Health Promo Test 2

Which is an example of asymptomatic pathogenesis?

1. Blood pressure of 170/98 experiencing headaches

2. Positive finding on colonoscopy and blood in his or her stool

3. Elevated prostate-specific antigen (PSA)

4. Elevated TSH who is always tired

Elevated prostate-specific antigen (PSA)

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?

1. Allows for the beginning of a multiple test screening process

2. Provides an opportunity for health education

3. Allows for preliminary diagnosis of coronary artery disease

4. Provides the opportunity for a referral to a physician

Provides an opportunity for health education

Researchers are studying a particular disease which occurs among Americans at a rate of 36 per 100 annually. What type of rate is this statement describing?

1. Prevalence rate

2. Incidence rate

3. Morbidity rate

4. Mortality rate

Prevalence rate

Which of the following is a disadvantage of screening?

1. Uncertainties of scientific evidence

2. Negative patient perception

3. Some tests have high sensitivity and high specificity

4. Lack of patient autonomy

Uncertainties of scientific evidence

Which type of cases tends to be expressed in terms of incidence?

1. Chronic conditions

2. Acute conditions

3. Diseases which target primarily children

4. Conditions where full recovery is expected

Acute conditions

A nurse is examining the incidence, prevalence, and mortality rates of colon cancer in the community. Which of the following measures of life is being investigated?

1. Quality adjusted life year (QALY)

2. Quantity of life

3. Disability adjusted life year (DALY)

4. Satisfaction of life

Quantity of life

Which represents a disadvantage of screening?

1. Utilization of group screening methods

2. Utilization of multiple test screening

3. Utilization of a test with high specificity

4. Utilization of a test with low sensitivity

Utilization of a test with low sensitivity

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?

1. Sensitivity

2. Specificity

3. Validity

4. Efficacy

Validity

The proportion of people with a condition who correctly test positive when screened is known as

1. sensitivity.

2. specificity.

3. validity.

4. efficacy.

sensitivity

A particular screening test for children is said to have excellent test specificity. What does this statement mean?

1. Rarely identifies children who have developmental delays.

2. Rarely identifies children who do not actually have developmental delays.

3. Has a large number of false positive results.

4. Has a large number of false negative results.

Rarely identifies children who do not actually have developmental delays.

A nurse determined the interobserver reliability of a blood pressure reading. Which of the following describes the method that was used by the nurse?

1. Blood pressure readings of 124/82 were obtained two days in a row by two different nurses.

2. Three consecutive blood pressure readings of 124/82 were obtained by the same nurse.

3. Blood pressure readings of 124/82 in the right arm and 124/82 in the left arm were obtained.

4. A blood pressure reading of 124/82 was obtained immediately followed by another blood pressure reading of 147/92.

Blood pressure readings of 124/82 were obtained two days in a row by two different nurses.

A nurse is using a sweat test to screen people for cystic fibrosis. Which of the following results demonstrates poor sensitivity?

1. When 6 out of every 10 sweat tests performed are negative, but the six individuals actually have cystic fibrosis.

2. When 6 out of every 10 sweat tests performed are positive, but the six individuals do not actually have cystic fibrosis.

3. When 6 out of every 10 sweat tests performed are negative, and the six individuals really do not have cystic fibrosis.

4. When 6 out of every 10 sweat tests performed are positive, and the six individuals really do have cystic fibrosis.

When 6 out of every 10 sweat tests performed are negative, but the six individuals actually have cystic fibrosis.

A nurse is creating a hypertension screening program. Which of the following methods would be the best way to design a successful program?

1. Work with stakeholders to conduct a community assessment.

2. Purchase state-of-the-art sphygmomanometers to measure blood pressures.

3. Use the program developed at a previous place of employment.

4. Contact a local church to see if the program can be implemented there.

Work with stakeholders to conduct a community assessment.

A nurse is planning to offer a depression screening at a local community center. Which of the following should be considered prior to implementation of the program?

1. Limited referral sources in the community

2. Limited support groups in the community

3. Insufficient evidence that depression screening tools are cost-effective

4. Insufficient evidence mental health screening is appropriate

Limited referral sources in the community

A nurse is implementing a test that screens for hypercholesterolemia. Which of the following parameters should this test have?

