NU629 Health Promotion Disease Prevention
Week 2 Quiz
Question 1Helping people of all ages stay healthy is a major goal of health promotion.
True
False
Question 2Health is an asset; not an end, but a resource for daily living.
True
False
Question 3Health promotion activities provided by health professionals in the United States are aimed toward assisting individuals, families, and communities achieve their full health potential.
True
False
Question 4Americans are more likely to live in environments that discourage physical activity and contribute to obesity compared to other high-income nations.
True
False
Question 5Care that embraces cultural differences that exist between nurse and patient while meeting the health care needs of culturally diverse patients is the definition of ________.
a.ethnic understanding
b.demarginalization
c.resilience
d.cultural competency
Question 6When preparing nurses to provide culturally competent care, which of the following statements is most accurate?
a.The nurse should learn material about different cultures as quickly as possible.
b.Know yourself and show respect for others when dealing with different cultures.
c.The nurse should know it is best to apply standards from one culture to other cultures.
d.The patient and their family who come from a different culture than the nurse often struggle to teach others.
Question 7Cultural competence is the ability to communicate effectively with people of similar cultures.
True
False
Question 8The walkability score of a location is part of the Community Healthy Living Index that is being calculated as part of the focus on social determinants of health.
True
False
Question 9Global health is public health for the world, with issues that include vulnerability of refugee populations, the marketing of harmful products, pandemics, epidemics, and global climate change.
True
False
Question 10The political nature of health care means we often make decisions for the good of the organization rather than for the good of the patient.
True
False
Question 11Federal and state governments are more likely to aid those who are not seen as responsible for their vulnerability, such as children, the blind, disabled veterans, and the elderly.
True
False
Question 12Health disparities within the United States remain a major concern within our health system. Read the following options and choose the statement(s).
a.African Americans, compared to other ethnicities, are more likely to develop chronic illnesses and to experience ill effects or to die from these conditions.
b.Elderly White and young Native American men are most likely to kill themselves, whereas young African American and Hispanic men are more likely to be killed by others.
c.Health care for immigrants, refugees, and temporary residents is complicated by the diversity of languages, health practices, food choices, and culturally based definitions of health.
d.The population with mental illness is usually defined broadly to include even those individuals with mild anxiety and depression.
Question 13Americans have more access to primary care, but report lapses in quality of care outside of hospitals and are more likely to be uninsured than people in peer nations.
True
False
Question 14The social determinants of health are responsible for ________.
a.inequities in health
b.the similarities in health that are seen within communities
c.the equitable distribution of health care resources
d.None of these answers are .
Question 15The focus on social determinants of health has generated a need to develop accurate measuring tools. Community assessment indexes have been designed to measure policies, programs, and practices in the community that affect healthy behaviors.
True
False
Question 16Understanding that vulnerability is cumulative over the course of one's life, read the following statements and choose the best option.
a.Early-life difficulties and their adverse effects interact with later events in ways that increase the likelihood of poor adult outcomes.
b.The welfare of adolescents, young adults, and the elderly depends greatly on trajectories of personal development and the social and economic experiences of one's family.
c.One's community and stressors that may be unique to various age groups or to communities at a specific time also play a role in vulnerability.
d.All of the options listed are .
Question 17There are many characteristics to groups that are determined to be vulnerable; however, there are four main categories that are consistently noted. Choose the answer from the following options.
a.Personal limitations and poverty
b.Physical location, race, and social network
c.Poverty and race; social networks and lack of social support; personal limitations; and physical location
d.Poverty and race; personal limitations and social networks, and lack of social support
Question 18Vulnerable populations have certain characteristics in terms of health care. Choose the answer below.
a.Greater than average risk of developing health problems
b.Marginalized sociocultural status
c.Limited access to economic resources
d.Not related to age or gender
Question 19Vulnerability is frequently researched in terms of vulnerable groups; therefore, everyone within the group is vulnerable.
True
False
Question 20The paternalistic approach to patient advocacy is particularly prevalent in settings that utilize multidisciplinary teams to deliver patient care.
True
False
Question 21Physical activity must be an integral part of everyday life to have optimum effects on health.
True
False
Question 22The role of the nurse is to assist clients with health planning rather than to control the process.
