

Public Health Nursing
Test Bank
Course Introduction
Public Health Nursing is a course designed to equip students with the knowledge and skills necessary to promote and protect the health of populations. Emphasizing a community-oriented approach, the course covers principles of epidemiology, health promotion, disease prevention, and health education in diverse settings. Students learn to assess community health needs, develop and implement public health interventions, and collaborate with interprofessional teams to address social determinants of health. The curriculum also highlights the roles and responsibilities of public health nurses in policy advocacy, disaster management, and program planning, preparing graduates to serve as vital contributors to health and wellness at local, national, and global levels.
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
Source URL: https://quizplus.com/study-set/2301

Page 2
Chapter 1: Health Defined: Objectives for Promotion and Prevention
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/45710
Sample Questions
Q1) A nurse is planning to deliver an educational program to individuals with diabetes.Which of the following should be the initial action taken by the nurse to ensure the success of the program?
A)Assess the motivation level of the individuals
B)Assess the knowledge level of the individuals
C)Establish teacher-learner goals with the individuals
D)Establish multiple teaching sessions with the individuals
Answer: C
Q2) The question, "What is the experience of teenagers who lose a sibling to cancer?" can best be answered by using which research methodology?
A)Evidence-based practice research
B)Qualitative research
C)Quantitative research
D)Clinical judgment research
Answer: B
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Page 3

Chapter 2: Emerging Populations and Health
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse recommended to a 50-year-old woman that she schedule a routine mammogram.Which of the following would be the most important factor in this woman's decision to schedule this exam?
A)Race
B)Ethnicity
C)Cultural values
D)Value orientation
Answer: C
Q2) A nurse is developing a continuing education program about strategies to work with culturally diverse populations for health care professionals in the community.Which of the following organizations would provide information that could be included in this presentation? (Select all that apply.)
A)The American Nurses Association
B)Sigma Theta Tau International
C)The National League for Nursing
D)The American Association of Colleges of Nursing
Answer: A, C, 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) The country with the lowest infant mortality rate in 2011 was
A)Canada.
B)Mexico.
C)Sweden.
D)the United States.
Answer: C
Q2) 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
Q3) 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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Page 5

Chapter 4: The Therapeutic Relationship
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse makes sure that the distance between himself and the care recipient is at least 6 feet before he begins to ask questions related to the care recipient's health history.Which of the following statements is true?
A)This is the ideal space for intimate communication.
B)This distance is too far for the nurse to build a therapeutic relationship while obtaining the information.
C)This is the recommended distance between care recipient and nurse for effective therapeutic communication.
D)The nurse should position himself an additional foot away to facilitate the conversation.
Q2) A person has just been admitted to the hospital.In talking with the person, the nurse is able to elicit from her that the reason for her hospitalization is that her husband beat her up.Which characteristic of the therapeutic relationship is being demonstrated?
A)Empathy
B)Trust
C)Rapport
D)Purposeful communication
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Chapter 5: Ethical Issues Related to Health Promotion
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) 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
Q2) A primary care nurse practitioner has advised a care recipient that she is positive for BrCA2, the gene associated with breast cancer in women.The care recipient has two small children.What would be the most appropriate next step for the nurse practitioner to take with respect to this care recipient?
A)Help the care recipient to understand that a prophylactic mastectomy would be in the best interest of her children.
B)Explore the care recipient's values, believes, and relationships.
C)Offer no counsel since respecting care recipient autonomy will be adequate.
D)Deferring the matter to the care recipient's physician.
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Chapter 6: Health Promotion and the Individual
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A nurse is using a functional focus to assess a person.Which of the following the nurse be evaluating?
A)Visual acuity
B)Pupil reactivity
C)Ability to drive
D)The red reflex
Q2) Which cultural group defines illness as a price that is being paid for the past or the future?
A)African
B)Native American
C)Arabian
D)Asian
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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Chapter 7: Health Promotion and the Family
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A nurse is planning a home visit for a family.Which of the following actions would be most appropriate for the nurse to take?
A)Study information regarding the family from agency records and other sources.
B)Make a contract with the family that states specific goals and objectives.
C)Identify how the home visit will be financed.
D)Understand the situation from the family's perspective.
Q2) A nurse is determining which family assessment tool would be best to implement with a family when planning home visits for health promotion.Which of the following criteria should the nurse use to evaluate these tools?
A)The number of questions asked on the assessment tool
B)The linkages of the assessment to Healthy People 2020
C)The amount of involvement that the family has in completing the tool
D)The capability of the tool to assess goals and outcomes
Q3) 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
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Page 9