1. No cutoff point

2. Low cutoff point

3. Intermediate cutoff point

4. High cutoff point

Low cutoff point

During a screening, a test with a high specificity and low sensitivity is utilized. Which of the following issues could arise by using this test?

1. Ethical issues

2. Race issues

3. Gender issues

4. Cultural issues

Ethical issues

A nurse is educating a group of community members about how hypertension screening is effective in reducing the rate of cardiovascular disease, thus reducing the expenses that are spent on management of this disease. Which of the following ratios is being described?

1. Cost-disease analysis

2. Cost-efficiency analysis

3. Cost-benefit ratio analysis

4. Cost-effectiveness analysis

Cost-benefit ratio analysis

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?

1. Cost-benefit ratio analysis

2. Cost-effectiveness analysis

3. Cost-efficiency analysis

4. Cost-disease analysis

Cost-effectiveness analysis

Which of the following is an example of a screenable population for hypertension?

1. High school students

2. Professional hockey players

3. High-level business executives attending an annual conference

4. Cardiac rehabilitation clients

High-level business executives attending an annual conference

A nurse is assessing a low-income population in a community. Which of the following would be most appropriate for this population?

1. HIV screening

2. Blood pressure screening

3. Colorectal cancer screening

4. Breast cancer mammography screening

Blood pressure screening

A nurse is working at a women's health clinic and is asked by a patient when she should return for her next Pap test. Which of the following resources would the nurse use to find the most current recommendations?

1. National Health Information Center

2. Healthy People 2020 and 2030

3. US Preventive Services Task Force (USPSTF) website

4. Centers for Disease Control and Prevention (CDC) website

US Preventive Services Task Force (USPSTF) website

A nurse is educating a 26-year-old, sexually active woman about preventive care and health screening. Which of the following screening services would the nurse include in this discussion?

1. Osteoporosis screening

2. HIV screening

3. Colorectal cancer screening

4. All of the above.

HIV screening

A nurse is planning a comprehensive health-promotion activity to provide community members with a better opportunity to manage their own risk. Which of the following activities would be most appropriate for the nurse to perform?

1. Obtaining blood pressures and recommending the best medications.

2. Obtaining blood pressures and discussing secondary causes of hypertension.

3. Obtaining blood pressures and discussing the importance of exercise during a screening.

4. All of the above.

Obtaining blood pressures and discussing the importance of exercise during a screening.

Which of the following statements regarding screening for Down's Syndrome via blood work is NOT accurate?

1. It is an invasive but highly accurate test.

2. It can detect occult maternal cancer.

3. It is a form of genomic testing.

4. It has decreased the incidence of amniocentesis.

It is an invasive but highly accurate test.

Which of the following plans is appropriate when planning and implementing a health screening event directed at diverse and minority populations?

1. Provide a standard care approach for everyone in the interest of equality for all persons.

2. Partner with key individuals and organizations.

3. Provide pre-screening sessions to help diverse populations integrate with the mainstream culture.

4. Insure that all personnel at the screening site are members of minority populations.

Partner with key individuals and organizations.

Which of the following goals would be consistent with Healthy People 2030, as it pertains to screening and health promotion?

1. Promoting mammography for all women

2. Encourage colonoscopy to screen for colorectal cancer for all adults

3. Increase the proportion of children aged 3-5 who receive vision screening

4. All of the above

Increase the proportion of children aged 3-5 who receive vision screening

Which of the following screening parameters is NOT included among recommended preventative screening services for children and adolescents?

1. Increase the proportion of children who have received developmental screening

2. Increase screening of adolescents for depression in the primary care setting

3. Increase screening for Von Wildebrand disease

4. Increase screening for IQ in children in school settings

Increase screening for IQ in children in school settings

Which of the following statements is correct regarding the Pender Health Promotion model?

1. The model assists to identify factors which will influence behavioral changes.

2. The model avoids asking subjective questions thus is nonthreatening.

3. The model is excellent teaching but less well suited for screening.

4. All of the above statements are correct.

The model assists to identify factors which will influence behavioral changes.

