Nursing Foundations Midterm Exam - 700 Verified Questions

Page 1


Nursing Foundations

Midterm Exam

Course Introduction

Nursing Foundations introduces students to the essential principles, concepts, and practices that underpin the nursing profession. The course covers the historical evolution of nursing, the roles and responsibilities of nurses, ethical and legal considerations, and core communication and assessment skills. Students learn about basic patient care, infection control, safety procedures, and the theoretical frameworks that guide nursing practice. Through a combination of classroom instruction, laboratory experiences, and clinical observations, the course establishes a strong basis for professional development and prepares students for more advanced nursing studies.

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

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Sample Questions

Q1) During a home visit, a nurse discusses the dangers of smoking with an individual. In this scenario the nurse is acting as a(n):

A) advocate.

B) care manager.

C) consultant.

D) educator.

Answer: D

Q2) Which of the following best describes a client who has an illness?

A) Someone who has well-controlled diabetes

B) Someone with hypercholesterolemia

C) Someone with a headache

D) Someone with coronary artery disease without angina

Answer: C

Q3) The devaluing of beliefs, values, and customs of others is known as:

A) ethnocentrism.

B) racism.

C) cultural competency.

D) empathy.

Answer: B

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Chapter 2: Emerging Populations and Health

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28 Verified Questions

28 Flashcards

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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) A health care professional is caring for an individual who is homeless and has recently been diagnosed with Type II diabetes. Which of the following factors is the most important to consider when planning care?

A) Considering the cost of the purchasing medications

B) Determining the pharmacy where medications will be obtained

C) Obtaining insurance that will pay for the follow-up care

D) Finding supportive housing for the individual

Answer: D

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Chapter 3: Health Policy and the Delivery System

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28 Verified Questions

28 Flashcards

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Sample Questions

Q1) An individual states that his family has insurance, but that paying for routine medical costs is very expensive because most routine services are paid for out of pocket. Which type of insurance plan does this individual most likely have?

A) High deductible health insurance plan (HDHP)

B) Point-of-service plan (POS)

C) Health maintenance organization (HMO)

D) Preferred provider organization (PPO)

Answer: A

Q2) Which could result in a change in a nurse practitioner's practice?

A) Holding a master's degree or higher

B) Moving to another state when she gets married

C) Caring for Medicare clients

D) Changing to another office within the same practice

Answer: B

Q3) The person known as the father of British and American public health is:

A) Lillian Wald.

B) Edwin Chadwick.

C) Lemuel Shattuck.

D) Paul Ehrlich.

Answer: B

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Chapter 4: The Therapeutic Relationship

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20 Flashcards

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Sample Questions

Q1) Which of the following statements about values is true?

A) It is impossible for someone to understand his or her values.

B) Values evolve over time; they are not static.

C) Values assimilated in childhood are those held for a lifetime.

D) Values clarification tells a person how to act.

Q2) Which of the following best describes person-centered communication?

A) The nurse says to the person seeking care, "Why do you continue to drink when you know it is not good for you?"

B) The nurse responds to person seeking care's request for pain medicine by saying, "It is not time for your pain medicine. You had it 3 1/2 hours ago."

C) The client says to the nurse, "I think my husband is cheating on me." The nurse responds by saying, "You think your husband is cheating on you?"

D) The client says to the nurse, "I can't believe I have cancer." The nurse responds by saying, "One of my closest friends had cancer and had to have chemotherapy."

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6

Chapter 5: Ethical Issues Related to Health Promotion

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Sample Questions

Q1) A nurse reflects on previous experiences with minority populations and considers how these interactions have influenced her present care to these populations. Which part of values clarification and reflection has the nurse used?

A) Formulate a possible course of action.

B) Examine the influence of beliefs.

C) Reflect on practice.

D) Determine the prevalent values.

Q2) A nurse is providing care to a 15-year old female who has recently been diagnosed with a sexually transmitted infection (STI). Which of the following actions should the nurse take next?

A) Seek advice from an ethics expert.

B) Facilitate interaction between the adolescent and her parents/guardians.

C) Report the STI to the appropriate authorities.

D) Contact the adolescent's parents/guardians.

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Chapter 6: Health Promotion and the Individual

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28 Verified Questions

28 Flashcards

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Sample Questions

Q1) A nurse assesses the cognitive-perceptual pattern of a Type 1 diabetic client. Which finding has implications for the individual's nursing plan of care?

