Adult Health Nursing Exam
Answer Key
Course Introduction
Adult Health Nursing focuses on the comprehensive care of adult patients experiencing a variety of acute and chronic health conditions. The course emphasizes assessment, diagnosis, planning, implementation, and evaluation of evidence-based nursing interventions to promote optimal health outcomes. Students will explore concepts such as patient safety, clinical decision-making, pharmacological and non-pharmacological therapies, and interprofessional collaboration. Through theoretical and clinical experiences, learners develop critical thinking and communication skills essential for providing holistic and culturally competent care to adults in diverse healthcare settings.
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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Page 2
Chapter 1: Health Defined: Objectives for Promotion and Prevention
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) Which of the following groups of people are likely to show an increase in numbers between the years 2010 to 2030?
A)Persons age 65 and older
B)Persons of White European descent
C)Infants due to rising birth rates
D)Population growth and character are unpredictable
Answer: A
Q2) In reviewing a person's medical claims, a nurse realizes that the individual with moderate persistent asthma has had several emergency department visits and is not on inhaled steroids as recommended by the NHLBI asthma management guidelines.The nurse discusses this with the person's primary care provider.In this scenario, the nurse is acting as a(n)
A)advocate.
B)care manager.
C)consultant.
D)educator.
Answer: B
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Page 3
Chapter 2: Emerging Populations and Health
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Sample Questions
Q1) 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
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) Which form of managed care restricts providers to caring for individuals who are members of their organization?
A)Fee-for-service plan
B)Health maintenance organization (HMO)
C)Preferred provider organization (PPO)
D)Independent practice association (IPA)
Answer: B
Q2) Health insurance plans, offered under the market place exchange program, must include which of the following features?
A)Low deductibles and low out-of-pocket costs
B)Birth control coverage
C)Dental coverage
D)Uniform monthly premiums for all persons
Answer: B
Q3) Which health care provider represents a primary care provider?
A)Psychiatric advanced practice nurse
B)Clinical nurse specialist
C)Pediatric nurse practitioner
D)Acute care nurse practitioner
Answer: C
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Chapter 4: The Therapeutic Relationship
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Sample Questions
Q1) Which of the following statements can be identified as a method for clarifying a message?
A)"I get very upset when you talk to me in that tone."
B)"You make me very angry when you drink alcohol."
C)"I can make you happy.I know I can."
D)"What I want from you is to be left alone!"
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
Q3) 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
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Chapter 5: Ethical Issues Related to Health Promotion
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Sample Questions
Q1) A care recipient is scheduled to have open-heart surgery.His physical condition is such that he is at high risk to experience complications during the procedure, but he has not been advised of this possibility.Which of the following ethical concepts has been ignored in rendering care for this care recipient?
A)Beneficence
B)Autonomy
C)Justice
D)Informed consent
Q2) An 18-year-old woman in whom a sexually transmitted disease (STD) was recently diagnosed asks the nurse not to tell her mother that she has an STD.Her mother asks the nurse what is causing her daughter's vaginal discharge.Which of the following actions should the nurse take?
A)Follow the principle of veracity and tell the mother the diagnosis.
B)Respect the principle of confidentiality and support the care recipient's request not to tell her mother the diagnosis.
C)Tell the care recipient's mother that she has a urinary tract infection, to protect the care recipient's privacy and honor the mother's request.
D)Ignore the mother's request for information.
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Chapter 6: Health Promotion and the Individual
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30 Flashcards
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Sample Questions
Q1) A Hispanic mother tells the nurse that she has been using home remedies for her child's asthma.Which home remedy might this mother be using?
A)Acupuncture
B)Cupping
C)Hot tea
D)Massage
Q2) Over the last week, a person has had finger stick glucose levels of 127, 132, 140, 138, 143, 145, and 140.This information allows the nurse to characterize the person's function pattern by utilizing which area of focus?
A)Age-developmental
B)Functional
C)Individual-environmental
D)Pattern
Q3) 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 male who eats primarily burgers, sandwiches, and pizza
C)15-year-old girl
D)72-year-old white woman
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Chapter 7: Health Promotion and the Family
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28 Flashcards
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Sample Questions
Q1) The ecomap of a care recipient's family has slashed lines drawn from the son to the family church.Based on this information, what conclusion can the nurse make?
