426 - Exam 4
A young woman presents to her primary care provider. Her mother has just
been diagnosed with Huntington's disease, and several other members of her
family have been diagnosed with the condition as well. She wants to know her
options regarding testing to see if she is a genetic carrier. From an ethical
perspective, what issue would be most important to discuss with the patient? -
correct answer ✔The fact that there is no known treatment that can alter the
progression of the disease
A nurse is working with a community center that primarily serves a nearby
Native American tribe. The nurse knows that many of the tribe members suffer
from type 2 diabetes. Which of the following interventions is an example of a
tertiary prevention? - correct answer ✔Actively encouraging patients
diagnosed with type 2 diabetes to have foot, eye, and hemoglobin A1C
screening tests every 3 months.
The public health department (PHD) is concerned about an outbreak of
measles that has occurred in a country adjacent to theirs. Although there are
currently no reported cases, as one of their actions the PHD reaches out to all
the primary care providers to encourage all of their unvaccinated patients to
get vaccinated and to encourage the parents of unvaccinated children to get
their vaccinations up to date. Such a public health initiative is an example of: -
correct answer ✔A primary prevention approach focused on health
protection.
A new strain of flu has emerged, and the CDC has released a new vaccine
that is for use in high-risk populations. Which population is most apt to be
high-risk? - correct answer ✔pregnant women, older adults, children
A nurse is meeting with a patient with no history of IV drug use after he has
spoken with the doctor and received a diagnosis of hepatitis B and E. The
patient expresses concern that someone will find out about his diagnosis. How
, does the nurse respond? "I can understand that you are concerned about this.
___________________." - correct answer ✔"However, this is a reportable
disease in this state. This means the public health department will ask you for
all your possible contacts that might requiring counseling and/or post-
exposure prophylaxis."
A primary health nurse has observed an increase in the rate of patients being
treated for pertussis in her community. The nurse has seen multiple news
reports on the issue and knows that this isn't an isolated problem. The nurse
decides to brainstorm strategies to reduce the pertussis rate in her
community. First, the nurse should: - correct answer ✔Perform a health and
cultural evaluation of her community.
A primary care nurse works at the Native American Health Center, a nonprofit
organization serving the California Bay Area Native Population. The center
has asked her to put together a comprehensive prevention plan related to type
2 diabetes. Which of the following interventions is an example of a primary
intervention? - correct answer ✔Encouraging a healthy diet and weight loss if
appropriate
A nurse is working in a primary health-care setting that has had a recent influx
of persons immigrating from a West African country. She wants to incorporate
cultural components to the care of patients from this country. What are
possible aspects of the culture that she should learn more about? (Select all
that apply.) - correct answer ✔kinship, gender roles, value of children
A nurse is working in a family planning clinic that provides treatment for
sexually transmitted infections (STIs). The nurse has noticed a significant
increase in the incidence rate of STIs in the young women being seen at the
clinic and wonders if this is a community-wide problem. Which of the following
techniques would be a helpful first step in answering her question? - correct
answer ✔Develop collaborative relationships with other health-care providers
in the area concerned with STIs.
A young woman presents to her primary care provider. Her mother has just
been diagnosed with Huntington's disease, and several other members of her
family have been diagnosed with the condition as well. She wants to know her
options regarding testing to see if she is a genetic carrier. From an ethical
perspective, what issue would be most important to discuss with the patient? -
correct answer ✔The fact that there is no known treatment that can alter the
progression of the disease
A nurse is working with a community center that primarily serves a nearby
Native American tribe. The nurse knows that many of the tribe members suffer
from type 2 diabetes. Which of the following interventions is an example of a
tertiary prevention? - correct answer ✔Actively encouraging patients
diagnosed with type 2 diabetes to have foot, eye, and hemoglobin A1C
screening tests every 3 months.
The public health department (PHD) is concerned about an outbreak of
measles that has occurred in a country adjacent to theirs. Although there are
currently no reported cases, as one of their actions the PHD reaches out to all
the primary care providers to encourage all of their unvaccinated patients to
get vaccinated and to encourage the parents of unvaccinated children to get
their vaccinations up to date. Such a public health initiative is an example of: -
correct answer ✔A primary prevention approach focused on health
protection.
A new strain of flu has emerged, and the CDC has released a new vaccine
that is for use in high-risk populations. Which population is most apt to be
high-risk? - correct answer ✔pregnant women, older adults, children
A nurse is meeting with a patient with no history of IV drug use after he has
spoken with the doctor and received a diagnosis of hepatitis B and E. The
patient expresses concern that someone will find out about his diagnosis. How
, does the nurse respond? "I can understand that you are concerned about this.
___________________." - correct answer ✔"However, this is a reportable
disease in this state. This means the public health department will ask you for
all your possible contacts that might requiring counseling and/or post-
exposure prophylaxis."
A primary health nurse has observed an increase in the rate of patients being
treated for pertussis in her community. The nurse has seen multiple news
reports on the issue and knows that this isn't an isolated problem. The nurse
decides to brainstorm strategies to reduce the pertussis rate in her
community. First, the nurse should: - correct answer ✔Perform a health and
cultural evaluation of her community.
A primary care nurse works at the Native American Health Center, a nonprofit
organization serving the California Bay Area Native Population. The center
has asked her to put together a comprehensive prevention plan related to type
2 diabetes. Which of the following interventions is an example of a primary
intervention? - correct answer ✔Encouraging a healthy diet and weight loss if
appropriate
A nurse is working in a primary health-care setting that has had a recent influx
of persons immigrating from a West African country. She wants to incorporate
cultural components to the care of patients from this country. What are
possible aspects of the culture that she should learn more about? (Select all
that apply.) - correct answer ✔kinship, gender roles, value of children
A nurse is working in a family planning clinic that provides treatment for
sexually transmitted infections (STIs). The nurse has noticed a significant
increase in the incidence rate of STIs in the young women being seen at the
clinic and wonders if this is a community-wide problem. Which of the following
techniques would be a helpful first step in answering her question? - correct
answer ✔Develop collaborative relationships with other health-care providers
in the area concerned with STIs.