REACH (Racial and Ethnic Approaches to Community Health) provides strategies to facilitate health promotion within to diverse populations. Which of the following statements is correct concerning this program?

1. It is better suited to urban versus rural communities

2. Emphasis is on culturally appropriate interventions

3. A goal is to promote economic equity, eliminating disparities

4. All of the above statements are correct.

Emphasis is on culturally appropriate interventions

A nurse would like to assist Americans in improving their health. Which strategy would be most beneficial to improve the health of the American public?

1. Encourage Americans to stop smoking.

2. Lobby for state-of-the-art magnetic resonance imaging machines in all hospitals.

3. Provide free medications for Americans.

4. Expand Medicare coverage.

Encourage Americans to stop smoking.

A nurse is using a health-education component when teaching about smoking cessation. Which of the following actions is the nurse implementing?

1. Setting a quit date for people in a smoking cessation class

2. Providing education regarding the benefits of smoking cessation

3. Allowing smokers to participate in a smoking cessation program only if they use the patch nicotine replacement system

4. Encouraging attendees of a smoking cessation program to participate in a research study

Providing education regarding the benefits of smoking cessation

Any combination of planned experiences based on sound theories that provide individuals, groups, and communities the opportunity to acquire the information and skills needed to make quality health decisions is known as health

1. promotion.

2. counseling.

3. education.

4. knowledge.

education.

An overweight woman joins a support group to help her lose weight. During her first session, the nurse explains the components of a healthy diet and discusses with the woman how she can eat out and still maintain a healthy diet. She asks the woman what her goal is and emphasizes that she herself is the key to success. What is the nurse promoting through the use of this strategy?

1. Communication

2. Values

3. Advanced planning

4. Empowerment

Empowerment

Which of the following illustrates that the objectives of health education and counseling are being met?

1. Diabetic who attends a diabetes education program

2. Diabetic who watches a video about self-administration of insulin

3. Diabetic who starts taking his medications regularly

4. Diabetic who is admitted in diabetic ketoacidosis

Diabetic who starts taking his medications regularly

Which of the following illustrates that the objectives of health education and counseling have been met?

1. Asthmatic who has a decrease in emergency department visits

2. Asthmatic who has been prescribed an albuterol inhaler

3. Asthmatic who attends an asthma education program

4. Asthmatic who visits the emergency department with an exacerbation

Asthmatic who has a decrease in emergency department visits

A teenager, who lives at home with her parents and school-aged brother, has been diagnosed with anorexia nervosa. Which of the following would be the most appropriate teaching goal for this family?

1. Increased energy level

2. Improved coping

3. Enhanced self-esteem

4. Facilitated family conversation

Improved coping

Which of the following describes a nurse with a perspective consistent with an ecological model of health behavior?

1. A nurse who considers the role of the individual's church on healthcare choices.

2. A nurse who focuses on genetic determinants and genomic screening for health promotion.

3. A nurse who recognizes that perceptions are neither reliable nor valid in promoting heath.

4. All of the above are consistent with an ecological model of health behavior.

A nurse who considers the role of the individual's church on healthcare choices.

Which of the following would be consistent with viewing health behavior through an ecologic model?

1. Viewing health in terms of energy saving focus.

2. Viewing health in terms of an individual's inner feelings.

3. Viewing health in terms of an individual's interaction with their environment.

4. Viewing health in terms of an individual achieving self-actualization.

Viewing health in terms of an individual's interaction with their environment.

A nurse is using the health belief model as a framework when developing a community action campaign to increase the percentage of the population who receives the influenza vaccine. Which of the following considerations will need to be made?

1. How empowerment can be used to motivate community members

2. How modeling can be used in the community to increase public awareness

3. Perceived susceptibility in the community about getting influenza

4. Perceived stage of behavior change that exists in the community

Perceived susceptibility in the community about getting influenza

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?

1. Social cognitive theory

2. Self-efficacy theory

3. Health belief model

4. Transtheoretical model

Social cognitive theory

A nurse is counseling a teenager who smokes one pack of cigarettes a day. The teenager states he likes to smoke with his friends and does not recognize the connection between his smoking and his asthma. When planning an intervention for this person, the nurse must first

recognize that the teenager is in the

1. precontemplation stage of change.