A)The son is deceased.
B)The son is actively involved with the family church.
C)The son has a stressful relationship with the church.
D)The son has no relationship with the church.
Q2) In a family in which the mother and the father differ on how to spend and save money, the parents are constantly arguing with each other.Which of the following interventions should the nurse include in the plan of care for this couple?
A)Assist them to develop strategies that are congruent with their values.
B)Allow each of them to defend his or her own values.
C)Focus on outcomes that each wants to accomplish.
D)Divert their attention to areas in which they are successful.
Q3) Which of the following statements is correct concerning family risk factors?
A)Psychological factors are too subjective to be valid
B)Risk factors can be inferred from lifestyle
C)Epidemiology explores disease outcomes but not risks
D)All of the above statements are correct.
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Chapter 8: Health Promotion and the Community
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) Using developmental theory, a community nurse assesses the community and determines that the majority of residents who are 45 years of age or older lead sedentary lives.Which of the following would be the priority for this nurse to promote?
A)Health-promotion activities
B)Accident prevention activities
C)Drug prevention activities
D)Pregnancy prevention activities
Q2) Which of the following is NOT usually considered a parameter for defining a broad sense community within the context of nursing?
A)Groups of people who live within the same geographical region
B)Groups of people who share common interests
C)Groups of people who have the very near the same income and net worth
D)Groups of people who share social relationships
Q3) The study of a population is referred to as (a)
A)community pattern.
B)windshield survey.
C)demography.
D)community diagnosis.
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Chapter 9: Screening
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Sample Questions
Q1) The nurse is examining the ability of a phenylketonuria (PKU) screening test to distinguish correctly between newborns who have and who do not have the disease.Which of the following measures of accuracy of the instrument is being evaluated?
A)Sensitivity
B)Specificity
C)Validity
D)Efficacy
Q2) A nurse is using a sweat test to screen people for cystic fibrosis.Which of the following results demonstrates poor sensitivity?
A)When 6 out of every 10 sweat tests performed are negative, but the six individuals actually have cystic fibrosis.
B)When 6 out of every 10 sweat tests performed are positive, but the six individuals do not actually have cystic fibrosis.
C)When 6 out of every 10 sweat tests performed are negative, and the six individuals really do not have cystic fibrosis.
D)When 6 out of every 10 sweat tests performed are positive, and the six individuals really do have cystic fibrosis.
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11
Chapter 10: Health Education
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30 Flashcards
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Sample Questions
Q1) The primary objective of social marketing is to
A)plan behavior.
B)analyze behavior.
C)limit behavior.
D)change behavior.
Q2) A nurse plans to use lectures, handouts, and a video to teach a group of teenagers the importance of safe sex practices.Which step in the teaching-learning process is the nurse demonstrating?
A)Assessment
B)Development
C)Implementation
D)Evaluation
Q3) Which of the following emphasizes that an individual's belief in being personally capable of performing the behavior is required to influence one's own health?
A)Social cognitive theory
B)Self-efficacy theory
C)Health belief model
D)Transtheoretical model
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Chapter 11: Nutrition Counseling for Health Promotion
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A community health nurse is educating health care providers in a local clinic about steps to take to help their care recipients improve their health-related behaviors.Which of the following would be included as the nurse teaches about the acronym LEARN?
A)Explain how small changes can affect health.
B)Acknowledge that action needs to be taken.
C)Negotiate an agreement.
D)Refer to community resources.
Q2) A 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.
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13
Chapter 12: Exercise
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29 Flashcards
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Sample Questions
Q1) During an office visit, a nurse meets with a woman who states she does not have time to exercise.Which of the following actions should the nurse take next?
A)Respect her decision in the name of honoring patient autonomy.
B)Provide her with information on the benefits of exercising.
C)Develop an exercise prescription with her.
D)Schedule a follow-up in 2 months to see if she still feels the same way.
Q2) A nurse is reviewing an exercise prescription for a person.Which of the following aspects should be included? (Select all that apply.)
