FNP 590 Quiz Final Exam|Complete Questions and Answers|Updated 2025/26.

United States University FNP 590 FNP 590 Quiz Final Exam|Complete Questions and Answers|Updated 2025/26. Chapter 10 An overweight woman is in the preparation stage of change. Which of the following interventions would be the most appropriate for the nurse to implement? Question 1 options: Inform her of the health risks associated with being overweight. Prepare her for the setbacks. Develop a low-calorie/low-fat diet with her so she can follow it at home. Praise her for her recent successes Any combination of planned experiences based on sound theories that provide individuals, groups, and communities the opportunity to acquire the information and skills needed to make quality health decisions is known as health: Question 2 options: promotion. counseling. education. knowledge. A nurse is using a health education component when teaching about smoking cessation. Which of the following actions is the nurse implementing? Question 3 options: Setting a quit date for people in a smoking cessation class Providing education regarding the benefits of smoking cessation Allowing smokers to participate in a smoking cessation program only if they use the patch nicotine replacement system Encouraging attendees of a smoking cessation program to participate in a research study A nurse is developing learning objectives for an individual who has been placed on a low-fat, low-cholesterol diet. Which is an example of an appropriately written cognitive learning objective? Question 4 options: The individual will understand the importance of a low-fat, low-cholesterol diet.The individual will correctly identify and purchase low-fat, low-cholesterol foods. The individual will believe that his heart will benefit from a low-fat, low-cholesterol diet. The individual will feel healthier if he follows a low-fat, low-cholesterol diet A nurse distributes a demographic questionnaire to attendees of a weight management program. Which step in the teaching-learning process is being implemented? Question 5 options: Assessment Development Implementation Evaluation A nurse is counseling a teenager who smokes one pack of cigarettes a day. The teenager states he likes to smoke with his friends and does not recognize the connection between his smoking and his asthma. When planning an intervention for this person, the nurse must first recognize that the teenager is in the: Question 6 options: precontemplation stage of change. preparation stage of change. action stage of change. maintenance stage of change. A teenager, who lives at home with her parents and school-aged brother, has been diagnosed with anorexia nervosa. Which of the following would be the most appropriate teaching goal for this family? Question 7 options: Increased energy level Improved coping Enhanced self-esteemFacilitated family conversation A nurse is developing learning objectives for an individual who has been recently diagnosed with asthma. Which is an example of an appropriately written psychomotor learning objective? Question 8 options: The individual will understand how to correctly use an inhaler. The individual will realize the importance of using an inhaler correctly. The individual will feel better when using the inhaler correctly. The individual will demonstrate proper use of the inhaler. The primary objective of social marketing is to: Question 9 options: plan behavior. analyze behavior. limit behavior. change behavior. A teenager, who lives at home with her parents and school-aged brother, has been diagnosed with anorexia nervosa. Which of the following would be the most appropriate teaching goal for this teenager? Question 10 options: Increased energy level Improved coping Enhanced self-esteem Accomplished activities of daily living Which of the following illustrates that the objectives of health education and counseling have been met? Question 11 options:Asthmatic who has a decrease in emergency department visits Asthmatic who has been prescribed an albuterol inhaler Asthmatic who attends an asthma education program Asthmatic who visits the emergency department with an exacerbation A nurse is using the health belief model as a framework when developing a community action campaign to increase the percentage of the population who receives the influenza vaccine. Which of the following considerations will need to be made? Question 12 options: How empowerment can be used to motivate community members How modeling can be used in the community to increase public awareness Perceived susceptibility in the community about getting influenza Perceived stage of behavior change that exists in the community The goal for the educational session is for the individual to correctly demonstrate proper technique for checking blood sugar levels. Which of the following teaching strategies would be most effective? Question 13 options: Provide the individual with one-on-one education about blood sugar monitoring. Provide the individual with a scenario about blood sugar monitoring. Provide the individual with the opportunity to practice blood sugar monitoring. Provide the individual with a blood sugar monitor. A nurse is providing health education about the importance of dental health to Latino residents in a community. Which of the following considerations should be made to promote health literacy within this program? Question 14 options: Speak slowly and distinctly. Refer the client to an interpreter.Use photographs whenever