Primary Health Care
Final Test Solutions
Course Introduction
Primary Health Care is a foundational course that explores the concepts, principles, and practices of delivering essential health services at the community level. Emphasizing health promotion, disease prevention, and patient empowerment, the course examines the roles of healthcare teams, community participation, and intersectoral collaboration in improving population health outcomes. Students will learn about the global strategies underpinning primary health care, approaches to addressing social determinants of health, and effective methods for providing accessible, equitable, and appropriate health care, particularly in resource-limited settings. Through case studies and practical examples, the course prepares students to meet current and emerging health challenges in diverse populations.
Recommended Textbook
Health Promotion Throughout the Life Span 8th Edition by Edelman
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25 Chapters
700 Verified Questions
700 Flashcards
Source URL: https://quizplus.com/study-set/1204 Page 2
Chapter 1: Health Defined: Objectives for Promotion and Prevention
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23834
Sample Questions
Q1) 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
Q2) Which factor may have the most influence in changing the health behavior of a single, adult woman who smokes and is the care provider for her mother, her own children, and granddaughter?
A) Education regarding effects of smoking on her health
B) The satisfaction that she will not contribute to secondhand smoke
C) The availability of a weekly support group
D) A gift card for $10 to a local grocery store for every week she is smoke free
Answer: D
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Chapter 2: Emerging Populations and Health
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23835
Sample Questions
Q1) A person states, "My grandmother is the decision maker in our family." Which of the following is being described by the person?
A) Culture
B) Race
C) Ethnicity
D) Values
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
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Page 4
Chapter 3: Health Policy and the Delivery System
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23836
Sample Questions
Q1) Which nurse is functioning as a care manager?
A) Nurse working with a family to coordinate care after their child experiences a second hospitalization for an asthma exacerbation
B) Nurse providing asthma education in the office setting to a child with moderate, persistent asthma
C) Nurse administering the appropriate antiinflammatory medication to a child admitted to the hospital with an asthma exacerbation
D) Nurse making a home visit for a respiratory assessment to a child following an admission for an asthma exacerbation
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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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/23837
Sample Questions
Q1) Which of the following statements about nonverbal communication is true?
A) Nonverbal behavior is not usually contextual.
B) Nonverbal behavior is culturally and situationally bound.
C) Nonverbal communication is the most important type of communication.
D) Nonverbal communication is easy to interpret.
Q2) Which of the following is the first step in the valuing process?
A) Acting out the choice
B) Selecting from alternatives
C) Being happy with personal beliefs and actions
D) Choosing freely
Q3) A nurse and a man are involved in a conversation. When the person folds his arms across his chest, the nurse almost simultaneously folds her arms across her chest. This behavior is recognized as:
A) empathy.
B) reciprocity.
C) flexibility.
D) spacing.
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Chapter 5: Ethical Issues Related to Health Promotion
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/23838
Sample Questions
Q1) A liver for which two people are tissue-typed has become available after the death of a donor in a car accident. Client A is a 45-year-old substance abuser whose liver is damaged as a result of his use of alcohol. Client B is a 16-year-old adolescent in need of a liver transplant because of a birth abnormality. Which of the following would be useful for a nurse in giving input as to which of the two should receive the liver?
A) Advocate for Client B because he is the younger of the two and will live longer.
B) Use feminist moral theory to advocate for Client A in spite of his alcohol use.
C) Use a guided set of moral principles in decision-making before advocating for either.
D) Advocate for Client A because he has 15 to 20 years of productive life left.
Q2) Which concept is aimed at interrupting potential ethical problems before they develop?
A) Feminist ethics
B) Preventive ethics
C) Metaethics
D) Normative ethics
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Chapter 6: Health Promotion and the Individual
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23839
Sample Questions
Q1) Which scenario indicates a potentially dysfunctional pattern?
A) Adult with frequent urination
B) Woman who lost her job
C) Elderly person with blurred vision
D) Overweight adult with a sweet tooth
Q2) Which individual is at risk for a dysfunction in elimination pattern? (select all that apply)
A) 46-year-old mother of two
B) 32-year-old African American man
C) 15-year-old girl
D) 72-year-old white woman
E) None of above
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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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/23840
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) Which of the following best describes the nurse's role in health promotion and disease prevention?
A) Educating about home safety measures
B) Identifying areas for family improvement
C) Implementing the nursing process using a systems perspective
D) Acting as a role model for the family
Q3) 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
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Chapter 8: Health Promotion and the Community
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23841
Sample Questions
Q1) 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.
Q2) A nurse is assessing a community's exposure to pollutants by examining contaminated soil, air, water, and food. Which functional health pattern is being assessed by the nurse?
A) Nutritional-metabolic pattern
B) Elimination pattern
C) Health-perception-health management pattern
D) Values-beliefs pattern
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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Page 10
Chapter 9: Screening
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23842
Sample Questions
Q1) A nurse is educating a group of community members about how hypertension screening is effective in reducing the rate of cardiovascular disease, thus reducing the expenses that are spent on management of this disease. Which of the following ratios is being described?