2. preparation stage of change.

3. action stage of change.

4. maintenance stage of change.

precontemplation stage of change.

An overweight woman is in the preparation stage of change. Which of the following interventions would be the most appropriate for the nurse to implement?

1. Inform her of the health risks associated with being overweight.

2. Prepare her for the setbacks.

3. Develop a low-calorie/low-fat diet with her so she can follow it at home.

4. Praise her for her recent successes.

Develop a low-calorie/low-fat diet with her so she can follow it at home.

A nurse is providing education about safe driving with a group of newly licensed teenagers. Which factor would most likely influence a teenager's decision to drive within the speed limit?

1. A speed limit sign

2. Having his parents telling him not to speed

3. A previous traffic violation for speeding

4. Seeing someone get pulled over for speeding

A previous traffic violation for speeding

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?

1. He is a Catholic.

2. His wife recently died from breast cancer.

3. Buying alcohol is expensive.

4. He was educated on the dangers of excessive drinking.

His wife recently died from breast cancer.

A nurse is educating a group of adults who are attempting smoking cessation. Which intervention would be most effective for the nurse to implement?

1. Give the group members a handout on the dangers of smoking.

2. Set a quit date with the group and determine which pharmacological method is most suitable for group members.

3. Provide a month's supply of nicotine replacement to use before the next visit.

4. Have a guest speaker who has been diagnosed with lung cancer speak to the group.

Set a quit date with the group and determine which pharmacological method is most suitable for group members.

The primary objective of social marketing is to

1. plan behavior.

2. analyze behavior.

3. limit behavior.

4. change behavior.

change behavior.

Demographic analysis is the study of a population based on factors such as age, race, and sex. A nurse distributes a demographic questionnaire to attendees of a weight management program. Which step in the teaching-learning process is being implemented?

1. Assessment

2. Development

3. Implementation

4. Evaluation

Assessment

The goal for the educational session is for the individual to correctly demonstrate proper technique for checking blood sugar levels. Which of the following teaching strategies would be most effective?

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

2. Provide the individual with a scenario about blood sugar monitoring.

3. Provide the individual with the opportunity to practice blood sugar monitoring.

4. Provide the individual with a blood sugar monitor.

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

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?

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

2. Provide the individual with a scenario about blood sugar monitoring.

3. Provide the individual with the opportunity to practice blood sugar monitoring.

4. Provide the individual with a blood sugar monitor.

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

The goal is for the individual to verbalize the importance of checking blood sugar levels. Which of the following strategies would be best for the nurse to implement to achieve this goal?

1. Provide one-on-one education about blood sugar monitoring.

2. Provide the individual with a scenario about blood sugar monitoring.

3. Provide the individual with the opportunity to practice blood sugar monitoring.

4. Provide the individual with a blood sugar monitor.

Provide the individual with a scenario about blood sugar monitoring.

A nurse is developing learning objectives for an individual who has been placed on a low-fat, low-cholesterol diet. Which is an example of an appropriately written cognitive learning objective?

1. The individual will understand the importance of a low-fat, low-cholesterol diet.

2. The individual will correctly identify and purchase low-fat, low-cholesterol foods.

3. The individual will believe that his heart will benefit from a low-fat, low-cholesterol diet.

4. The individual will feel healthier if he follows a low-fat, low-cholesterol diet.

The individual will correctly identify and purchase low-fat, low-cholesterol foods.

A nurse is developing learning objectives for an individual who is becoming more physically active. Which of the following is an example of an appropriately written affective learning objective?

1. The individual will understand the importance of daily exercise.

2. The individual will recognize the importance of daily exercise.

3. The individual will verbalize the importance of daily exercise.

4. The individual will believe in the importance of daily exercise.

The individual will verbalize the importance of daily exercise.

A nurse is developing learning objectives for an individual who has been recently diagnosed with asthma. Which is an example of an appropriately written psychomotor learning objective?