possible. Consider methods to facilitate empowerment. A nurse is providing education about safe driving with a group of newly licensed teenagers. Which factor would most likely influence a teenager’s decision to drive within the speed limit? Question 15 options: A speed limit sign Having his parents telling him not to speed A previous traffic violation for speeding Seeing someone get pulled over for speeding A nurse is developing learning objectives for an individual who is becoming more physically active. Which of the following is an example of an appropriately written affective learning objective? Question 16 options: The individual will understand the importance of daily exercise. The individual will demonstrate the importance of daily exercise. The individual will verbalize the importance of daily exercise. The individual will believe in the importance of daily exercise. Which of the following illustrates that the objectives of health education and counseling are being met? Question 17 options: Diabetic who attends a diabetes education program Diabetic who watches a video about self-administration of insulin Diabetic who starts taking his medications regularly Diabetic who is admitted in diabetic ketoacidosisA nurse is counseling a person who has recently started to receive treatment for alcohol abuse. Which factor would most negatively influence the person’s decision to stop abusing alcohol? Question 18 options: He is a Catholic. His wife recently died from breast cancer. Buying alcohol is expensive. He was educated on the dangers of excessive drinking. A nurse would like to assist Americans in improving their health. Which strategy would be most beneficial to improve the health of the American public? Question 19 options: Encourage Americans to stop smoking. Lobby for state-of-the-art magnetic resonance imaging machines in all hospitals. Provide free medications for Americans. Offer free condoms to teenagers. A nurse plans to use lectures, handouts, and a video to teach a group of teenagers the importance of safe sex practices. Which step in the teaching-learning process is the nurse demonstrating? Question 20 options: Assessment Development Implementation Evaluation Chapter 11 A client who is taking Coumadin tells the nurse that she has started taking a vitamin E supplement as she has heard that this will help decrease the likelihood of her developing cancer. Which of the following would be the most appropriate response by the nurse?Question 1 options: “Vitamin E supplements are unnecessary, so I don’t recommend you use this supplement.” “Vitamin E can interfere with the actions of vitamin K and enhance the effects of Coumadin .” “Vitamin E supplements can interfere with the absorption of iron and create additional health problems.” “Vitamin E must be used cautiously, as it is easy to experience a toxicity of this nutrient.” After the 2010 Dietary Guidelines were released, a community health nurse updated a nutrition presentation that was being used to educate various community groups about healthy eating habits. Which of the following information would have been added to the presentation? Question 2 options: Consumption of increased amounts of carbohydrates Impact of the environment on the public’s food, drink, and activity choices Revised guidelines for the use of MyPyramid Inclusion of physical activity standards A school nurse is using height and weight measurements to calculate the body mass index (BMI) of the students. How will the nurse use these data? Question 3 options: BMI can be correlated to a specific percentage of body fat. BMI can be used to determine if a child is obese or underweight. BMI can be used to determine if a child will develop Type 2 diabetes. BMI can be compared with others of the same ethnic background. A person states to the nurse, “The guidelines for what we should eat as Americans is constantly changing, just when I got used to using MyPyramid they changed it to MyPlate. I wonder what will be next and if they really know what they are doing with all of this change.” Which of the following would be the best response from the nurse? Question 4 options: “The USDA is constantly making changes in order to decrease the alarming rates of obesity in our country.”“MyPyramid was developed in 2005, so it was time for this graphic to be revised.” “The creation of MyPlate has decreased the need for additional teaching resources for nutrition.” “MyPlate serves as a better visual aid, reminding Americans what a healthy ‘plate’ looks like.” A man states that he would like to change his dietary habits to decrease his risk of developing cancer in the future. Which of the following statements would be the best response for the nurse? Question 5 options: “Consume at least cups of fruits and vegetables each day.” “Dietary habits have minimal effect in reducing your risk of developing cancer.” “A glass of red wine should be consumed daily.” “Dietary supplements of specific nutrients will maximize the effects of dietary changes.” A community health nurse is providing education about the “Dietary Approaches to Stop Hypertension” (DASH) eating plan to people attending cardiac rehabilitation. Which of the following recommendations would be included in this presentation? Question 6 options: The use of this dietary plan has the same health effects as a daily exercise program. The use of this dietary plan will eliminate the need for medication to treat hypertension. This dietary plan is excludes