True
False
Question 23Nurses are in a key position to take a leadership role to meet the national health promotion goals, which are to ________.
a.create healthy environments
b.optimize health in cases of chronic disease or disability
c.help people of all ages to stay healthy
d.All of these answers are examples of the national health promotion goals.
Question 24As healthcare providers, we sometimes believe we know best, and although we often do know best technically, we do not always know what might be best for the client at that moment.
True
False
Question 25The role of the nurse is to control clients with health planning rather than to assist in the process.
True
False
NU629 Health Promotion Disease Prevention
Week 4 Quiz
Question 1Health is an asset; not an end, but a resource for daily living.
True
False
Question 2Health promotion activities provided by health professionals in the United States are aimed toward assisting individuals, families, and communities achieve their full health potential.
True
False
Question 3Screening is not right for everyone or every health problem.
True
False
Question 4The use of shingles immunizations for those who already had chickenpox is ________
a.primordial prevention
b.primary prevention
c.secondary prevention
d.tertiary prevention
Question 5Recommending an organ transplant to an individual who also has active cancer is an example of ________.
a.primary prevention
b.secondary prevention
c.tertiary prevention
d.quaternary prevention
Question 6A 58-year-old male with obesity and hypertension presents to your office. You recommend a diet and exercise program with a follow-up in three months. Read the following statements and choose the representation of primary or secondary prevention.
a.A diet and exercise plan are used only as primary prevention.
b.A diet and exercise plan for this patient is secondary prevention to help reduce his risk of worsening hypertension.
c.A diet and exercise plan for this patient is not being used as primary or secondary prevention.
d.A diet and exercise plan for this patient would be useful only if there is a positive family history of coronary artery disease.
Question 7When preparing nurses to provide culturally competent care, which of the following statements is most accurate?
a.The nurse should learn material about different cultures as quickly as possible.
b.Know yourself and show respect for others when dealing with different cultures.
c.The nurse should know it is best to apply standards from one culture to other cultures.
d.The patient and their family who come from a different culture than the nurse often struggle to teach others.
Question 8Screenings uncover health problems in an efficient and economically feasible manner when which of the following factors are present?
a.The specific population has a high prevalence of the disease or health problem
b.Treatment is available if the condition is identified
c.Screening instruments are valid and reliable
d.Screenings are targeted at a population with available treatment and valid screening tools
Question 9There are three common forms of justice. Choose the one that is ly defined below.
a.Distributive justice is often defined as a concern for the equitable measuring of benefits and burdens in society.
b.Social justice is discussed in reference to the equal distribution of goods and services in society.
c.Market justice posits that people are entitled only to those goods and services they acquire according to guidelines of entitlement.
d.Social rights exist and there are collateral responsibilities that accompany those rights.
Question 10Being able to read the words on the page is what defines literacy, not the personal ability to understand and apply the information.
True
False
Question 11Resilience is more than a personality trait when coupled with adversity. Having experienced adversity, the vulnerable utilize this experience to motivate their actions.
True
False
Question 12Community assessments require collaboration and should be done with the community and not on the community.
True
False
Question 13Research indicates that often the worst predictor of behavior is the frequency of the same or similar behavior in the past by similar vulnerable groups.
True
False
Question 14The health belief model was proposed to describe why some people who are free of illness will take actions to prevent illness and others will fail to do so.
True
False
Question 15Nurses need advanced skills and knowledge to implement health promotion activities, including ________.
a.interprofessional knowledge and political skills
b.communication and collaboration
c.advocacy orientation and paternalism
d.interprofessional knowledge, communication, collaboration, political skills, and advocacy orientation
NU629 Health Promotion Disease Prevention
Week 7 Quiz
Question 1The Ancient Greeks were the first to define that health cannot be separated from the physical and social environments, along with human behavior.
True
False
Question 2Trauma-informed care shifts the focus from "What happened to you?" to "What is wrong with you?"
True
False
Question 3The political nature of health care means we often make decisions for the good of the organization rather than for the good of the patient.
True
False
Question 4To develop the community as a setting for health promotion, health professionals must recognize and utilize the community members as equal partners.
True
False
Question 5To develop the community as a setting for health promotion, health professionals must demonstrate a respect for the wisdom of the community.
True
False
Question 6Community assessments require collaboration and should be done with the community and not on the community.