1. The individual will understand how to correctly use an inhaler.

2. The individual will realize the importance of using an inhaler correctly.

3. The individual will feel better when using the inhaler correctly.

4. The individual will demonstrate proper use of the inhaler.

The individual will demonstrate proper use of the inhaler.

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?

1. Assessment

2. Development

3. Implementation

4. Evaluation

Development

Which of the following statements about the current prevalence of obesity is accurate?

1. Currently 71% of US adults are overweight of which 39% are obese.

2. The incidence of obesity in children is 37%.

3. Obesity is more common in men than in women.

4. There are not significant differences obesity prevalence based on race or ethnicity.

Currently 71% of US adults are overweight of which 39% are obese.

A nurse is working with a family that is experiencing food insecurity. Which of the following statements best describes this family?

1. Members of this family are susceptible to food-borne illness.

2. This family's access to adequate food is limited by lack of money.

3. This family is unable to purchase fresh fruits and vegetables.

4. Members of this family are obese.

This family's access to adequate food is limited by lack of money.

Which of the following statements about the dietary reference intakes (DRI) is correct?

1. The DRI is used to monitor deficiencies in nutritional intakes of obese populations.

2. The DRI is used to establish minimal amounts of calories needed.

3. The DRI is used to plan and assess diets of healthy people.

4. The DRI pertains primarily to trace elements.

The DRI is used to plan and assess diets of healthy people.

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?

1. It has extensive data which targets specific groups such as children, pregnant women, and elderly people.

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

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

4. It serves as an overall guideline for the population.

It serves as an overall guideline for the population.

After the 2015-2020 Dietary Guidelines were released, a community health nurse updated a nutrition presentation that was being used to educate various community groups about healthy eating habits. Which of the following information would have been added to the presentation?

1. Consumption of increased amounts of energy dense carbohydrates

2. Types and quantities of foods people should consume

3. Revised guidelines for the use of MyPyramid

4. Inclusion of the new recommended single diet for diabetes

Types and quantities of foods people should consume

A community health nurse is educating a community group about the 2015-2020 Dietary Guidelines for Americans. Which of the following information would be included in this presentation?

1. Limit consumption of dairy products.

2. Purchase organic fruits and vegetables.

3. Choose nutritionally dense food and beverages.

4. Consume fish on a weekly basis.

Choose nutritionally dense food and beverages.

A person asks the nurse: "Why was MyPyramid replaced with MyPlate?" Which of the following would be the best response from the nurse?

1. "The USDA is constantly making changes in order to decrease the alarming rates of obesity in our country."

2. "MyPyramid was developed in 2005, so it was time for this graphic to be revised."

3. "The creation of MyPlate has decreased the need for additional teaching resources for nutrition."

4. "MyPlate serves as a better visual aid, reminding Americans what a healthy 'plate' looks like."

"MyPlate serves as a better visual aid, reminding Americans what a healthy 'plate' looks like."

A person asks the nurse if it is safe to use dietary supplements. Which of the following would be the best reply from the nurse?

1. "It is important to be cautious when using any supplements."

2. "All dietary supplements must be approved by the FDA before they can be sold and are safe."

3. "No, dietary supplements have very limited regulations and should not be used."

4. "Be sure to read the product label before using the supplement to see what health claims have been made by the product."

"It is important to be cautious when using any supplements."

A woman has asked the nurse about the benefits and risks of using ginseng to control her hot flashes associated with menopause. Which of the following statements are correct.

1. The FDA does not evaluate dietary supplements or require proof of efficacy

2. The product is not intended to diagnose, cure or prevent any disease

3. It is classified as an herbal and/or botanical. Some such products may be toxic

4. All of the above statements are correct

All of the above statements are correct

A 37-year-old woman asks the nurse if she should take a daily nutritional supplement. Which of the following would be the best reply by the nurse?

1. "Postmenopausal women should take a calcium supplement to prevent osteoporosis."

2. "Many people use supplements as drugs instead of as supplements."

3. "Supplements can enhance the medications that you take."

4. "The best way to obtain nutrients is by eating a variety of foods."

"The best way to obtain nutrients is by eating a variety of foods."

