Question 1

A woman needs to take some time off from work to care for her invalid mother. Which of the following health policies allows her to take an extended leave from work to care for a family member?

Accepted Answer

A)  Personal Responsibility and Work Opportunity Reconciliation Act
B)  Women's Health Equity Act (WHE
A)  
C)  Temporary Assistance for Needy Families (TANF) 
D)  Family and Medical Leave Act (FML
A)   D

Question 2

A nurse's mother leans forward and says, "My best friend fell the other day and now she's in the hospital. I'm really worried about getting osteoporosis. What do you think I should do?" What should the nurse recommend? (Select all that apply.)

Accepted Answer

A)  Ask your doctor for hormone replacement therapy.
B)  Continue to abstain from alcohol and not use tobacco.
C)  Eat foods high in calcium such as fortified skim milk.
D)  Eat lots of green leafy vegetables. B, C

Question 3

A client explains to the nurse that it is just impossible for her and her husband to continue to have his mother in the home alone during the day while they work because the woman becomes confused and has fallen twice. Which of the following community resources should the nurse recommend?

Accepted Answer

A)  Adult day health
B)  Home health
C)  Long-term care
D)  Senior center A

Question 4

A nurse would like to learn more about the overall health of a population. Which of the following indicators would the nurse most likely use?

Accepted Answer

A)  Life expectancy
B)  Mortality rate
C)  Morbidity rate
D)  Health status

Question 5

Which statement about eating disorders is correct?

Accepted Answer

A)  Individuals with anorexia frequently complain about weight loss.
B)  Purging is associated with anorexia.
C)  Most women with bulimia are concerned with the shape and weight of their body.
D)  Bulimia is considered to have more medical complications than anorexia.

Question 6

A nurse is providing contraceptive counseling to a female client. Which of the following is the most appropriate outcome of this counseling?

Accepted Answer

A)  Encourage the individual to choose abstinence.
B)  Ensure the individual is educated to make an informed choice about reproduction.
C)  Advocate for increased funding for reproductive services.
D)  Reduce the health risks of the individual.

Question 7

A community health nurse is planning to implement an intervention to reduce the prevalence of sexually transmitted diseases in the community. Which of the following actions would most likely be taken by the nurse?

Accepted Answer

A)  Establish immunization clinics to prevent STDs.
B)  Educate people with HIV about the mode of transmission.
C)  Explain to women that HIV is transmitted to women usually by IV drug abuse.
D)  Develop a STD clinic to increase community access to services.

Question 8

A nurse advises a client who has HIV not to donate blood, plasma, or organs. Which of the following levels of prevention is being used?

Accepted Answer

A)  Primary prevention
B)  Secondary prevention
C)  Tertiary prevention
D)  Health promotion

Question 9

A nurse wants to promote improved health for obese children in the community. Which of the following best describes a tertiary prevention measure that the nurse would implement?

Accepted Answer

A)  Establish lifestyle improvement programs through local youth organizations.
B)  Evaluate the food intake of a group of children for a 48-hour period.
C)  Provide education programs to overweight expectant parents.
D)  Evaluate the body mass index of children at regularly scheduled well-child exams.

Question 10

A nurse is new to the community but wants to begin planning immediately for health promotion programs. Even though the nurse does not yet know the community, which of the following programs would be good to plan first?

Accepted Answer

A)  Alcohol and tobacco cessation programs
B)  Cancer screening programs
C)  Cardiac health education programs
D)  Exercise for life programs

Question 11

A nurse wants to establish a program to decrease the death rate among children. Which of the following health problems should be the target of this program?

Accepted Answer

A)  Accidents and injuries
B)  AIDS
C)  Childhood obesity
D)  Vaccine-preventable diseases

Question 12

Which of the following characteristics indicates a man is at a higher risk for developing prostate cancer?

Accepted Answer

A)  Being of Caucasian descent
B)  Has not had a PSA test
C)  Has a father or brother who has had prostate cancer
D)  Has benign prostatic hypertrophy (BPH)

Question 13

A nurse is implementing Wagner's Chronic Care Model. Which of the following actions would the nurse most likely take?

Accepted Answer

A)  Educate a community group about hypertension control.
B)  Create a budget for chronic disease management.
C)  Administer immunizations to community members.
D)  Conduct depression screenings in the community.

Question 14

Which of the following best describes where health care dollars in the United States be focused to improve breast cancer cure rates?

Accepted Answer

A)  Education for women about breast cancer
B)  Early detection programs with referral to ongoing access to a care provider
C)  Primary prevention programs
D)  Tertiary care through long-term follow-up

Question 15

Which of the following situations would most likely indicate elder abuse?

Accepted Answer

A)  A daughter refuses to visit her mother due to work commitments.
B)  A child runs around a grandparent's house breaking items.
C)  A young man repeatedly steals money from his grandmother.
D)  An elderly person demands that the family come for dinner.

Question 16

Which of the following best describes the current research findings related to the use of hormone replacement therapy (HRT)?

Accepted Answer

A)  HRT does not prevent heart disease.
B)  Use of HRT is recommended to prevent osteoporosis.
C)  When used with complementary therapies, HRT is most effective.
D)  HRT is a contributing cause of breast cancer.

Question 17

A nurse is providing pre-conceptual counseling to a young woman. Which of the following supplements would the nurse most likely recommend?

Accepted Answer

A)  Iron
B)  Calcium
C)  Folic acid
D)  Vitamin C

Question 18

If underlying causes were listed on autopsy reports, which of the following would be the most common cause of unnecessary death in the United States?

Accepted Answer

A)  Alcohol
B)  Guns
C)  Tobacco
D)  Unprotected sex

Question 19

Which of the following factors has the largest impact on health disparities among all populations?

Accepted Answer

A)  Ethnicity
B)  Education level
C)  Lifestyle choices
D)  Poverty

Question 20

Which of the following adolescent(s) would receive care from the advanced practice nurse without parental consent? (Select all that apply.)

Accepted Answer

A)  A 16-year-old who is living on his own (not with his parents) 
B)  A pregnant adolescent
C)  An adolescent in an emergency situation
D)  An adolescent whose diagnosis has a serious prognosis

Exam 20: Health Risks Across the Life Span