A) Cost-disease analysis
B) Cost-efficiency analysis
C) Cost-benefit ratio analysis
D) Cost-effectiveness analysis
Q2) Which of the following is an example of a screenable population for hypertension?
A) High school students
B) Professional hockey players
C) High-level business executives attending an annual conference
D) Cardiac rehabilitation clients
Q3) The proportion of people with a condition who correctly test positive when screened is known as:
A) sensitivity.
B) specificity.
C) validity.
D) efficacy.
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Page 11
Chapter 10: Health Education
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23843
Sample Questions
Q1) 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
Q2) A nurse is providing health education about the importance of dental health to Latino residents in a community. Which of the following considerations should be made to promote health literacy within this program?
A) Speak slowly and distinctly.
B) Refer the client to an interpreter.
C) Use photographs whenever possible.
D) Consider methods to facilitate empowerment.
Q3) Which of the following illustrates that the objectives of health education and counseling have been met?
A) Asthmatic who has a decrease in emergency department visits
B) Asthmatic who has been prescribed an albuterol inhaler
C) Asthmatic who attends an asthma education program
D) Asthmatic who visits the emergency department with an exacerbation
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Chapter 11: Nutrition Counseling for Health Promotion
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23844
Sample Questions
Q1) A nurse is counseling a person who was recently diagnosed with diabetes about how to prevent the complications of this disease. Which of the following interventions would be stressed the most by the nurse?
A) Adjusting sliding scale insulin therapy as needed
B) Taking oral hypoglycemic medication as prescribed
C) Monitoring blood glucose daily
D) Adhering to medical nutrition therapy
Q2) Which of the following statements about the Dietary Reference Intakes (DRI) is correct?
A) The DRI is used to monitor deficiencies in nutritional intakes of obese populations.
B) The DRI is used to establish minimal amounts of nutrients needed to protect against nutrient deficiency.
C) The DRI is used to plan and assess diets of healthy people.
D) The DRI is used to set minimal guidelines to reduce risk of adverse outcomes from inadequate consumption of nutrients.
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Chapter 12: Exercise
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23845
Sample Questions
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 nurse is working with a group of individuals to start an exercise program. Which of the following would require the most attention and assistance?
A) White man who works 50 to 60 hours a week as a business executive
B) Unemployed, obese Hispanic woman
C) Employed White woman with hypertension
D) White man with a high school diploma
Q3) A nurse is providing health education for a group of older adults about the risks of developing coronary heart disease. Which of the following group members is at highest risk?
A) Takes a beta-blocker for hypertension
B) Has a total cholesterol level of 201
C) Doesn't participate in any form of regular physical activity
D) Has a family history of Type 2 diabetes mellitus
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Page 14
Chapter 13: Stress Management
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/23846
Sample Questions
Q1) A nurse has stated that the person she is working with demonstrates stress hardiness. Which of the following individuals is most likely being described?
A) Refuses to see family members after the nurse practitioner tells him or her about test results
B) Conducts Internet research to learn about the latest treatment options for a health deviation
C) Calls in sick when faced with a personal relationship problem
D) Views stressors as negative life events
Q2) A nurse is providing education to a community support group about ways to decrease stress. Which of the following would be the initial nursing intervention discussed by the nurse?
A) Explain how support groups function
B) Demonstrate deep breathing techniques
C) Practice guided imagery techniques
D) Help people to identify their response to stress
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15
Chapter 14: Complementary and Alternative Strategies
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23847
Sample Questions
Q1) A 66-year-old woman with osteoarthritis of the knees and hands tells the nurse she is interested in movement therapy. Which of the following would be the most appropriate for the nurse to suggest to this person? (select all that apply)
A) Tai Chi
B) Hatha yoga
C) Qi gong
D) Dance therapy
Q2) 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.
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Chapter 15: Overview of Growth and Development Framework
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/23848
Sample Questions
Q1) 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.
Q2) The school nurse has been asked to order growth charts. Which of the following growth charts should be selected to assessing children in first through fifth grades?
A) Generic body mass index chart
B) Height and weight chart
C) Revised CDC growth chart
D) WHO international growth chart
Q3) Kohlberg's theory of moral development is based on:
A) Erikson's theory of psychosocial development
B) Piaget's theory of cognitive development
C) Vygotsky's theory of cognitive development
D) Gilligan's theory of moral development
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Page 17
Chapter 16: The Prenatal Period
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/23849
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) A pregnant woman who is at the end of 20 weeks of gestation is at a prenatal visit. Which of the following changes in weight from pre-pregnancy would require the nurse to take additional action?
A) 6 pound increase
B) 11 pound increase
C) 14 pound increase
D) 20 pound increase
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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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/23850
Sample Questions
Q1) A 2-month-old infant is in for a well-baby visit. Which of the following immunizations should the nurse administer to the infant?