A)Frequency of exercise
B)Intensity level of exercise
C)Time and duration of exercise
D)Type of exercise
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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Page 14
Chapter 13: Stress Management
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) A nurse responded to a natural disaster and used expressive writing as a means of coping with the stress related to this experience.Which of the following benefits of expressive writing should the nurse expect?
A)Immediate relief of stress through storytelling
B)Insight into the personal meaning of the experience
C)Absence of the symptoms of stress
D)Feeling a great sense of relief immediately after making a journal entry
Q2) A nurse is counseling a person on how to effectively deal with stress.Which of the following actions would the nurse recommend the person take first?
A)Recognize signs of stress.
B)Take action to reduce stress.
C)Connect warning signs with stressors.
D)Develop effective coping skills.
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
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Sample Questions
Q1) 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.
Q2) A nurse is discussing holistic health care with an individual.Which of the following explanations should the nurse include in this discussion?
A)Empirical research has consistently demonstrated the value of alternative/complementary therapy.
B)Many herbal remedies have side effects and drug interactions.
C)CAM providers must meet required training, testing, and continuing education to practice.
D)FDA requires proof of efficacy and safety for dietary supplements.
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16
Chapter 15: Overview of Growth and Development Framework
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Sample Questions
Q1) A nurse is educating new parents about normal growth and development for their child.Which of the following items would the nurse include in this discussion? (Select all that apply.)
A)Trends in childhood obesity
B)Availability of a well-balanced diet
C)Exposure to lead-based pain
D)Height/weight of relatives
Q2) A nurse is teaching parents of a toddler about nutrition.Which of the following statements should be made by the nurse?
A)"Raisins are a good finger food because they provide fiber."
B)"Grapes are a good snack choice because they help toddlers meet their daily fruit requirements."
C)"Hot dogs are not a safe food choice because they may cause choking."
D)"A small piece of chewing gum will help strengthen jaw muscle; just be sure he or she does not swallow it."
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Chapter 16: The Prenatal Period
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35 Verified Questions
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Sample Questions
Q1) 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
Q2) A nurse is assessing a woman for positive signs of pregnancy.Which of the following assessment findings would the nurse discover? (Select all that apply.)
A)Positive test for HCG in the maternal urine
B)Detection of fetal heart tones
C)Enlargement of the uterus
D)Palpation of fetal body parts
Q3) A nurse is caring for a woman during the fourth stage of labor.Which of the following best describes an action the nurse would take during this stage?
A)Providing constant reinforcement and education about the labor process and assisting the woman with pushing
B)Explaining unusual interventions such as the use of a fetal heart monitor
C)Assisting with labor discomfort by modeling breathing
D)Teaching the new mother positioning of the infant to assist with breastfeeding
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18
Chapter 17: Infant
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Sample Questions
Q1) Which of the following statements are correct concerning language development? (Select all that apply.)
A)Infants initially make vowel sounds using the front part of their mouth.
B)Cooing sounds begin at 2 to 3 months.
C)Babbling begins at approximately 9 to 12 months.
D)By one year words such as "ma-ma" or "bye-bye" begin to emerge.
Q2) 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.
Q3) By what age is an infant's retina fully developed?
A)Birth
B)2 months
C)4 months
D)6 months
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Chapter 18: Toddler
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Sample Questions
Q1) Which of the following events poses the greatest threat to a toddler's health?
A)Childhood diseases
B)Complications from adverse vaccine reactions
C)Accidents
D)Influenza in an unvaccinated child
Q2) A deviation of the line of vision from the midline resulting from extraocular muscle weakness or imbalance is known as
A)amblyopia.
B)farsightedness.
C)nearsightedness.
D)strabismus.
Q3) Which of the following statements is correct concerning stress and coping for toddlers?
A)Toddlers commonly imitate their parent's behavior in dealing with stressors.
B)Siblings are viewed as allies and, thus, not common sources of stress for toddlers.
C)Regressing to earlier infantile behavior is serious developmental problem.
D)Discussing upcoming stressful events is ill-advised; it intensifies the child's stress.
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Chapter 19: Preschool Child
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Sample Questions
Q1) A mother thinks her 2-year-old child drank Drano.What should the nurse tell the mother to do next?
