TEST BANK For Advanced Practice Nursing in the Care of Older Adults, 2nd Edition by Laurie Kennedy-Malone, Verified Chapters 1 - 19, Complete Newest Version

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Kennedy-Malone
Advanced Practice Nursing in the Care of Older Adults, 2e
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Chapter 2 Health Promotion ff ff ff




ff Multiple Choice ff




1. A patient asks the nurse practitioner what is meant by health promotion. Which of
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the following is the nurse practitioner’s best response? Health promotion:
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1. Includes activities that an individual performs proactively to increase health and well-being.
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2. Is a process of keeping track of immunizations.
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3. Includes a set of programs that help people cope with the disease.
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4. Includes strategies that prolong life. ff ff ff ff




2. The nurse practitioner knows that health promotion is accomplished on a broader scale by:
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1. Maintaining current health services. ff ff ff


2. Maintaining federal legislation regarding health care at the current level. ff ff ff ff ff ff ff ff ff


3. Encouraging healthy lifestyle and healthy public policy formulation. ff ff ff ff ff ff ff


4. Encouraging the advancement of alternative health therapies. ff ff ff ff ff ff




3. Mr. Thomas comes in for a health examination appointment with his nurse practitioner. He
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asks why nurse practitioners are qualified to conduct these evaluations. Which of the following
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is the nurse practitioner’s best response? The nurse practitioner:
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1. Is concerned about health and not disease.
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2. Saves the physician time in the office.
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3. Can assess for minor conditions and refer to the doctor for other conditions.
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4. Is prepared to assess health holistically.
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4. Mrs. Williams, 80 years old, asks her nurse practitioner to order a new alternative therapy
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for her. Mrs. Williams believes that this botanical supplement will provide pain relief for her
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fibromyalgia. The nurse practitioner explains that this therapy is likely not covered by
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Medicare because:
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1. The botanical is expensive and not approved for use.
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2. Medicare only covers treatments that are approved according to the stringent guidelines of the
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U.S. Preventive Services Task Force (USPSTF).
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3. There is no reason to use these botanicals when opioids are proven effective.
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4. This botanical is not on the Medicare list of approved medications.
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5. When a patient is seen by a nurse practitioner, the care plan is developed keeping which of
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the following objectives in mind?
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1. Increasing the use of the emergency department for injuries from falls.
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2. Maintaining the patient living in his or her home. ff ff ff ff ff ff ff ff


3. Increasing safety checks in the home. ff ff ff ff ff




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4. Increasing use of the Welcome to Medicare visit. ff ff ff ff ff ff ff




6. The focus of advanced nurse practitioners is primary care. This is defined as activities
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that focus on:
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1. Preventing the occurrence of a disease or condition. ff ff ff ff ff ff ff


2. Treating an illness after symptoms appear. ff ff ff ff ff


3. Enabling the patient to recover and convalesce. ff ff ff ff ff ff


4. Enriching the patient’s appreciation of life. ff ff ff ff ff




Multiple Response ff




7. A health promotion topic included in the nurse practitioner visit is physical activity. Which
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of the following would be a good recommendation for the 75-year-old male? Select all that
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apply.
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1. Skydiving
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3. Swimming
4. Dancing
5. Whatever the patient is willing and able to do ff ff ff ff ff ff ff ff




8. Understanding that the current life expectancy is 79 years, the nurse practitioner plans ff ff ff ff ff ff ff ff ff ff ff ff


a patient’s health promotion while considering which of the following? Select all that
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apply.
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1. Patient’s health beliefs and goals. ff ff ff ff


2. Present levels of function. ff ff ff


3. Benefit of treatment. ff ff


4. Patient’s involvement in a religious community. ff ff ff ff ff


5. Primary disease or condition affecting the patient.
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9. As the nurse practitioner is teaching about the need for more exercise, the patient says that
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it takes away too much energy needed for other activities. The nurse practitioner explains that
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the benefits of exercise include which of the following? Select all that apply.
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1. Increased flexibility. ff


2. Increased muscle mass. ff ff


3. Maintenance of optimal weight. ff ff ff


4. Lower blood pressure. ff ff


5. Decreased urinary output. ff ff




10. While counseling a patient about physical activity, the nurse practitioner considers which
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of the following? Select all that apply.
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1. A physical activity prescription that is individualized to the patient.
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2. Active hobbies that the patient enjoys.
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3. Alternative activities such as yoga or tai chi. ff ff ff ff ff ff ff




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4. Armchair activities for the frail older adult. ff ff ff ff ff ff


5. Patient’s ability to pay for involvement in activities. ff ff ff ff ff ff ff




11. Nutrition counseling is part of health promotion. The nurse practitioner considers a
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teaching plan that includes which of the following information? Select all that apply.
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1. Level of involvement in community activities.
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2. Baseline information on current dietary intake. ff ff ff ff ff


3. Current activity patterns. ff ff


4. Current height and weight. ff ff ff


5. Health status information. ff ff




12. A major concern for older adults is safety. The nurse practitioner addresses safety
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issues when assessing the following. Select all that apply.
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1. Presence of a gun in the home. ff ff ff ff ff ff


2. Fear of falling. ff ff


3. Strength of the patient. ff ff ff


4. Presence of rugs and other hazards in the home. ff ff ff ff ff ff ff ff


5. Urinary incontinence. ff




13. Albert is 72 years old and complains of burning upon urination. He has recently returned
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from a vacation to another country. The nurse practitioner conducts a physical examination
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and observes that there is a white discharge from his penis. What does the nurse practitioner
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include in the treatment plan? Select all that apply.
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1. Teaching on safe sex practices. ff ff ff ff


2. Teaching about the incidence of contracting sexually transmitted infections (STIs), even at
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an older age.
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3. Teaching that frequent testing and screening is needed if he continues to be sexually active.
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4. Assuring the patient that while traveling there are limited opportunities for sexual encounters.
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5. There is no need to assess an older patient's sexual preferences and practices.
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14. Mary, 72 years old, goes to the pharmacy to pick up her prescriptions. The pharmacist asks
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if she has had her immunizations. Mary replies, “I had all my childhood shots, so I do not need
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any now.” What should the nurse practitioner teach her about senior immunizations? Select all
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that apply.
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1. Because the immune system may be weakened in older persons, immunizations are suggested.
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2. Persons over the age of 50 years should have a yearly influenza vaccine.
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3. The new Shingrix vaccine will help protect her from shingles.
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4. The side effects of immunizations outweigh the benefits of immunizations.
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5. The pneumococcal vaccine is given as a one-time dose.
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15. Mr. and Mrs. Jones are preparing to take a trip to Europe. The nurse practitioner includes
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the following teaching about taking care of their health while gone. Select all that apply.
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