A) Decreased sense of hearing

B) Decreased sense of smell

C) Decreased sense of taste

D) Decreased visual acuity

Q2) A nurse is counseling a person with a dysfunctional sleep pattern. Which of the following recommendations would the nurse most likely give the person?

A) Read in bed until he falls asleep.

B) Avoid fluids after 7 PM.

C) Exercise immediately before bedtime.

D) Watch television in the recliner in the evening.

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 African American man

C) 15-year-old girl

D) 72-year-old white woman

E) None of above

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Page 8

Chapter 7: Health Promotion and the Family

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) A nurse is collecting data for a family assessment using Gordon's functional health patterns. The nurse learns that the family has no books in the home to read to the preschool-age children. To which of the following functional health patterns does this information pertain?

A) Roles-relationship

B) Cognitive-perceptual

C) Health-perception-health-management

D) Self-perception-self-concept

Q2) A nurse is conducting a health promotion assessment for a family with a 9-month-old. Which of the following should be of most concern to the nurse?

A) The age of the house in which the family lives

B) Genetic diseases in the family

C) Driving practices in the family

D) Toilet training for the child

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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Page 9

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 is considering banning smoking in all schools. Based on the community's current stage of change, which action should the nurse take next?

A) Provide the community with statistics regarding childhood smoking rates.

B) Point out positive outcomes associated with banning smoking such as maintenance of lung function.

C) Help the community develop a plan to implement the ban.

D) Praise the members of the community for their actions.

Q2) A nurse is interviewing members of a substance abuse unit at a local Veterans Administration (VA) hospital. Which of the following parts of a community is the nurse assessing?

A) Structure of a community

B) Subsystem of a community

C) Supra system of a community

D) Interaction of a community

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

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Sample Questions

Q1) Which of the following analyses is used to determine the optimal use of resources to reach a predetermined constant end point or the desired health outcome?

A) Cost-benefit ratio analysis

B) Cost-effectiveness analysis

C) Cost-efficiency analysis

D) Cost-disease analysis

Q2) An occupational health nurse is planning a cholesterol screening with the employees at the factory. Which of the following would be an advantage of conducting this screening?

A) Allows for the beginning of a multiple test screening process

B) Provides an opportunity for health education

C) Allows for preliminary diagnosis of coronary artery disease

D) Provides the opportunity for a referral to a physician

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

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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) The goal for the educational session is to have the individual explain when he should check his blood sugar level. Which of the following teaching strategies would be most effective for the nurse to implement?

A) Provide the individual with one-on-one education about blood sugar monitoring.

B) Provide the individual with a scenario about blood sugar monitoring.

C) Provide the individual with the opportunity to practice blood sugar monitoring.

D) Provide the individual with a blood sugar monitor.

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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 community health nurse is educating a community group about the 2010 Dietary Guidelines for Americans. Which of the following information would be included in this presentation?

A) Limit consumption of dairy products.

B) Purchase organic fruits and vegetables.

C) Make at least half of your grains whole grains.

D) Consume fish on a daily basis.

Q2) A community health nurse is using the Dietary Reference Intakes (DRIs) as a guide while developing an education presentation about nutrition for a community group. How will the use of the DRIs be helpful in developing this presentation?

A) It considers the unique differences among children, pregnant women, and elderly people.

B) It contains well-researched data that are reviewed on an annual basis.

C) It is prescriptive in the amount of nutrients that are needed on a daily basis.

D) It serves as an overall guideline for the population.

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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 caring for a man who states he is ready to start exercising. Which of the following actions should the nurse take next?

A) Do nothing because he has already made the decision to implement a change.

B) Provide him with information on the benefits of exercising.

C) Develop an exercise prescription with him.

D) Schedule a follow-up in 2 months to see if he still feels the same way.

Q2) A nurse is educating a 35-year-old woman about the best exercises to engage in to prevent bone loss. Which of the following exercises would the nurse recommend?

A) Walking

B) Swimming

C) Weight training

D) Bike riding

Q3) 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

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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 explaining the relaxation response to a person. Which of the following statements would be most appropriate for the nurse to make?

A) "When the relaxation response is used, your sympathetic nervous system is activated and your pulse rate slows down."

B) "The relaxation response helps you to become more aware of your surroundings."

C) "Deep breathing is very effective in relaxing muscle groups and relieving stress."

D) "Holding your breath for 10 to 15 seconds will reduce your blood pressure and pulse rate."