An individual who is taking Coumadin tells the nurse that she has started taking a vitamin E supplement as she has heard that this will help decrease the likelihood of her developing cancer. Which of the following would be the most appropriate response by the nurse?

1. "Vitamin E supplements are unnecessary, so I don't recommend you use this supplement."

2. "Vitamin E can interfere with the actions of vitamin K and enhance the effects of Coumadin."

3. "Vitamin E supplements can interfere with the absorption of iron and create additional health problems."

4. "Vitamin E must be used cautiously, as it is easy to experience a toxicity of this nutrient."

"Vitamin E can interfere with the actions of vitamin K and enhance the effects of Coumadin."

A nurse is investigating an outbreak of a food-borne illness occurring at a local school. Which of the following would contribute to a chemical contamination resulting in food-borne illness?

1. Unintended allergen added to food

2. Bacteria on the countertops

3. Pesticide on the fresh fruit

4. Metal shavings in the food from a dull can opener

Pesticide on the fresh fruit

A school nurse is preparing to discuss food safety practices with high school students enrolled in a family and consumer science "foods" course. Which of the following information would be included in the presentation?

1. Wash hands thoroughly with running warm water with soap for 30 seconds.

2. Scrub firm services of all fruits and vegetables with a produce brush before eating.

3. Pay close visual attention to assure that meat is cooked all of the way through.

4. Refrigerate leftovers within 30 minutes of serving.

Wash hands thoroughly with running warm water with soap for 30 seconds.

A community health nurse is working with a low-income family who is experiencing food insecurity. To assist the family in getting nutritious foods in their home, the family should be referred to which of the following programs?

1. Nutrition Service Incentive Program (NSIP)

2. Supplemental Nutrition for Women Infants and Children (WIC)

3. National School Lunch Program (NSLP)

4. Supplemental Nutrition Assistance Program (SNAP)

Supplemental Nutrition Assistance Program (SNAP)

A school nurse is discussing the income eligibility requirements for free and reduced-price school meals with a family who is new to the school district. Which of the following statements would the nurse most likely make?

1. "If the employed member of your family earns less than $50,000 per year, your child will qualify for reduced-price meals."

2. "If your family's income is less than 185% above the federal poverty level, your child will qualify for free or reduced-price meals."

3. "If you have more than five members living in your household, your child will qualify for reduced-price meals."

4. "If your family has an income above the federal poverty level, your child will not qualify for free or reduced-price meals."

"If your family's income is less than 185% above the federal poverty level, your child will qualify for free or reduced-price meals."

A nurse is counseling a person with heart disease. Which of the following statements made by the individual would require the nurse to provide additional education?

1. "I drink skim milk on a regular basis."

2. "I try not to eat foods that have added salt on the label."

3. "I eat American cheese about once every 2 weeks."

4. "I add soy sauce to many of the food that I eat to enhance the flavor."

"I add soy sauce to many of the food that I eat to enhance the flavor."

Which of the following represent a risk factors for atherosclerosis

1. Blood pressure in the range of 146/88 mm Hg

2. High-density lipoprotein (HDL) of 62

3. LDL 80

4. All of the above

Blood pressure in the range of 146/88 mm Hg

Which of the following individuals has a modifiable, nutrition-related risk factor for stroke?

1. African American man, age 65, who has a low salt intake

2. White woman, age 32, who follows the MyPlate recommendations

3. Russian man, age 40, who drinks 3 oz of vodka daily

4. Hispanic man, age 42, who exercises regularly

Russian man, age 40, who drinks 3 oz of vodka daily

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?

1. The use of this dietary plan has the same health effects as a daily exercise program.

2. The use of this dietary plan will eliminate the need for medication to treat hypertension.

3. This dietary plan is excludes the consumption of processed foods.

4. This dietary plan includes eating greater amounts of fruits and vegetables.

This dietary plan includes eating greater amounts of fruits and vegetables.

A man states that he would like to change his dietary habits to decrease his risk of developing cancer in the future. Which of the following statements would be the best response for the nurse?

1. "Consume at least 2½ cups of fruits and vegetables each day."

2. "Dietary habits have minimal effect in reducing your risk of developing cancer."