the consumption of processed foods. This dietary plan includes eating greater amounts of fruits and vegetables. A nurse is working with a family that is experiencing food insecurity. Which of the following statements best describes this family? Question 7 options: Members of this family are susceptible to food-borne illness. This family’s access to adequate food is limited by lack of money. This family is unable to purchase fresh fruits and vegetables. Members of this family are obese.A 45-year-old man has been diagnosed with metabolic syndrome. Which of the following characteristics would this man exhibit? Question 8 options: Blood pressure: 146/88 mm Hg Waist measurement: 36 inches HDL: 48 mg/dL Triglycerides: 140 mg/dL A 37-year-old woman asks the nurse if she should take a daily nutritional supplement. Which of the following would be the best reply by the nurse? Question 9 options: “Postmenopausal women should take a calcium supplement to prevent osteoporosis.” “Many people use supplements as drugs instead of as supplements.” “Supplements can enhance the medications that you take.” “The best way to obtain nutrients is by eating a variety of foods.” A community health nurse is educating a community group about the 2010 Dietary Guidelines for Americans. Which of the following information would be included in this presentation? Question 10 options: Limit consumption of dairy products. Purchase organic fruits and vegetables. Make at least half of your grains whole grains. Consume fish on a daily basis. A nurse is counseling a person who was recently diagnosed with diabetes about how to prevent the complications of this disease. Which of the following interventions would be stressed the most by the nurse? Question 11 options: Adjusting sliding scale insulin therapy as neededTaking oral hypoglycemic medication as prescribed Monitoring blood glucose daily Adhering to medical nutrition therapy A community health nurse is working with a low-income family who is experiencing food insecurity. To assist the family in getting nutritious foods in their home, the family should be referred to which of the following programs? Question 12 options: Nutrition Service Incentive Program (NSIP) Supplemental Nutrition for Women Infants and Children (WIC) National School Lunch Program (NSLP) Supplemental Nutrition Assistance Program (SNAP) Which of the following people is at greatest risk for a hip fracture secondary to osteoporosis? Question 13 options: A 66-year-old White woman A 66-year-old African American woman A 66-year-old White man A 66-year-old African American man Which of the following statements about the current prevalence of obesity is accurate? Question 14 options: The current generation of children may be less healthy and have a shorter life expectancy than their parents. The current incidence of obesity among American adults has stabilized. The current statistics show that greater than 75% of American adults are either overweight or obese. The current statistics report that about 50% of American children are either overweight or obese.Which of the following individuals would be at greatest risk to develop Type 2 diabetes? Question 15 options: White, 50-year-old woman, obese, second child weighed 10 pounds at birth African American, 55-year-old man, hypertension, exercises regularly Hispanic, 22-year-old woman, healthy weight, family history of diabetes White, 75-year-old man, history of prostate cancer and high triglycerides A school nurse is preparing to discuss food safety practices with high school students enrolled in a family and consumer science “foods” course. Which of the following information would be included in the presentation? Question 16 options: Wash hands thoroughly with running warm water with soap for 30 seconds. Scrub firm services of all fruits and vegetables with a produce brush before eating. Pay close attention to assure that meat is cooked all of the way through. Refrigerate leftovers within 30 minutes of serving. A community health nurse is using the Dietary Reference Intakes (DRIs) as a guide while developing an education presentation about nutrition for a community group. How will the use of the DRIs be helpful in developing this presentation? Question 17 options: It considers the unique differences among children, pregnant women, and elderly people. It contains well-researched data that are reviewed on an annual basis. It is prescriptive in the amount of nutrients that are needed on a daily basis. It serves as an overall guideline for the population. A nurse is counseling a person with heart disease. Which of the following statements made by the individual would require the nurse to provide additional education? Question 18 options: “I drink skim milk on a regular basis.”