Q2) A nurse is collecting health assessment data about a person's coping mechanisms in relation to stressors. Who would provide the best source of this information?

A) Person's primary care physician

B) Person's spouse/significant other

C) The person

D) Expert objective analysis skills of the nurse

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15

Chapter 14: Complementary and Alternative Strategies

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28 Verified Questions

28 Flashcards

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Sample Questions

Q1) In contrast to holistic health care, Western or allopathic medicine focuses on the:

A) mind-body connection.

B) impact of family relationships on health-seeking behaviors.

C) physical aspects of health deviations.

D) environmental impact on health.

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) Self-reports of stress relief related to alternative/complementary therapy are numerous.

C) The majority of research related to alternative/complementary therapy has utilized the scientific method.

D) Research has, to date, been unable to verify the effectiveness of alternative/complementary therapy on health and well-being.

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16

Chapter 15: Overview of Growth and Development Framework

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20 Verified Questions

20 Flashcards

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Sample Questions

Q1) The nurse is caring for a person who donated a kidney to a stranger in need. According to Gilligan's stages of moral development, the person who donated the kidney is in which of the following stages?

A) Preconventional

B) Conventional

C) Postconventional

D) Midconventional

Q2) Which of the following statements is correct related to the concept of growth

A) Growth occurs mainly during early childhood.

B) Older adults do not experience growth-related changes..

C) Growth refers only to the increase in the size of specific organs and systems.

D) Growth occurs throughout the life cycle.

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

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Sample Questions

Q1) A nurse makes a home visit to monitor the blood pressure of a pregnant woman who is single. Which finding would be of most concern to the nurse?

A) The bedroom is located on the second floor.

B) She has a pet cat.

C) There is an area rug in the living room.

D) She has a 1-year-old child.

Q2) During the first prenatal visit, the pregnant woman informs the nurse that she cannot wait to start wearing maternity clothes. This finding is based on an assessment of which functional health pattern?

A) Cognitive-perceptual pattern

B) Self-perception-self-concept pattern

C) Health-perception-health-management pattern

D) Values-beliefs pattern

Q3) Which of the following best describes an abnormality in structure or function that occurs during fetal development?

A) Congenital defect

B) Genetic defect

C) Embryonic defect

D) Chromosomal defect

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Page 18

Chapter 17: Infant

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Sample Questions

Q1) During a home visit, the nurse finds a 9-month-old in a playpen with a couple of toys. Which of the following instructions would be most appropriate for the nurse to provide to the parent to encourage growth and development of the child?

A) Encourage the addition of a few more toys to the playpen.

B) Suggest keeping the infant in the playpen as much as possible to promote safe play.

C) Encourage providing the infant with supervised time outside of the playpen.

D) Suggest removing all toys from the playpen.

Q2) A nurse is assessing a 4-month-old infant during a well-child visit. Which of the following findings will require the nurse to collect additional information?

A) The infant's shirt is wet from drooling.

B) The infant has gained one pound since her 2-month well-child visit.

C) The infant holds his or her head steady when in a sitting position.

D) The infant grasps objects with two hands.

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Chapter 18: Toddler

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Sample Questions

Q1) Approximately how much sleep do toddlers require each day?

A) 10 hours

B) 11 hours

C) 12 hours

D) 13 hours

Q2) A mother tells the nurse that ever since she started toileting training, the toddler has been touching his genitals. Which of the following statements is the most appropriate response by the nurse?

A) "This is a sign that he is not ready to toilet train yet."

B) "This behavior is developmentally normal."

C) "Tell him to stop touching himself."

D) "Don't worry about it."

Q3) A 2 1/2 -year-old toddler is in for an office visit. He was born at 6 pounds, 10 ounces. At today's visit, the nurse expects his weight to be:

A) 13 pounds, 4 ounces.

B) 19 pounds, 14 ounces.

C) 26 pounds, 8 ounces.

D) 33 pounds, 2 ounces.

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Chapter 19: Preschool Child

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Sample Questions

Q1) A nurse is discussing with parents how to prevent burns in a preschooler. Which of the following recommendations is the nurse most likely to give the parents?

A) Do not read to the child while sitting on the sofa in front of the fireplace.

B) Do not cook on a gas grill until the child is a teenager.

C) Do not leave cigarettes and matches on the kitchen counter.

D) Do not cook with the child in the kitchen.

Q2) A 4-year-old boy had an episode of enuresis. Which of the following actions should be taken by the parents?