Chapter 8: Health Promotion and the Community
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) A community is in the maintenance stage of change.Which of the following would be an appropriate intervention for the community health nurse?
A)Highlight past successes
B)Discuss the benefits of changing
C)Develop strategies to prevent relapse
D)Provide information
Q2) Which of the following communities are relatively disadvantaged with respect to lower levels of health promotion and limited resources from local, state, or federal public health agencies?
A)Urban communities
B)Rural communities
C)Communities within southern states
D)Communities with large maritime (sea-faring) industries
Q3) According to Pender, 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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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) 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
Q2) A nurse is working at a women's health clinic and is asked by a care recipient when she should return for her next Pap test.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)US Preventive Services Task Force (USPSTF) website
D)Centers for Disease Control and Prevention (CDC) website
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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Page 11

Chapter 10: Health Education
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A nurse is counseling a person who has recently started to receive treatment for alcohol abuse.Which factor would most negatively influence the person's decision to stop abusing alcohol?
A)He is a Catholic.
B)His wife recently died from breast cancer.
C)Buying alcohol is expensive.
D)He was educated on the dangers of excessive drinking.
Q2) A nurse is educating a group of adults who are attempting smoking cessation.Which intervention would be most effective for the nurse to implement?
A)Give the group members a handout on the dangers of smoking.
B)Set a quit date with the group and determine which pharmacological method is most suitable for group members.
C)Provide a month's supply of nicotine replacement to use before the next visit.
D)Have a guest speaker who has been diagnosed with lung cancer speak to the group.
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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/45720
Sample Questions
Q1) A community health nurse is providing education about the "Dietary Approaches to Stop Hypertension" (DASH) eating plan to people attending cardiac rehabilitation.Which of the following recommendations would be included in this presentation?
A)The use of this dietary plan has the same health effects as a daily exercise program.
B)The use of this dietary plan will eliminate the need for medication to treat hypertension.
C)This dietary plan is excludes the consumption of processed foods.
D)This dietary plan includes eating greater amounts of fruits and vegetables.
Q2) A nurse is conducting an initial nutritional assessment on a person who is HIV positive.Which of the following questions would be most important for the nurse to ask?
A)What fresh fruits and vegetables do you like to eat?
B)Are you taking a daily multivitamin?
C)How often do you eat at restaurants?
D)Do you have any questions about your current medications?
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Chapter 12: Exercise
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) According to the physical activity and fitness section of the Healthy People 2020 report, what percentage of adults 18 years of age or older report no leisure-time physical activity?
A)16%
B)26%
C)30%
D)46%
Q2) During an office visit, a nurse provides counseling to a 70-year-old woman with osteoporosis.The patient is otherwise very healthy.Which of the following information should the nurse provide to the woman?
A)Osteoporosis is an exception to the rule of exercise due to risk of fracture.
B)Walk, preferably with a partner, at least 30 minutes a day 5 days a week.
C)Use a scooter where feasible in the interest of preventing falls.
D)Use non-weight bearing exercise like swimming to avoid stressing the bones
Q3) Which of the following statements is accurate concerning yoga as a form of exercise?
A)It is too mild a form of exercise to be beneficial.
B)It is suitable for warm up periods prior to exercise.
C)Too frequent practice will compromise joint flexibility.
D)All of the above.
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Chapter 13: Stress Management
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) A nurse is educating a person about the process of cognitive restructuring.Which of the following statements is correct regarding this technique for stress management?
A)An advantage is that no advanced training is required.
B)Replace negative thoughts with a realistic alternative thought.
C)Denying negative thoughts/feelings is used as a means to disempower them
D)All of the above statements are correct.
Q2) A nurse is educating a group of adults about stress-management strategies.Which of the following examples would the nurse include in the presentation? (Select all that apply.)
A)Participation in a swimming class
B)Keeping a food diary as part of a weight reduction program
C)Joining a smoking cessation support group
D)Setting a goal of walking one mile a day
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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Page 15
Chapter 14: Complementary and Alternative Strategies
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/45723
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) A nurse would like to include holistic nursing care in her nursing practice.Which of the following actions would be recommended for the nurse as first step?
A)Learn the specific therapy method.
B)Engage in self-exploration to gain insight and balance.
C)Explore the various types of complementary therapies available.
D)Ask the person which type of therapy he or she prefers.
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Chapter 15: Overview of Growth and Development Framework
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) 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
Q2) The school nurse is conducting an in-service program for teachers that discusses the development of elementary school children.According to Piaget's theory of cognitive development, which of the following information would the nurse include? (Select all that apply.)
A)Use abstract thought to discuss a story.
B)Make moral decisions concerning right and wrong actions.
C)Listen to a peer's point of view about a playground situation.
D)Be influenced by his or her friends.
Q3) 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.