3. "A glass of red wine should be consumed daily."

4. "Dietary supplements of specific nutrients will maximize the effects of dietary changes."

"Consume at least 2½ cups of fruits and vegetables each day."

Which of the following people is at greatest risk for a hip fracture secondary to osteoporosis?

1. A 66-year-old White woman

2. A 66-year-old African American woman

3. A 66-year-old White man

4. A 66-year-old African American man

A 66-year-old White woman

A school nurse is using height and weight measurements to calculate the body mass index (BMI) of the students. How will the nurse use these data?

1. BMI can be correlated to a specific percentage of body fat.

2. BMI can be used to help identify children who have the potential to become overweight.

3. BMI can be used to determine if a child will develop Type 1 diabetes.

4. BMI is higher with low muscle mass thus can identify children who do not exercise enough.

BMI can be used to help identify children who have the potential to become overweight.

Which non-dairy foods are high in calcium?

1. Dark, green leafy vegetables: kale, collard greens, turnip greens

2. Vegetables with oxalic acid like spinach

3. Fresh salmon

4. All of the above are good sources of calcium

Dark, green leafy vegetables: kale, collard greens, turnip greens

Which of the following individuals would be at greatest risk to develop Type 2 diabetes?

1. An Hispanic woman, age 50 with a BMI of 32 and polycystic ovarian syndrome

2. African American, 55-year-old man, hypertension, exercises regularly

3. Hispanic, 22-year-old woman, healthy weight, family history of diabetes

4. White, 75-year-old man, history of prostate cancer and high triglycerides

An Hispanic woman, age 50 with a BMI of 32 and polycystic ovarian syndrome

A nurse is counseling a person who was recently diagnosed with diabetes about how to prevent the complications of this disease. Which of the following interventions would be stressed the most by the nurse?

1. Adjusting sliding scale insulin therapy as needed

2. Taking oral hypoglycemic medication as prescribed

3. Monitoring blood glucose daily

4. Adhering to medical nutrition therapy

Adhering to medical nutrition therapy

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?

1. What fresh fruits and vegetables do you like to eat?

2. The nurse should ask questions about safe food handling.

3. How often do you eat at restaurants?

4. Do you have any questions about your current medications?

The nurse should ask questions about safe food handling.

Activity that uses large muscle groups in a repetitive, rhythmic fashion over an extended period to improve the efficiency of the oxidative energy producing system and improve cardiorespiratory endurance is known as

1. aerobic activity.

2. anaerobic activity.

3. flexibility.

4. muscular fitness.

aerobic activity.

A nurse is working with a group of individuals to start an exercise program. Which of the following would be most at risk for health problems due to inactivity?

1. White man who works 50 to 60 h a week as a business executive

2. Unemployed, obese Hispanic woman

3. Employed White woman with hypertension

4. White man with a high school diploma

Unemployed, obese Hispanic woman

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?

1. 16%

2. 25%

3. 30%

3. 46%

25%

Which of the following is the definition of physical fitness?

1. Painless joint mobility and muscle flexibility when engaging in exercise

2. The ability to perform physical activity without undue fatigue or risk of injury

3. Achieving at least 85% of age-specific activity levels

4. Heart rate and respiratory rate returning to baseline within 30 seconds after exercise

The ability to perform physical activity without undue fatigue or risk of injury

A nurse is providing care for a 10-year-old child with a BMI at the 80th percentile. Which of the following best describes this child?

1. Normal weight

2. Overweight

3. Obese

4. Morbidly obese

Normal weight

Which of the following statements regarding childhood obesity is correct according to the 2015-2016 National Health and Nutrition Examination Survey (NHANES)?

1. The prevalence of obese children, adolescents, and adults has increased and is epidemic.

2. Ten percent (10%) of children and adolescents are obese.

3. The rate of childhood obesity shows sex differences.

4. All of the above statements are correct.

The prevalence of obese children, adolescents, and adults has increased and is epidemic.

A nurse is providing care for a 40-year-old adult with a BMI of 32. Which of the following best describes this person?

1. Normal weight

2. Overweight

3. Obese

4. Morbidly obese

Obese

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?