True
False
Question 7Despite American's status within the world, undernutrition does exist in the United States, and iron deficiency anemia, although a rare nutritional deficiency, can occur in those who are nutritionally challenged.
True
False
Question 8Physical activity must be an integral part of everyday life to have optimum effects on health.
True
False
Question 9Choose all the following options that apply. Chronic diseases, such as cardiovascular disease, cancer, diabetes, and obesity ________.
a.account for over half of the deaths each year
b.make up a large percentage of avoidable diseases, as they either begin or are impacted by unhealthy nutrition
c.can be positively affected by understanding the concepts that affect food choices
d.have decreased significantly over the past five years in adolescents in the United States
Question 10Good nutrition is one of the primary determinants of good health.
True
False
Question 11Current evidence suggest that the distribution of body fat may be more significant than quantity of fat as represented by BMI when determining health risk.
True
False
Question 12The American Diabetic Association has published nutritional recommendations and interventions for the primary prevention of diabetes. The recommendations for moderate weight loss in adults and adolescents at risk for Type 2 diabetes include which of the following? Choose all that apply.
a.Reduction of calories and intake of dietary fats
b.Regular physical activity
c.Increasing consumption of whole grain food
d.Greater intake of low glycemic index foods rich in fiber
Question 13Older adults (50 years and older):
a.May skip meals or exclude whole categories of food from their diet
b.May have a reduced appetite or lack interest in cooking
c.May deal with polypharmacy, in which food and drug interactions must be considered
d.All of the choices are .
Question 14The American Diabetic Association recommends monitoring ________ as the key to achieving glycemic control in a person with diabetes.
a.protein
b. carbohydrates
c.fiber
d.fish oil
Question 15According to the U.S. Department of Health and Human Services, a minimum of ________ minutes or more of moderate or vigorous physical activity every day is recommended for adolescents and children.
a.45 minutes
b.25 minutes
c.90 minutes
d.60 minutes
Question 16Both social isolation and loneliness place an individual at increased risk for chronic illnesses.
True
False
Question 17People of all ages can benefit from gender and culturally sensitive health-promoting care and services delivered at sites where they spend their time: home, school, work, and the community at large.
True
False
Question 18Stress in modern society tends to stem from physical threats rather than psychological causes.
True
False
Question 19Stress is the brain's response to any demand and is inevitable, unavoidable, and more prevalent in a society experiencing growth and change.
True
False
Question 20Nurses, as key health professionals, must assume responsibility for using evidence-based knowledge to assist clients in developing lifelong habits of physical activity.
True
False
NU629 Health Promotion Disease Prevention
Week 15 Quiz
Question 1The concept of cultural respect has a positive effect on patient care delivery by enabling providers to deliver services that are respectful of and responsive to the health beliefs, practices, and cultural and linguistic needs of diverse patients.
True
False
Question 2The major goals of health promotion are ________.
a.helping people of all ages stay healthy
b.optimizing health in cases of chronic disease or disability
c.creating healthy environments
d.All of these answers are .
Question 3Health disparities within the United States remain a major concern within our health system. Read the following options and choose the statement(s).
a.African Americans, compared to other ethnicities, are more likely to develop chronic illnesses and to experience ill effects or to die from these conditions.
b.Elderly White and young Native American men are most likely to kill themselves, whereas young African American and Hispanic men are more likely to be killed by others.
c.Health care for immigrants, refugees, and temporary residents is complicated by the diversity of languages, health practices, food choices, and culturally based definitions of health.
d.The population with mental illness is usually defined broadly to include even those individuals with mild anxiety and depression.
Question 4The social determinants of health are the social conditions in which people are born, live, work, and age, including the health care system.
True
False
Question 5Global health is public health for the world, with issues that include vulnerability of refugee populations, the marketing of harmful products, pandemics, epidemics, and global climate change.
True
False
Question 6Community assessments done with collaboration and involvement from the stakeholders within the community sets community-based programs up for success.
True
False
Question 7When preparing nurses to provide culturally competent care, which of the following statements is most accurate?
a.The nurse should learn material about different cultures as quickly as possible.
b.Know yourself and show respect for others when dealing with different cultures.
c.The nurse should know it is best to apply standards from one culture to other cultures.
d.The patient and their family who come from a different culture than the nurse often struggle to teach others.
Question 8 Trauma-informed care shifts the focus from "What happened to you?" to "What is wrong with you?"