Page 17
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Chapter 16: The Prenatal Period
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) 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
Q2) A woman who is 30 weeks pregnant tells the nurse that she and her husband are having sexual difficulties.Which of the following actions should the nurse take?
A)Tell the woman she should not be sexually active at this point in her pregnancy because it may harm the fetus.
B)Ask her to elaborate on the difficulties.
C)Tell her that they should modify their positions during intercourse and that will take care of the problem.
D)Tell her men like the way pregnant women look.
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Chapter 17: Infant
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A 15-month-old infant has been brought into the office by his Spanish-speaking mother for symptoms of an upper respiratory infection.Which of the following should be the initial action taken by the nurse?
A)Ask the mother if she would like an interpreter.
B)Ask the mother what home remedies have been used.
C)Ask the mother how long the child has had these symptoms.
D)Ask the mother about any allergies the child may have.
Q2) Which of the following statements is correct concerning weaning?
A)Weaning should not be started until the infant can sit only slightly supported.
B)Weaning can not be started until the extrusion reflex is fully developed.
C)Once the child has learned to use as cup, he or she should no longer have a bottle or breast.
D)AAP recommends weaning begin at 8 to 9 months and be completed by age 1 year.
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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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) Which of the following behaviors exemplifies a toddler working through his developmental task?
A)Clinging to his mother
B)Refusing to take a bath
C)Playing quietly with one toy
D)Having no interest in a new toy
Q2) At a well-child visit, the parents of a toddler ask the nurse how they should teach their toddler the importance of dental hygiene.Which of the following actions should the nurse recommend to the parents?
A)Remind the toddler to brush his teeth every day.
B)Have the dentist tell the toddler about the importance of dental hygiene.
C)Schedule a time to brush their own teeth with their toddler.
D)Have the toddler watch an educational cartoon video on the teeth brushing.
Q3) A nurse is providing anticipatory guidance to parents about the self-perception-self-concept pattern of a toddler.Which of the following statements would the nurse most likely make?
A)"Temper tantrums are expected, so giving into them reduces parental stress."
B)"Put your toddler in time out if he has a temper tantrum."
C)"Childproof your home."
D)"Always provide your toddler with challenging toys."
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Chapter 19: Preschool Child
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) 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.
Q2) A preschooler and her school-age brother both have received the same swimming tube as a gift.The brother accidentally took his sister's swimming tube.The sister protested that she needed her swimming tube to go swimming.Which of the following is being demonstrated by this behavior by the sister?
A)Abstract thinking
B)Concrete thinking
C)Jealousy
D)A temper tantrum
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21

