NUR 612 Exam Questions with correct Answers
Primary Prevention
services focused on preventing disease
(education and counseling, lifestyle modification,
targeted immunization)
Secondary Prevention
early detection of disease and prompt
treatment (laboratory screenings, routine mammograms,
etc.) *Screenings*
Tertiary Prevention
actions taken to contain damage once a disease or disability has progressed beyond its early
stages; delivery of health services that limits disability
and promotes recovery from clinical disease states
USPSTF Recommendations: Falls in Older Adults
recommend moderate to
vigorous-intensity exercise 75-
150 minutes/week, muscle
strengthening activities twice
per week, and balance training
at least 3 days per week
- Get-Up-And-Go Test
USPSTF Recommendations
,Grade A: USPSTF recommends the service. There is a high certainty that the net benefit
(effectiveness minus harms) is substantial.
- Offer
Grade B: USPSTF recommends the service. There is a high certainty that the net benefit is
moderate or there is moderate certainty that net benefit is moderate to substantial.
- Offer
Grade C: Too close to call. USPSTF recommends selectively offering the service to
individual patients based on
- Offer or provide the service to selected patients based on professional judgment and patient
preference. There is at least moderate certainty that the net benefit is small.
Grade D: USPSTF recommends against the service. There is moderate or high certainty that
the service has either no net benefit or its harms outweigh its benefits.
- Do not offer
Grade I: USPSTF concludes that current evidence is insufficient to assess the balance of
benefits and harms of the service. Evidence is lacking, of poor quality, or conflicting, and the
balance of benefits and harms cannot be determined.
- Refer to the clinical consideration section of the Recommendation Statement. If the service
is offered, patients should understand the uncertainty about the balance of benefits and harms.
USPSTF Grade A Screenings
cervical cancer, HTN, HIV, tobacco use
, Low estrogen amount
stimulated long bone growth & pubertal events
Increased estrogen
decreased long bone growth & epiphyseal is closed
Thelarche
beginning of breast development
Adrenarche
pubic hair growth, peak height velocity
Adolescents who have not reached puberty by the age of
____ or who have not had menarche by the age of ___ should be assessed for pubertal
delay
13, 15
Tanner stage 1 girls
no pubic hair
nipple elevation only
Tanner stage 2 girls
Breast bud stage with elevation of breast: sparse, lightly pigmented pubic hair
Tanner Stage 3 Girls
Breast enlargement without separate nipple contour
Pubic hair darkens and starts to curl
Tanner Stage 4 girls
Primary Prevention
services focused on preventing disease
(education and counseling, lifestyle modification,
targeted immunization)
Secondary Prevention
early detection of disease and prompt
treatment (laboratory screenings, routine mammograms,
etc.) *Screenings*
Tertiary Prevention
actions taken to contain damage once a disease or disability has progressed beyond its early
stages; delivery of health services that limits disability
and promotes recovery from clinical disease states
USPSTF Recommendations: Falls in Older Adults
recommend moderate to
vigorous-intensity exercise 75-
150 minutes/week, muscle
strengthening activities twice
per week, and balance training
at least 3 days per week
- Get-Up-And-Go Test
USPSTF Recommendations
,Grade A: USPSTF recommends the service. There is a high certainty that the net benefit
(effectiveness minus harms) is substantial.
- Offer
Grade B: USPSTF recommends the service. There is a high certainty that the net benefit is
moderate or there is moderate certainty that net benefit is moderate to substantial.
- Offer
Grade C: Too close to call. USPSTF recommends selectively offering the service to
individual patients based on
- Offer or provide the service to selected patients based on professional judgment and patient
preference. There is at least moderate certainty that the net benefit is small.
Grade D: USPSTF recommends against the service. There is moderate or high certainty that
the service has either no net benefit or its harms outweigh its benefits.
- Do not offer
Grade I: USPSTF concludes that current evidence is insufficient to assess the balance of
benefits and harms of the service. Evidence is lacking, of poor quality, or conflicting, and the
balance of benefits and harms cannot be determined.
- Refer to the clinical consideration section of the Recommendation Statement. If the service
is offered, patients should understand the uncertainty about the balance of benefits and harms.
USPSTF Grade A Screenings
cervical cancer, HTN, HIV, tobacco use
, Low estrogen amount
stimulated long bone growth & pubertal events
Increased estrogen
decreased long bone growth & epiphyseal is closed
Thelarche
beginning of breast development
Adrenarche
pubic hair growth, peak height velocity
Adolescents who have not reached puberty by the age of
____ or who have not had menarche by the age of ___ should be assessed for pubertal
delay
13, 15
Tanner stage 1 girls
no pubic hair
nipple elevation only
Tanner stage 2 girls
Breast bud stage with elevation of breast: sparse, lightly pigmented pubic hair
Tanner Stage 3 Girls
Breast enlargement without separate nipple contour
Pubic hair darkens and starts to curl
Tanner Stage 4 girls