A)Call the pediatrician on call.
B)Give ipecac syrup.
C)Call the Poison Control Center.
D)Wait to see if the child will vomit.
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) A nurse is using primary prevention strategies to prevent child abuse in the community.Which of the following interventions would the nurse implement?
A)Educate the public about violence and the potential for abuse.
B)Remove a child who has been abused from the home.
C)Report a case of child abuse.
D)Refer a parent who abused their child to counseling.
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21
Chapter 20: School-Age Child
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Sample Questions
Q1) A child who has a BMI of 34 visits the school nurse.Which of the following factors does the nurse recognize that the child may be experiencing?
A)Increased bullying by peers
B)Increased self-esteem
C)Increased resiliency
D)Increased motivation to lose weight
Q2) Which of the following statements is correct regarding firearms?
A)As with video games, toy guns has been shown to increase violence later in life.
B)For safety, guns should be stored apart from ammunition.
C)The second amendment exempts hand guns.
D)All of the above statements are correct.
Q3) 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
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22
Chapter 21: Adolescent
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Sample Questions
Q1) During a physical exam, a teenager asks the nurse if she can have a stronger medication for her constipation because the laxatives she has been taking are not helping.During the physical exam, the nurse observes mild to moderate erosion of the tooth enamel.Which of the following disorders is the client most likely experiencing?
A)Bulimia nervosa
B)Binge eating disorder
C)Idiopathic constipation
D)Irritable bowel syndrome
Q2) Which of the following statements is NOT correct concerning adolescent sexual issues?
A)Sexting is becoming an increasingly common practice among teenagers.
B)Experimenting with same sex intimacy may put teens at risk for suicide.
C)Fantasizing about sexual activities has been shown to lead to promiscuity.
D)Anticipatory guidance appropriately includes information about contraception and STDs.
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23
Chapter 22: Young Adult
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Sample Questions
Q1) The university health services nurse is preparing a disease prevention program for college students.Which of the following information should the nurse include in the program?
A)Living in the dorm increases one's risk of developing meningococcal disease.
B)The mortality rate from meningococcal disease is very low.
C)There are no antiviral medications that can treat meningococcal outbreaks.
D)A vaccine for meningococcal disease has not been developed.
Q2) A nurse is counseling a 23-year-old woman about hormone-containing (estrogen or estrogen/progestin) contraceptive methods: oral, transdermal, injectable, vaginal ring, and implant methods.Which of the following risks of using these methods should be stressed by the nurse?
A)Toxic shock syndrome
B)Heavy menses
C)Thromboembolic disorders (blood clots)
D)Ectopic pregnancy
Q3) 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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Chapter 23: Middle-Age Adult
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Sample Questions
Q1) 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.
Q2) 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.
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Chapter 24: Older Adult
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Sample Questions
Q1) A couple in their sixties has assumed responsibility for raising their two grandchildren ages 9 and 12 because the children's parents died in a car accident.Which of the following is nursing interventions is a priority to help the grandparents cope with the responsibility of raising their grandchildren?
A)Connecting them with the "Grandparents Raising Grandchildren" support group
B)Encouraging them by reminding them how they successfully raised their own children
C)Volunteering to provide respite time for them as needed
D)Assuring them that their stress level will lessen, as they gain confidence
Q2) Which of the following statements made by a client best identifies someone who would likely to be receptive to health-promotion interventions?
A)"I have a new grandchild and want to be part of her life."
B)"My mother lived until she was 90, so a long life is in my genes."
C)"Some chronic illness is just a part of aging."
D)"I hope I'll live a lot longer, but one never knows."
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Chapter 25: Health Promotion in the Twenty-First Century
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Sample Questions
Q1) 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
Q2) A nurse is working in the emergency department (ED).Which of the following situations would cause the nurse to suspect bioterrorism?
A)When two people out of twenty who ate at a restaurant come to the ED with nausea and vomiting
B)When a worker in a lab comes to the ED complaining of a severe headache
C)When thirteen people, aged 24 to 33, come to the ED with ascending flaccid muscle paralysis
D)When five people come to the ED with an upper respiratory infection
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