1. Respect her decision in the name of honoring patient autonomy.

2. Provide her with information on the benefits of exercising.

3. Develop an exercise prescription with her.

4. Schedule a follow-up in 2 months to see if she still feels the same way.

Provide her with information on the benefits of exercising.

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?

1. Osteoporosis is an exception to the rule of exercise due to risk of fracture.

2. Walk, preferably with a partner, at least 30 minutes a day 5 days a week.

3. Use a scooter where feasible in the interest of preventing falls.

4. Use non-weight bearing exercise like swimming to avoid stressing the bones.

Walk, preferably with a partner, at least 30 minutes a day 5 days a week.

A nurse is providing health education for a group of older adults about the risks of developing coronary heart disease. Which of the following group members is at highest risk?

1. A person who takes a beta-blocker for hypertension

2. A person who has a total cholesterol level of 201

3. A person who does not participate in any form of regular physical activity

4. A person who has a family history of Type 2 diabetes mellitus

A person who does not participate in any form of regular physical activity

During a home visit, a nurse notes that a person with hypertension lives on the third floor of a subsidized housing project, located, on a busy road with no sidewalks and few street lights. Which of the following would be the best recommendation for exercise which the nurse could offer this individual?

1. Join a gym to provide for a safer environment to exercise.

2. Use the stairs whenever you are entering or leaving the building.

3. Go for short walks around the block but during the daytime hours only.

4. Purchase an exercise bike.

Use the stairs whenever you are entering or leaving the building.

A 51-year-old woman has begun menopause. The nurse emphasizes the importance of a diet high in calcium and vitamin D, as well as exercise for this woman.This recommendation is important because bone loss accelerates rapidly during the first 5 years after menopause and can approach a _____ loss of peak over a woman's lifetime.

1. 3%

2. 7%

3. 15%

4. 40%

40%

A nurse is educating a 35-year-old woman about the best type of exercises to choose in an effort to prevent bone loss. Which of the following exercises would the nurse recommend?

1. Walking

2. Swimming

3. Bike riding

4. The type does not matter—the key is for the person to engage in exercise

Walking

A nurse is developing an exercise program for a person with moderate osteoarthritis of the knees. Which of the following forms of exercise would the nurse include in this program?

1. Step aerobics

2. Running

3. Water aerobics

4. Bike riding

Water aerobics

Which of the following statements is correct regarding exercise for persons with low back pain?

1. Exercise that strengthens paraspinal muscles has been shown to be effective.

2. Unweighted or suspended exercise should be avoided.

3. Limit physical therapy referrals to the more severe cases of back pain.

4. All of the above statements are correct.

Exercise that strengthens paraspinal muscles has been shown to be effective.

Which of the following statements concerning the effects of exercise on the immune system is correct?

1. Persons with impaired immune systems need to take a cautious approach to exercise.

2. Exercise may be protective versus some types of cancer.

3. Recommended parameters are that HIV patients limit exercise to 30 minutes weekly.

4. All of the above statements are correct.

Exercise may be protective versus some types of cancer.

A nurse is monitoring the exercise of a 42-year-old woman. Which of the following would be the estimated maximum heart rate (MHR) for this woman?

1. 126

2. 142

3. 178

4. 184

178

A nurse is counseling a 40-year-old person who is going to start an exercise program. What is a subjective measure of exercise intensity?

1. Heart rate during peak activity

2. Perceived exertion

3. Combination of blood pressure and heart rate

4. Recovery time after vigorous exercise

Perceived exertion

The nurse is counseling a person who prefers to exercise every day of the week. Accordingly the nurse has recommended that this individual perform different types of exercises on different days of the week. This practice is commonly called

1. multiple aerobic practice.

2. cross training.

3. diverse exercising.

4. bimodal exercise patterning.

cross training.

Which of the following statements is correct concerning exercise for persons with arthritis?

1. Exercise can reverse the ongoing progression of arthritis

2. Exercise has moderate positive benefits for arthritis

3. Joint structure is altered only in rheumatoid arthritis

4. All of the above

Exercise has moderate positive benefits for arthritis