True
False
Question 9Community assessments require collaboration and should be done with the community and not on the community.
True
False
Question 10The World Health Organization was a pioneer in defining the community as a collective body of individuals identified by geography, common interests, concerns, characteristics, or values.
True
False
Question 11Good nutrition is one of the primary determinants of good health.
True
False
Question 12There are nine steps in the health planning process. The primary goal of these steps is to:
a.Identify health concerns
b.Point out to the individual how they can change their behaviors
c.Motivate the individual to do better
d.Actively involve both the client and the nurse in the process
Question 13Despite American's status within the world, undernutrition does exist in the United States, and iron deficiency anemia, although a rare nutritional deficiency, can occur in those who are nutritionally challenged.
True
False
Question 14The American Diabetic Association has published nutritional recommendations and interventions for the primary prevention of diabetes. The recommendations for moderate weight loss in adults and adolescents at risk for Type 2 diabetes include which of the following? Choose all that apply.
a.Reduction of calories and intake of dietary fats
b.Regular physical activity
c.Increasing consumption of whole grain food
d.Greater intake of low glycemic index foods rich in fiber
Question 15Complementary therapies can play a vital role in helping individuals manage stress.
True
False
Question 16Complementary therapies such as yoga, meditation, and imagery can help individuals reduce their stress.
True
False
Question 17Nurse practitioner programs need to concentrate on increasing student's comfort with culturally diverse client groups and stressing a deeper cultural knowledge in clinical practice.
True
False
Question 18Which of the following groups is more likely to be illiterate in the United States?
a.Minorities of all ethnicities
b.White native-born Americans
c.Foreign-born immigrants
d.Hispanics and Latinos
Question 19Read the following the scenarios and choose the interchange that best reflects listening.
a.Good morning Mr. Smith. Can you remind me what medications you are taking?
b.Good morning Mr. Smith. I’m so sorry to hear about your wife’s passing.
c.Good morning Mr. Smith. I wanted to ask a few questions this morning to see what we need to cover during your visit.
d.Good morning Mr. Smith. Tell me what’s on your mind today.
Question 20Diagnostic decision-making trees often require practitioners to ask the right questions to be able to make choices and recommendations. There are two primary types of questions that can be asked. Choose the best two statements that represent these primary types of questions.
Select one or more:
a.I’m going to give you a questionnaire to complete.
b.You indicated that you were not happy.
c.What is your address?
d.How are you feeling today?
Question 21The USPSTF deferred recommendations on sickle cell screening to the Health Resources and Services Administration (HRSA) Discretionary Advisory Committee on Heritable Disorders in Newborns and Children (DACHDNC). What is the recommendation from HRSA?
a.Only families of African descent need to be screened.
b.No screening is necessary if both parents were screened as newborns.
c.This is an optional screening.
d.Every newborn screening program should include a Uniform Screening Panel that screens for 35 core disorders and 26 secondary disorders.
Question 22The Women's Health Initiative studies caused controversy when trials were halted. The disinformation that came from the halting of the trials caused a panic. What are the current recommendations for healthful diet and exercise and the use of hormone replacement therapy in postmenopausal women?
a.The USPSTF recommends against the use of combined estrogen and progestin for the primary prevention of chronic conditions in postmenopausal women.
b.The UPSTF recommends the use of estrogen alone for the primary prevention of chronic conditions in postmenopausal women who have had a hysterectomy.
c.The USPSTF recommends that primary care professionals utilize behavioral counseling to help promote a healthful diet and physical activity for everyone.
d.The USPSTF recommends that all women follow a healthful diet and exercise plan; however, those on hormone replacement therapy tend to gain the most benefits.
Question 23Stacey is 26 years old and is 12 weeks pregnant. Today, she has no protein in her urine and her BP is 104/62; however, with her last pregnancy she developed proteinuria with hypertension and had to be placed on bedrest for the last trimester of her pregnancy.
a.Per the USPSTF Guidelines, you will recommend that Stacey start a low dose aspirin daily due to her risk of preeclampsia when she reaches 16 weeks.
b.Per the USPSTF Guidelines, you will recommend that Stacey start a low dose aspirin daily immediately as she is 12 weeks pregnant and at high risk for preeclampsia.
c.Per the USPSTF Guidelines, you will have Stacey return to the office for weekly protein urine dips, and when or if she develops proteinuria you will initiate low dose aspirin therapy.
d.Per the USPSTF Guidelines, you will order a bleeding time and PTT test today while she is in the office and initiate Lovenox therapy at 1mg /kg/day.
