NURS 5461 – Quiz 1 – Interprofessional Education and Prevention Concepts – Practice Questions with
Correct Answers
Interprofessional Education - correct answer Interprofessional education (IPE) is a teaching and
learning approach that involves students from two or more professions learning together to
improve health outcomes.
Barriers to IPE - correct answer Communication, Time, Training, Roles, Resources
3 steps to Prevention Dx and Plan - correct answer Risk profile
Prevention Needs and Deficits
Prevention plan
Transtheoretical Model of Change - correct answer 1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
Precontemplation - correct answer Precontemplation- stage w/ no intention to change
behavior in foreseeable future.
Denial, feel immune to threat, have given up etc.
Have you tried change in the past? What would have to happen for you to know this is a
problem? What warning signs would let you know it's a problem?
Contemplation - correct answer Contemplation- Aware problem exists, thinking of overcoming,
no commitment to action.
Feel ambivalent, pros and cons, feel trapped.
What reasons might make you want to change at this time? What are possible reasons for not
changing? What would keep you from changing at this time?
Preparation - correct answer Preparation- Intended action in next month, may have taken past
action.
Preparing to make specific change.
Action - correct answer Action- Modify behavior, experiences, or environment to overcome
problem.
,NURS 5461 – Quiz 1 – Interprofessional Education and Prevention Concepts – Practice Questions with
Correct Answers
Praise any behavioral change.
Maintenance/Relapse Prevention - correct answer -Working to prevent relapse and consolidate
gains secured during action
-Uses strategies to prevent the problem from re-occurring.
-Actively engaged in continuing change efforts
-"How do I keep going?"
Three Main Types of Clinical Preventative Care - correct answer -screening
-behavioral cousenling
-preventative meds
Screening - correct answer Think risk factors for most likely Diseases
Identify- Age/Gender/Race/Ethnic/ FH/ Personal Risk
United States Public Services Task Force (USPSTF) - correct answer Great tool for Prevention!!
Utilize in clinical
Levels of Evidence (USPSTF) - correct answer • Levels of Evidence:
A: recommends the service. There is high certainty that the net
benefit is substantial.
B: recommends the service. There is high certainty that the net benefit is moderate or there is
moderate certainty that the net benefit is moderate to substantial.
C: recommends against routinely providing the service -Benefit small if present
D: recommends against the service -harm > benefit
I: current evidence is insufficient
What services are considered preventive care & required by ACA in 2015? - correct answer
Items or services recommended with an A or B rating by the U.S. Preventive Services Task Force
,NURS 5461 – Quiz 1 – Interprofessional Education and Prevention Concepts – Practice Questions with
Correct Answers
Immunizations recommended by the Advisory Committee on Immunization Practices (ACIP) of
the CDC
Important A and B level Evidence - correct answer AAA screening ever-smoking men 65-75
ASA Men 45-79, Women 55-79
Behavioral dietary-counseling (increased risk)
HTN & Lipid screening (> 18; M >35/20-45, W >45/20-45)
Disc. Chemoprevention Breast Cancer (High risk)
Pap, Mammo CRC screening
Lung Cancer screening
Depression screening• *Family HX risk & referral
BRCA eval
Obesity -intensive counseling & behavioral
Tobacco
HIV (pregnant, all 15-65)•
ETOH misuse & counsel
Hep C screen (1945-65)
Changes in Selected Major Screening Guidelines - correct answer Cervical cancer screening
(PAP & HPV) Q 3 yrs 21-29 PAP, 30-65 Q3yrs Pap or Q5 yrs Pap and HPV
Prostate Cancer screening "D rating"
Lung Cancer screening: LDCT 55-80 yrs w 30 pkyr & smoke or quit
within 15 yrs (55/30/15)
Colon cancer screening: 3 options
Counseling topics - correct answer Behavioral Dietary counseling at risk B
Intensive Dietary counseling risk for CVD B
Discussion chemoprevention breast cancer B
Prevention skin cancer 10-24 B
Intensive counseling & intervention re Obesity B
Tobacco counseling & intervention A
, NURS 5461 – Quiz 1 – Interprofessional Education and Prevention Concepts – Practice Questions with
Correct Answers
Reduce alcohol misuse B
Promote breastfeeding B
Preventative Medications and Immunizations - correct answer Immunizations (see CDC
immunization guidelines!!!)
www.CDC.gov
Influenza starting at 6 months
TD q 10 years (Tdap at least once as adult) to protect pertussis
1X Tdap >65 if around infants (timing does not matter)
Pneumovax (PPSV23)at 65 or >18 if smoker or any chronic pulmonary
condition(repeat if given <65 & at least 5 years ago)
11
Prevnar (PCV3) at 65 then PPSV23 6-12 months later OR if PPSV23 first, Prevnar 6-12 months
Hep B series as indicated (new: diabetes)
HPV4 vaccinate females & males (9 to 26 years) best at 11-12 yo
Zostavax for zoster prevention at 60 yo (FDA approved at 50)
Meningococcal as indicated
Pneumococcal Vaccines - correct answer Pneumococcal conjugate vaccine (PCV13) is
recommended for all children younger than 5 years old, all adults 65 years or older, and people
6 years or older with certain RFs (immunocompromised)
Pneumococcal polysaccharide vaccine (PPSV23) is recommended for all adults 65 years or
older. People 2 years through 64 years of age who are at high risk of pneumococcal disease
should also receive PPSV23 (>18 smokers, chronic diseases, etc).
Preventative Meds - correct answer ASA as indicated 81 mg "A"
Men >45-79 for MI; Women >55-79 (reduced CVA)
Assess risk for GI bleed and decide 2010
Omega 3 fatty acids (fish oil)?? DHA, EPA 1-2 grams QD or fatty fish twice weekly
(Vitamin C & E NOT indicated and may cause harm)
Correct Answers
Interprofessional Education - correct answer Interprofessional education (IPE) is a teaching and
learning approach that involves students from two or more professions learning together to
improve health outcomes.
