year-old with hypertension
C)A 48-year-old with obesity
D)A 58-year-old with Type 2 diabetes mellitus
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Chapter 13: Stress Management
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Sample Questions
Q1) The nurse is assisting a person to develop a positive attitude toward exercise.Which of the following nursing interventions would be most successful when working with this person?
A)Educate the person that 60 minutes of moderate to strenuous exercise a day is required to lower the risk of heart disease.
B)Suggest that the person participate in a formal exercise program that has been demonstrated to produce the best results.
C)Educate the person that exercise patterns established in young adulthood are more effective than those established later in life.
D)Suggest that the person walk at a moderate pace for 30 minutes a day, 5 days a week for improvement in physical and psychological health.
Q2) 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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15
Chapter 14: Complementary and Alternative Strategies
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Sample Questions
Q1) The nurse is conducting a community health-education program concerning alternative/complementary therapies.Which of the following should be included in the presentation?
A)Alternative/complementary therapy is primarily used when conventional medicine has failed to achieve desired results.
B)Alternative/complementary therapy is used in both hospital and outpatient settings.
C)Alternative/complementary therapy was popular in the late 1980s but is rarely used today.
D)Alternative/complementary therapy primarily focuses on herbal remedies for common health deviations.
Q2) During an alternative therapy conference, a nurse attends a session related to massage therapy.Which of the following statements made by the presenter should the nurse question? (Select all that apply.)
A)"Qi gong is a form of traditional Chinese massage technique."
B)"Hippocrates referenced massage"
C)"Several massage techniques can be used, including kneading and rubbing the skin."
D)"Reiki combines massage therapy with energy balancing techniques."
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Page 16
Chapter 15: Overview of Growth and Development Framework
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Sample Questions
Q1) Which of the following statements summarizes Vygotsky's theory of development?
A)All children develop cognitively at the same rate.
B)Social and cultural influences are not major factors in cognitive development.
C)Learning is an individual activity.
D)Experience creates learning.
Q2) Which of the following statements about Gilligan's theory of moral development is accurate?
A)This theory is based on a sense of absolute right and wrong.
B)This theory is gender specific.
C)This theory is dependent on one's stage of cognitive development.
D)This theory is based on the premise that women view situations in terms of rules.
Q3) Which of the following would be an example of differentiation as a pattern of development?
A)An infant raises his head before controlling his arms.
B)An infant shows the Morro reflex when startled.
C)An infant uses his whole hand to grasp and months later he has a pincer grasp.
D)A child walks sooner than did any of his siblings.
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Page 17
Chapter 16: The Prenatal Period
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Sample Questions
Q1) The client who is taking prescribed _____ would require preconception management to minimize the potential for drug-related birth defects.
A)antiemetics
B)antiepileptics
C)iron
D)non-narcotic analgesics
Q2) At 1 minute of age, an infant has a heart rate of 95, a strong cry, some flexion of extremities, a cry reflex, and is completely pink.Which of the following is a correct assessment of the infant's Apgar score?
A)4
B)6
C)8
D)10
Q3) During which week would pregnancy begin to pose health concerns for the fetus?
A)36 weeks
B)38 weeks
C)40 weeks
D)42 weeks
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Chapter 17: Infant
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Sample Questions
Q1) A nurse is assessing a 4-month-old infant during a well-child visit.Which of the following findings will require the nurse to collect additional information?
A)The infant's shirt is wet from drooling.
B)The infant has gained one pound since her 2-month well-child visit.
C)The infant holds his or her head steady when in a sitting position.
D)The infant grasps objects with two hands.
Q2) The mother of a 16-month-old infant asks a nurse her opinion about holiday decorating.Which of the following recommendations should the nurse provide to the mother?
A)Avoid hanging a wreath with holly and berries on the front door.
B)Avoid hanging decorative pictures of a bearded Santa Claus on the window.
C)Avoid placing poinsettia plants around the home.
D)Avoid hanging stockings on the fireplace mantle.
Q3) Which of the following is the most common poison ingested by infants?
A)Houseplants
B)Lead
C)Cleaning agents
D)Aspirin
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Chapter 18: Toddler
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Sample Questions
Q1) 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
Q2) An 18-month-old toddler is being seen for a well-child visit.Which of the following strategies would the nurse use to enlist the toddler's cooperation?
A)Ask the toddler if he wants to be examined today.
B)Ask his mother to leave the room while the nurse examines him.
C)Have him hold the stethoscope diaphragm on his chest while the nurse listens to his chest.
D)Have his mother hold him down while the nurse examines him.
Q3) A mother asks her toddler if she is tired.The toddler responds by saying, "Sammy bed." Based on her expressive language and speech pattern, the nurse determines that this child is likely how old?
A)18 months
B)24 months
C)30 months
D)36 months
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Page 20
Chapter 19: Preschool Child
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Sample Questions
Q1) A 2-year-old child has hives.Of the following items ingested, which is most likely to have caused the allergic reaction?
A)Apple juice
B)Oatmeal-peanut cookies
C)Jelly sandwich
D)Banana
Q2) 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
Q3) Autism disorder is common and is invariably encountered by nurses providing care for children.Which of the following statements is correct concerning this disorder?
A)It is caused by maternal drug abuse especially cocaine during the in utero period.