Question 24The CDC makes the following statements about chronic disease: Six in 10 adults in the United States have a chronic disease. Four in 10 adults in the United States have two or more chronic diseases. Chronic diseases are the leading cause of death and disability in the United States. Tobacco use, poor nutrition, lack of physical activity, and excessive alcohol use are key lifestyle risks for chronic disease. Now that you have reviewed these statements from the CDC, read the following scenarios and choose the one that most reflects the statistics on chronic disease.
a.Jason is a 34-year-old male who exercises five days a week, does not smoke, and drinks only on special occasions. He was just diagnosed with glaucoma.
b.Amelia is 18 months old and just stopped walking. She refuses to bear weight on her right leg, and the x-ray shows concerns for a bone tumor.
c.Kerri is a 78-year-old female who fell down four steps due to the ice and broke her left hip. She is concerned she may have osteoporosis.
d.Sandy is a 56-year-old female with frequent episodes of shingles. She is diabetic, has hypertension, and continues to smoke. Sandy's BMI is 38.
Question 25If alcohol is consumed, it should be in moderation " ________ " and only by adults of legal drinking age.
a.up to four drinks per day for women and up to five drinks per day for men
b.up to one drink per day for women and up to two drinks per day for men
c.no more than 15 drinks per week for men or women, but binge drinking is not recommended
d.no more than five to seven drinks in one setting for women and no more than eight to ten drinks in one setting for men
Question 26List five bullet points related to the DEPRESSION Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 27List five bullet points related to the COLORECTAL CANCER Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 28List five bullet points related to the PROSTATE CANCER Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 29List five bullet points related to the LUNG CANCER Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 30List five bullet points related to the CARDIOVASCULAR DISORDERS Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 31List five bullet points related to the HUMAN PAPILLOMAVIRUS Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
causes almost all cervical cancers
can cause cancer in mouth, vulva and oropharynx
blacks and hispanics have higher rate of HPV associated cancer
more common in males than females in the US
80% of sexually active men and women will be infected in their lifetime
Question 32Which of the following is the best example of secondary prevention?
a.Illness present and disease present
b.Illness absent and disease absent
c.Illness present and disease absent
d.Illness present and disease present
Question 33List five bullet points related to the PEDIATRIC IMMUNIZATIONS Preventive Guideline. Use information learned from the CDC Learning Modules and the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 34List five bullet points related to the TESTICULAR CANCER Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
white males 4 to 5 times more likely to be diagnosed than black males
median age for diagnosis is age 33
risk factors are family hx and age
unavoidable because of risk factors
can be treated successfully, risk of mortality is 1 in 5,000
4 - Not sure the point highlighted
Question 35List five bullet points related to the HEPATITIS B Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 36List five bullet points related to the CERVICAL CANCER Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 37List five bullet points related to the HEPATITIS C Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 38Which of the following is the best example of primordial prevention?
a.Transferring a patient to a skilled nursing unit instead of discharging to home
b.Public service announcements related to use of seatbelts, helmets, and drunk driving
c.Applying a cast/splint to a fractured wrist
d.A couple seeking genetic testing prior to conceiving
Question 39List five bullet points related to the SEXUALLY TRANSMITTED INFECTION Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 40List five bullet points related to the ADULT IMMUNIZATIONS Preventive Guideline. Use information learned from the CDC Learning Modules and the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable as applicable.
Question 41List five bullet points related to the BREAST CANCER Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 42The overreaching goals of Healthy People Initiatives are: Attain healthy, thriving lives and well-being, free of preventable disease, disability, injury, and premature death; and eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all.
True
False
Question 43List five bullet points related to the SMOKING/VAPING Preventive Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 44List five bullet points related to the FALL PREVENTIVE Guideline. Use information learned from the United States Preventive Service Task Force website, along with other specialty-specific organizational guidelines as applicable.
Question 45Which of the following is the best example of tertiary prevention?
a.DTaP; MMR; HIB immunizations
b.Participating in cardiac rehab
c.Upstream evaluation of air quality
d.Elective surgical procedures
