NUR 426 EXAM 1 Latest 2026 Summer
Semester Arizona College of Nursing
Community Health |Solved
Which type of prevention is this?: A school nurse is providing vaccines to
students who have not been vaccinated against the MMR virus yet.
Primary: vaccinations prevent the students from contracting the microbe being
vaccinated against
Which type of prevention is this?: A nurse practitioner at an OBGYN office is
preparing to perform an annual breast exam and pap smear for a 24 year old
female patient.
Secondary: health screenings like breast exams, pap smears, colonoscopies, and
digital rectal exams all look for developing abnormalities that can indicate gynecological
malignancies
What type of prevention is this?: A patient with DM type 2 works with a dietician
and a physical therapist to find a safe diet and exercise regiment to aid in
controlling their blood glucose levels.
Tertiary: treating conditions that the patient has already developed helps to prevent the
patient from developing secondary ailments, in this scenario the patient using diet and
exercise to control their blood glucose prevents them from possibly having a diabetic
crisis
What is the difference between hospice care and palliative care?
, Hospice: supporting the living through the dying process by providing education, advice,
and emotional support (patient is given 6 months or less to live)
Palliative: used earlier in treatment of severe and life-threatening conditions in
conjunction with prescribed treatments (patient is given more than 6 months to live)
True or False: A patient who is on hospice care for stage 4 bone cancer will still
receive their prescribed chemo and radiation treatments
False: palliative care includes continuing prescribed treatments while taking measures
to promote the patients comfort and prevent distress
Scenario: A patient has been diagnosed with stage 3 breast cancer. She will
require intensive chemotherapy and radiation as well as a double mastectomy. If
the treatment fails, it is estimated that she will have 2 years to live. Will she
receive hospice care or palliative care?
Palliative care
Scenario: A patient who has COPD has been consistently giving oxygen readings
of 79-84% even when receiving oxygen therapy with a venturi mask as well as
their various inhaled treatments and anticholinergic treatments. They are
exhibiting air hunger, pallor, hypothermia, and use of accessory muscles when
attempting to get a full breath. It is estimated that they have 4 months to live.
Should this patient receive hospice or palliative care?
Hospice care
What is upstream thinking?
Semester Arizona College of Nursing
Community Health |Solved
Which type of prevention is this?: A school nurse is providing vaccines to
students who have not been vaccinated against the MMR virus yet.
Primary: vaccinations prevent the students from contracting the microbe being
vaccinated against
Which type of prevention is this?: A nurse practitioner at an OBGYN office is
preparing to perform an annual breast exam and pap smear for a 24 year old
female patient.
Secondary: health screenings like breast exams, pap smears, colonoscopies, and
digital rectal exams all look for developing abnormalities that can indicate gynecological
malignancies
What type of prevention is this?: A patient with DM type 2 works with a dietician
and a physical therapist to find a safe diet and exercise regiment to aid in
controlling their blood glucose levels.
Tertiary: treating conditions that the patient has already developed helps to prevent the
patient from developing secondary ailments, in this scenario the patient using diet and
exercise to control their blood glucose prevents them from possibly having a diabetic
crisis
What is the difference between hospice care and palliative care?
, Hospice: supporting the living through the dying process by providing education, advice,
and emotional support (patient is given 6 months or less to live)
Palliative: used earlier in treatment of severe and life-threatening conditions in
conjunction with prescribed treatments (patient is given more than 6 months to live)
True or False: A patient who is on hospice care for stage 4 bone cancer will still
receive their prescribed chemo and radiation treatments
False: palliative care includes continuing prescribed treatments while taking measures
to promote the patients comfort and prevent distress
Scenario: A patient has been diagnosed with stage 3 breast cancer. She will
require intensive chemotherapy and radiation as well as a double mastectomy. If
the treatment fails, it is estimated that she will have 2 years to live. Will she
receive hospice care or palliative care?
Palliative care
Scenario: A patient who has COPD has been consistently giving oxygen readings
of 79-84% even when receiving oxygen therapy with a venturi mask as well as
their various inhaled treatments and anticholinergic treatments. They are
exhibiting air hunger, pallor, hypothermia, and use of accessory muscles when
attempting to get a full breath. It is estimated that they have 4 months to live.
Should this patient receive hospice or palliative care?
Hospice care
What is upstream thinking?