B)It is caused by child vaccines.
C)It is considered as a genetically determined disorder.
D)It is more common with children who had high Apgar scores as newborns.
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21
Chapter 20: School-Age Child
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Sample Questions
Q1) Which of the following statements about smoking is true?
A)Black children begin smoking at an earlier age than do White children.
B)Almost 90% 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.
Q2) The school nurse conducting an in-service program for teachers is asked about general growth and development of school-age children.Which of the following statements would be the best response by the nurse?
A)"By age 11, blood pressure readings are the same as for an adult."
B)"Because of the rapid growth pattern in this age group, snacks are important to ensure sufficient caloric intake."
C)"Children in this age group have some difficulty with coordination and balance, so playground supervision is important."
D)"Overall growth in school-age children is slower than during infancy and adolescence."
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Chapter 21: Adolescent
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Sample Questions
Q1) A teenager asks the school nurse for advice before getting a tattoo.Which of the following responses would be most appropriate for the nurse?
A)"You should only get tattoos which can be covered by clothing on a job interview."
B)"It is okay to get a tattoo providing that you only go to a licensed artist."
C)"Tattoos are popular; however, they can lead to infection and/or bleeding."
D)"A body piercing would be safer and less permanent."
Q2) According to Erikson, which of the following teenagers is at risk for not meeting his developmental task?
A)Arrested for petty theft
B)Decided he wants to major in accounting
C)Has recently broke up with his girlfriend
D)Is a member of the varsity basketball team
Q3) When do females usually begin puberty?
A)1 year before males
B)1 year after males
C)2 years before males
D)2 years after males
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Chapter 22: Young Adult
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Sample Questions
Q1) Which of the following statements is correct concerning health services and health delivery system?
A)Young adults have the highest emergency room visits.
B)The Affordable Care Act exempts young adults up to age 26 from insurance.
C)Young adults should be screened for cardiovascular disease starting at age 30.
D)Young adults, as a group, have a high rate of outpatient healthcare visits.
Q2) An occupational health nurse is conducting a blood pressure screening.Which of the following clients is at greatest risk of mortality from cardiac disease? (Select all that apply.)
A)Black man with a blood pressure of 130/80
B)Mexican American man with a blood pressure of 110/60
C)White woman with a bold pressure of 120/80
D)Black woman with a blood pressure of 128/78
Q3) A nurse is working in a domestic violence shelter.Which of the following individuals would the nurse expect to encounter? (Select all that apply.)
A)34-year-old White woman who is vice president of a communications company
B)26-year-old Black woman who has a live-in boyfriend
C)29-year-old Hispanic man who has been married for 2 years
D)21-year-old unemployed White woman who has been with her boyfriend for 3 years
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Page 24
Chapter 23: Middle-Age Adult
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Sample Questions
Q1) A nurse is discussing sexuality with middle-age men and women.Which of the following information should be stressed by the nurse?
A)Contraception usage should be decreased as a woman nears menopause.
B)Men are less vulnerable to sexual dysfunction than are women.
C)Cardiovascular disease but not diabetes can result in erectile dysfunction.
D)The majority of new HIV/AIDS cases occur among middle-age adults.
Q2) The occupational health nurse is planning a health fair for employees.Which of the following information about dental health should be included?
A)Drinking bottled water helps prevent tooth decay.
B)Gingivitis results in bone destruction and can be eliminated by flossing daily.
C)Preventive dental care requires a visit to the dentist every 4 months.
D)In addition to screening for tooth decay, dentists often screen for mouth cancer.
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Chapter 24: Older Adult
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Sample Questions
Q1) A woman who is being discharged from the hospital is oriented to person, place, and time, and her memory is intact.She has occasional forgetfulness without a consistent pattern of memory loss.Which of the following housing options would be most appropriate for this woman?
A)Independent living
B)Retirement community
C)Assisted living
D)Nursing facility
Q2) According to Erikson's theory of development, which of the following older adults has successfully navigated the stage of ego integrity versus despair?
A)72-year-old man who is reluctant to retire because "work is everything to me"
B)78-year-old woman who has scheduled her third face lift
C)80-year-old man who has informed his children that he has made his funeral arrangements
D)67-year-old woman who is depressed because she has not been promoted at work for the past 10 years
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Chapter 25: Health Promotion in the Twenty-First Century
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Sample Questions
Q1) Which of the following projects would most likely be administered by International Micronutrient Malnutrition Prevention and Control (IMMPaCT) Program?
A)Researching best methods to preserve the freshness of foods
B)Monitoring and evaluating intervention systems concerning micronutrients
C)Comparing the effectiveness of vitamin pills versus fresh fruit and vegetables
D)Analyzing the relationship between BMI and cardiovascular disease
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)Analyzing stats regarding which medications are most effective in raising T cell counts
C)Providing treatment access for all HIV-positive individuals who need medication
D)Reporting confirmed cases of HIV to the World Health Organization
Q3) Which of the following statements are correct concerning natural disasters?
A)Infections and undernutrition are common sequela of natural disasters.
B)Natural disasters occur primarily in developing countries.
C)PSTD caused by natural disaster tends to have a short duration.
D)Natural disasters are primarily caused by disastrous effects of excess water.
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