A) Have him change his own pajamas before going to bed.

B) Take away one video game.

C) Tell his 6-year-old sister about the incident.

D) Make him wear his diaper to bed.

Q3) The nurse suspects a 5-year-old child has asthma. Which information from the child's past medical history is a risk factor?

A) The child was breast-fed.

B) The child had respiratory infections as an infant.

C) The child was born via a C-section.

D) The child had pressure equalizer tubes as an infant.

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21

Chapter 20: School-Age Child

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Sample Questions

Q1) Which of the following children should the school nurse monitor closely for hypertension (HTN)? (select all that apply)

A) 7-year-old White male with no known family history of HTN

B) 9-year-old White female whose maternal grandfather has HTN

C) 6-year-old Black child with no family history of HTN

D) 10-year-old Mexican American child with known family history of HTN

Q2) 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

Q3) The school nurse has been asked to plan play and recess activities for children in grades 2 through 6. Which of the following activities should be developed by the nurse? (select all that apply)

A) Highly competitive games that focus on individual accomplishment and winning

B) Family activity days that promote nature walks and biking

C) Co-ed organized sports

D) Library outings

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Page 22

Chapter 21: Adolescent

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Sample Questions

Q1) A teenager asks the school nurse for advice before getting a tattoo. Which of the following responses would be most appropriate for the nurse?

A) "You should 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) A teenager is expecting her menstrual period on May 14. On which of the following dates would the nurse recommend that she perform a self-breast exam?

A) May 11

B) May 14

C) May 17

D) May 23

Q3) When do females usually begin puberty?

A) 1 year before males

B) 1 year after males

C) 2 years before males

D) 2 years after males

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23

Chapter 22: Young Adult

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28 Verified Questions

28 Flashcards

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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) Which of the following statements should be considered by a nurse working in occupational health who organizes a stress reduction workshop?

A) Women generally experience less workplace stress than do men.

B) One's first job is exciting and leads to numerous opportunities, and therefore causes little stress.

C) Young adults adapt easily to changing job demands such as telecommuting and long work hours.

D) Work is of primary importance to young adults and helps form their self-image.

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Chapter 23: Middle-Age Adult

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/23856

Sample Questions

Q1) Taking into account all of the agents that affect middle-age adults, the nurse plans a health education workshop focused on developing an individualized lifestyle change program for each participant. Which of the following actions should the nurse stress that individuals take first?

A) Limiting unprotected exposure to sun

B) Starting a smoking cessation program

C) Exercising at least three times a week

D) Scheduling a complete physical and dental exam

Q2) The nurse collects the following assessment data from a woman: Hispanic ethnicity, BMI 29 kg/m², age 41. Which of the following actions should be taken by the nurse?

A) Encourage the client to continue her dietary and exercise patterns.

B) Discuss her current dietary and exercise lifestyle habits.

C) Counsel the client that she will face chronic health problems because of her weight.

D) Encourage the client to adopt a low-calorie diet to help control her weight.

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Chapter 24: Older Adult

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30 Flashcards

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Sample Questions

Q1) The clinic nurse has seen the following four people today. Which of the following people is demonstrating a healthy coping pattern?

A) Discusses very little except the loss of her husband 3 years ago

B) Talks about the "good times" she and her husband had before his illness and death 1 year ago

C) States that life is not worth living without her husband, who died 2 years ago

D) Blames herself for her husband's death because she did not "make him go" to the doctor

Q2) A person is preparing to return home following a 2-week hospital stay for congestive heart failure and pneumonia. Which of the following referrals would be most beneficial for the person?

A) Transportation assistance

B) Home-delivered meals

C) Adult day care

D) Home health nursing

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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 hurricane has just caused extensive damage within a local community. Which of the following are community members at risk to experience?

A) Unequal access to health care

B) Exposure to community-associated methicillin-resistant Staphylococcus aureus

C) Increased incidence of suicide

D) Outbreaks of acute respiratory infection

Q2) The school nurse has been asked to present a workshop on CA-MRSA for high school teachers. Which of the following information would the nurse most likely include?

A) CA-MRSA is a common viral infection that responds well to antiviral meds.

B) CA-MRSA is a serious bacterial infection that does not spread easily.

C) CA-MRSA is a fungal infection common in school settings.

D) CA-MRSA is a potentially fatal skin infection that is difficult to treat.

Q3) 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 30 days.

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Page 27

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