A) DTaP-1
B) MMR
C) Varicella
D) Influenza
Q2) An infant is lying in a crib watching and listening to a colorful mobile. What is the purpose of having a mobile?
A) Provides stimulation necessary for continued growth and development for the infant
B) Provides too much stimulation for the infant, making it difficult for the infant to focus
C) Serves as inadequate stimulation for the infant because it is an inanimate object
D) Serves as a distractor for the infant, making it easier to fall asleep
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Chapter 18: Toddler
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23851
Sample Questions
Q1) 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
Q2) A mother is concerned because her 22-month-old has been skipping meals lately.
Which of the following actions should the nurse recommend to the mother?
A) Put the child in time out whenever he skips a meal.
B) Offer him foods he likes such as cookies and chips.
C) Limit the child's consumption of juices and cookies.
D) Talk to the child about how important it is to eat three meals a day.
Q3) The mother of a 2-year-old toddler recently lost her job. In addition, her husband asked for a separation. Which of the following actions should the nurse take based on this information?
A) Give the mother information about local support groups.
B) Provide the mother the name of a prominent local attorney.
C) Do not offer any advice unless the mother asks.
D) Help the mother find a job.
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Chapter 19: Preschool Child
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/23852
Sample Questions
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) The nurse is conducting a physical exam on a 3-year-old child. Which of the following would be the best way for the nurse to approach the child during the exam?
A) Let the child listen to the nurse's heart with the stethoscope.
B) Tell him to sit quietly while the nurse examines him.
C) Ask his parents to leave the room to minimize distractions.
D) Ask another nurse to hold him while the nurse examines him.
Q3) Which of the following is the most common intraocular tumor in young children?
A) Neuroblastoma
B) Wilms tumor
C) Retinoblastoma
D) Leukemia
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Chapter 20: School-Age Child
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/23853
Sample Questions
Q1) Which of the following initiatives related to childhood nutrition outlined in Healthy People 2010 was most successful?
A) Reduction of fat consumption
B) Increase in consumption of fruit
C) Adequate food supplies at home
D) Reducing obesity rates
Q2) A school nurse is assessing the child's social environment. Which of the following strategies would the nurse implement?
A) Interview family members.
B) Conduct a windshield assessment.
C) Review the child's past medical history.
D) Evaluate the child's activity and rest patterns.
Q3) Which of the following is responsible for ensuring that children are up-to-date on their immunizations? (select all that apply)
A) School nurse
B) Parent or caregiver
C) Teacher
D) School principal
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Chapter 21: Adolescent
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23854
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 not get a tattoo."
B) "It is okay to get a tattoo if you 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) Which of the following is the third leading cause of death in adolescents between 10 and 24 years of age?
A) Accidents
B) Suicide
C) Cancer
D) Sport injuries
Q3) 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
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Chapter 22: Young Adult
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23855
Sample Questions
Q1) A nurse is planning health care for young adults. Which of the following factors about the interventions should be recognized by the nurse as having the greatest impact on whether they are effective?
A) Culturally sensitive
B) Match the person's health care beliefs
C) Cost effective
D) Gender neutral
Q2) 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
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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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23856
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) Difficulty with sexual performance among men happens near age 60.
C) HIV infection after age 50 is rare.
D) The majority of new HIV/AIDS cases occur among middle-age adults.
Q2) Which of the following medications is generally recommended to help preserve cardiovascular health in middle-age women?
A) Aspirin
B) Folic acid
C) Estrogen
D) Estrogen receptor modulator
Q3) 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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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23857
Sample Questions
Q1) As part of a community-wide flu vaccination program for older adults, the nurse is assisting at a vaccination clinic. Which of the following questions should the nurse ask before administering the vaccine?
A) "Do you have any food allergies?"
B) "Have you had the pneumococcal vaccine?"
C) "Have you had the flu in the past 5 years?"
D) "Do you have Medicare?"
Q2) A nurse has accepted a position as director of health services in a retirement community. Which of the following statements about retirees is important for the nurse to consider as she plans programs? (select all that apply)
A) Depressed and inactive.
B) Left their job to spend more time with family.
C) Left their job because of ill health.
D) Happy and well-adjusted to retirement.
Q3) Which of the following statements is the best definition of polypharmacy?
A) The use of more than five medications prescribed by different physicians
B) The use of multiple medications for the same or different health problems
C) The use of multiple pharmacies and self-management of medications
D) The use of multiple medications and supplements simultaneously
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Page 26
Chapter 25: Health Promotion in the Twenty-First Century
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23858
Sample Questions
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 employed by the World Health Organization is working with HIV positive clients in Africa and is teaching them about ways to reduce transmission of this disease. Which of the following barriers should be considered when planning this education? (select all that apply)
A) Culture-specific practices
B) Unavailability of antibiotic therapy
C) Lack of understanding about the transmission process
D) Overcrowded living areas
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