Chapter 20: School-Age Child
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36 Verified Questions
36 Flashcards
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Sample Questions
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 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
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Sample Questions
Q1) After offering a teenager the HPV vaccine, the teenager responds by saying, "I can't have the vaccine because I have already been sexually active." Which of the following statements is the best response by the nurse?
A)"You can still benefit from the vaccine, but there is a chance it will not be as effective."
B)"The best way to protect yourself now is to make sure all your future sexual partners have received the vaccine."
C)"You are correct, the vaccine is only indicated for females who have never been sexually active."
D)"It depends on the number of partners you have had.If you have had less than five partners, you are still eligible for the vaccine."
Q2) 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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23
Chapter 22: Young Adult
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The public health nurse is conducting a screening of young adults for metabolic syndrome.When asked about the syndrome, which of the following responses should be made by the nurse?
A)"Anyone who has low blood sugar, high cholesterol, and high blood pressure has this syndrome and is at risk for cardiac disease."
B)"This syndrome helps predict heart disease.Once it is diagnosed, the correct medication can be prescribed and heart disease avoided."
C)"This syndrome is a warning sign that the person could develop heart disease.When someone has metabolic syndrome, dietary and activity level changes are recommended."
D)"Anyone who has high cholesterol, high blood pressure, and high blood sugar has coronary artery disease.Once we make the diagnosis, we can begin to treat the disease."
Q2) Which of the following reflects Piaget's theory as applied to young adults?
A)Voting for a candidate based on popularity
B)Voting for a candidate based on media advertisements
C)Voting for a candidate based on support of the candidate by peers
D)Voting for a candidate based on analysis of views about various issues
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Page 24

Chapter 23: Middle-Age Adult
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28 Flashcards
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Sample Questions
Q1) A 35-year-old person asks the nurse working in a dermatology clinic what causes skin to wrinkle.Which of the following statements would be most appropriate way for the nurse to reply?
A)"It is simply a part of normal aging and it is not preventable"
B)"As we age, we develop more cellulite under the skin which results in wrinkles."
C)"Wrinkles appear for a number of reasons, including loss of fat beneath your skin and too much sun exposure."
D)"Wrinkles are caused by genetic factors combined with Vitamin D deposits under the skin."
Q2) Which of the following effects of divorce on middle-age adults and children has been documented by research?
A)Children adapt to divorce more rapidly than do adults.
B)Emotional healing after a divorce takes approximately 24 months in adults.
C)Children of divorced parents may have emotional effects lasting for decades
D)Children of divorced parents undergo similar emotional turmoil as their parents.
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Chapter 24: Older Adult
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30 Flashcards
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Sample Questions
Q1) Which of the following statements is correct concerning the "obesity paradox" as it pertains to older adults?
A)Obesity in older adults is more detrimental than it is for younger adults.
B)Unlike younger people, fruits and vegetables cause obesity in elderly people.
C)Obesity in older adults is not related to caloric intake or exercise.
D)Obesity in older adults is not clearly linked with shorter life span.
Q2) A community health nurse is working with a diverse population of older adults within the community.Based on the data from the National Health Interview Survey, which of the following assumptions should be made by the nurse when working with this diverse population?
A)White Non-Hispanic older adults tend to require more assistance with their activities of daily living.
B)Hispanic older adults tend to rate their health as poorer than other ethnic groups.
C)Older adults who tend to rate their health as fair or poor are also financially poor.
D)Older adults tend to require more assistance with activities of daily living than with meeting their routine needs.
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Chapter 25: Health Promotion in the Twenty-First Century
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Sample Questions
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 10 days.
Q3) A nurse is participating in disaster preparedness planning for the local community.Which of the following would be an appropriate responsibility for the nurse? (Select all that apply.)
A)Completing a risk assessment in the community
B)Implementing strategies to decrease posttraumatic stress disorder
C)Coordinating meetings among multiple agencies and disciplines
D)Evaluating the economic impact of the disaster
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