Barriers to IPE - correct answer Communication, Time, Training, Roles, Resources
3 steps to Prevention Dx and Plan - correct answer Risk profile
Prevention Needs and Deficits
Prevention plan
Transtheoretical Model of Change - correct answer 1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
Precontemplation - correct answer Precontemplation- stage w/ no intention to change
behavior in foreseeable future.
Denial, feel immune to threat, have given up etc.
Have you tried change in the past? What would have to happen for you to know this is a
problem? What warning signs would let you know it's a problem?
Contemplation - correct answer Contemplation- Aware problem exists, thinking of overcoming,
no commitment to action.
Feel ambivalent, pros and cons, feel trapped.
What reasons might make you want to change at this time? What are possible reasons for not
changing? What would keep you from changing at this time?
Preparation - correct answer Preparation- Intended action in next month, may have taken past
action.
Preparing to make specific change.
Action - correct answer Action- Modify behavior, experiences, or environment to overcome
problem.
,NURS 5461 – Quiz 1 – Interprofessional Education and Prevention Concepts – Practice Questions with
Correct Answers
Praise any behavioral change.
Maintenance/Relapse Prevention - correct answer -Working to prevent relapse and consolidate
gains secured during action
-Uses strategies to prevent the problem from re-occurring.
-Actively engaged in continuing change efforts
-"How do I keep going?"
Three Main Types of Clinical Preventative Care - correct answer -screening
-behavioral cousenling
-preventative meds
Screening - correct answer Think risk factors for most likely Diseases
Identify- Age/Gender/Race/Ethnic/ FH/ Personal Risk
United States Public Services Task Force (USPSTF) - correct answer Great tool for Prevention!!
Utilize in clinical
Levels of Evidence (USPSTF) - correct answer • Levels of Evidence:
A: recommends the service. There is high certainty that the net
benefit is substantial.
B: recommends the service. There is high certainty that the net benefit is moderate or there is
moderate certainty that the net benefit is moderate to substantial.
C: recommends against routinely providing the service -Benefit small if present
D: recommends against the service -harm > benefit
I: current evidence is insufficient
What services are considered preventive care & required by ACA in 2015? - correct answer
Items or services recommended with an A or B rating by the U.S. Preventive Services Task Force
,NURS 5461 – Quiz 1 – Interprofessional Education and Prevention Concepts – Practice Questions with
Correct Answers
Immunizations recommended by the Advisory Committee on Immunization Practices (ACIP) of
the CDC
Important A and B level Evidence - correct answer AAA screening ever-smoking men 65-75
ASA Men 45-79, Women 55-79
Behavioral dietary-counseling (increased risk)
HTN & Lipid screening (> 18; M >35/20-45, W >45/20-45)
Disc. Chemoprevention Breast Cancer (High risk)
Pap, Mammo CRC screening
Lung Cancer screening
Depression screening• *Family HX risk & referral
BRCA eval
Obesity -intensive counseling & behavioral
Tobacco
HIV (pregnant, all 15-65)•
ETOH misuse & counsel
Hep C screen (1945-65)
Changes in Selected Major Screening Guidelines - correct answer Cervical cancer screening
(PAP & HPV) Q 3 yrs 21-29 PAP, 30-65 Q3yrs Pap or Q5 yrs Pap and HPV
Prostate Cancer screening "D rating"
Lung Cancer screening: LDCT 55-80 yrs w 30 pkyr & smoke or quit
within 15 yrs (55/30/15)
Colon cancer screening: 3 options
Counseling topics - correct answer Behavioral Dietary counseling at risk B
Intensive Dietary counseling risk for CVD B
Discussion chemoprevention breast cancer B
Prevention skin cancer 10-24 B
Intensive counseling & intervention re Obesity B
Tobacco counseling & intervention A
, NURS 5461 – Quiz 1 – Interprofessional Education and Prevention Concepts – Practice Questions with
Correct Answers
Reduce alcohol misuse B
Promote breastfeeding B
Preventative Medications and Immunizations - correct answer Immunizations (see CDC
immunization guidelines!!!)
www.CDC.gov
Influenza starting at 6 months
TD q 10 years (Tdap at least once as adult) to protect pertussis
1X Tdap >65 if around infants (timing does not matter)
Pneumovax (PPSV23)at 65 or >18 if smoker or any chronic pulmonary
condition(repeat if given <65 & at least 5 years ago)
11
Prevnar (PCV3) at 65 then PPSV23 6-12 months later OR if PPSV23 first, Prevnar 6-12 months
Hep B series as indicated (new: diabetes)
HPV4 vaccinate females & males (9 to 26 years) best at 11-12 yo
Zostavax for zoster prevention at 60 yo (FDA approved at 50)
Meningococcal as indicated
Pneumococcal Vaccines - correct answer Pneumococcal conjugate vaccine (PCV13) is
recommended for all children younger than 5 years old, all adults 65 years or older, and people
6 years or older with certain RFs (immunocompromised)
Pneumococcal polysaccharide vaccine (PPSV23) is recommended for all adults 65 years or
older. People 2 years through 64 years of age who are at high risk of pneumococcal disease
should also receive PPSV23 (>18 smokers, chronic diseases, etc).
Preventative Meds - correct answer ASA as indicated 81 mg "A"
Men >45-79 for MI; Women >55-79 (reduced CVA)
Assess risk for GI bleed and decide 2010
Omega 3 fatty acids (fish oil)?? DHA, EPA 1-2 grams QD or fatty fish twice weekly
(Vitamin C & E NOT indicated and may cause harm)
