NURS 640 Final Exam REVISION - 2025
QUESTIONS AND ANSWERS
Health Promotion definition
Process of enabling people to increase control over, and to improve, their health
USPSTF Role
-Makes recommendations about clinical preventive services - screening, counseling, preventive
medication
-Only in the primary care setting
-Does not conduct research studies
USPSTF Levels
-A - recommends, high certainty net benefit is substantial
-B - recommends, high certainty net benefit is moderate
-C - selective offering, professional judgment and patient preferences
-D - does not recommend
-I/Statement - insufficient evidence
Structural Competency definition
-Framework that helps health professionals understand how social, political, and economic
structures impact health and illness
-Way to analyze health disparities and develop interventions to reduce them
Structural factors
,access to healthcare, health insurance, health delivery systems, income, neighborhood, social
policies, structural racism
Individual factors
genetics, lifestyle choices
Cultural factors
health traditions and beliefs, cultural background, provider bias, health literacy
Primary Prevention
reduce numbers of new cases (immunizations, remove/reduce source of risk, educate/make
aware, improve general health)
Secondary Prevention
identify disease in its earliest state (screening for exposure/disease, post-exposure prophylaxis,
early treatment to reduce impact of disease)
Tertiary Prevention
reduce number of complications/deaths (chronic disease management, rehabilitation, support
groups, screening for complications of disease)
Diagnostic Criteria for HTN
-2 or more different occasions
-Stage 1 - >130/>80
-Stage 2 - >140/>90
Diagnostic Criteria for Lipids
, -TC >200
-LDL >100 w/o risk factors (>70 w/ risk factors)
-HDL <40 in men/<50 in women
-Triglycerides >150
Diagnostic Criteria for Diabetes
-A1c >6.5%
-Fasting glucose >126
-Oral glucose >200
-Random glucose >200
ASCVD Calculator
-40-75 years old undergoing evaluation for cardiac disease
-Age
-Diabetes
-Sex
-Smoker
-Total cholesterol
-HDL cholesterol
-Systolic BP
-On treatment for HTN
-Race
Modifiable Risk Factors
diet, exercise, smoking, alcohol, stress
QUESTIONS AND ANSWERS
Health Promotion definition
Process of enabling people to increase control over, and to improve, their health
USPSTF Role
-Makes recommendations about clinical preventive services - screening, counseling, preventive
medication
-Only in the primary care setting
-Does not conduct research studies
USPSTF Levels
-A - recommends, high certainty net benefit is substantial
-B - recommends, high certainty net benefit is moderate
-C - selective offering, professional judgment and patient preferences
-D - does not recommend
-I/Statement - insufficient evidence
Structural Competency definition
-Framework that helps health professionals understand how social, political, and economic
structures impact health and illness
-Way to analyze health disparities and develop interventions to reduce them
Structural factors
,access to healthcare, health insurance, health delivery systems, income, neighborhood, social
policies, structural racism
Individual factors
genetics, lifestyle choices
Cultural factors
health traditions and beliefs, cultural background, provider bias, health literacy
Primary Prevention
reduce numbers of new cases (immunizations, remove/reduce source of risk, educate/make
aware, improve general health)
Secondary Prevention
identify disease in its earliest state (screening for exposure/disease, post-exposure prophylaxis,
early treatment to reduce impact of disease)
Tertiary Prevention
reduce number of complications/deaths (chronic disease management, rehabilitation, support
groups, screening for complications of disease)
Diagnostic Criteria for HTN
-2 or more different occasions
-Stage 1 - >130/>80
-Stage 2 - >140/>90
Diagnostic Criteria for Lipids
, -TC >200
-LDL >100 w/o risk factors (>70 w/ risk factors)
-HDL <40 in men/<50 in women
-Triglycerides >150
Diagnostic Criteria for Diabetes
-A1c >6.5%
-Fasting glucose >126
-Oral glucose >200
-Random glucose >200
ASCVD Calculator
-40-75 years old undergoing evaluation for cardiac disease
-Age
-Diabetes
-Sex
-Smoker
-Total cholesterol
-HDL cholesterol
-Systolic BP
-On treatment for HTN
-Race
Modifiable Risk Factors
diet, exercise, smoking, alcohol, stress