“I try not to eat foods that have added salt on the label.” “I eat American cheese about once every 2 weeks.” “I add salt to many of the food that I eat to enhance the flavor.” community health nurse is educating health care providers in a local clinic about steps to take to help their clients improve their health-related behaviors. Which of the following would be included as the nurse teaches about the acronym LEARN? Question 19 options: Explain how small changes can affect health. Acknowledge that action needs to be taken. Negotiate an agreement. Refer to community resources. A nurse is investigating an outbreak of a food-borne illness occurring at a local school. Which of the following would contribute to a chemical contamination resulting in foodborne illness? Question 20 options: Unintended allergen added to food Bacteria on the countertops Pesticide on the fresh fruit Metal shavings in the food from a dull can opener Chapter 12 A nurse is caring for a man who states he is ready to start exercising. Which of the following actions should the nurse take next? Question 1 options: Do nothing because he has already made the decision to implement a change. Provide him with information on the benefits of exercising. Develop an exercise prescription with him.Schedule a follow-up in 2 months to see if he still feels the same way. Which of the following statements about exercise is true? People who engage in high-intensity exercise are at lowest risk for illness. Aerobic exercise should be part of daily exercise routines. Regular exercise may cause people to experience fatigue and increased susceptibility to mental health disorders. Low-level physical activity may have a protective effect on gastric and pancreatic cancer. A nurse is working with a group of individuals to start an exercise program. Which of the following would require the most attention and assistance? White man who works 50 to 60 hours a week as a business executive Unemployed, obese Hispanic woman Employed White woman with hypertension White man with a high school diploma A nurse is developing an exercise program for a person with moderate osteoarthritis of the knees. Which of the following forms of exercise would the nurse include in this program? Step aerobics Running Water aerobics Bike riding The nurse is discussing an exercise prescription with a person. To help him determine the appropriate intensity, the nurse tells him that he should monitor his rate of perceived exertion. Which of the following should the nurse tell the man he should experience while exercising?Talking and singing without difficulty Feeling extremely fatigued Having mild musculoskeletal discomfort Being out of breath A nurse is discussing resistance training with a 24-year-old woman. The woman is resistant to weight lifting because she does not want to get too muscular. She prefers a program that is strictly aerobic. Which of the following would be the most appropriate response from the nurse? “Ok, just make sure you perform one hour of aerobics every day.” “Lifting weights is a necessary part of exercise.” “Weight lifting has many purposes and benefits; can we talk about them?” “Looking muscular at your age is attractive.” A nurse is counseling a 19-year-old person who has recently been diagnosed with Type 1 diabetes mellitus. The person asks if there is anything specific that should be done before going to play tennis with a friend. Which of the following instructions should the nurse give the person to avoid hypoglycemia? Inject the insulin into the abdomen. Inject the insulin into the arm. Inject the insulin into the thigh. Skip taking any insulin before exercising. A 51-year-old woman has begun menopause. The nurse emphasizes the importance of a diet high in calcium and vitamin D as well as exercise for this woman. This recommendation is important because by the time the client is 56, she will have experienced another _____ bone loss. 3%7% 10% 15% A nurse is providing care for a 10-year-old child with a BMI at the 80th percentile. Which of the following best describes this child? Normal weight Overweight Obese Morbidly obese During an office visit, a nurse provides counseling to a 70-year-old woman with osteoporosis who is otherwise very healthy. Which of the following information should the nurse provide to the woman? Avoid all forms of exercise because of the risk of fractures. Walk with a partner at least 30 minutes a day 5 days a week. Use a wheelchair to get around so that she can prevent falls. Take a step aerobics class 5 days a week. A nurse is monitoring the exercise of a 42-year-old woman. Which of the following would be the estimated maximum heart rate (MHR) for this woman? 126 142 178 184Activity that uses large muscle groups in a repetitive, rhythmic fashion over an extended period to improve the efficiency of the oxidative energy producing system and improve cardiorespiratory endurance is known as: aerobic activity. anaerobic activity. flexibility. muscular fitness. According to the physical activity and fitness section of the Healthy People 2020 report, what percentage of adults 18 years of age or older report no leisure-time physical activity? 16% 26% 36% 46% A nurse is educating a 35-year-old woman about the best exercises to engage in to prevent bone loss. Which of the following exercises would the nurse recommend? Walking Swimming Weight training Bike riding A nurse is discussing exercise intensity with a client. Which of the following medications that the client is taking may limit the usefulness of heart rate as an indicator of exercise intensity? Ciprofloxacin (Cipro) Metoprolol (Toprol) Atorvastatin (Lipitor) Lansoprazole (Prevacid)A nurse is providing care to a person who has lower back pain. Which of the following exercises would the nurse recommend to assist with pain reduction? Walking Pilates Swimming Bike riding A woman is going for a 2-hour hike in the Grand Canyon and she asks the nurse how much fluid she should take along with her. Which of the following recommendations should be given by the nurse? Bring at least 24 ounces of water. Bring at least 72 ounces of water. Bring at least 24 ounces of sports drink. Bring at least 72 ounces of sports drink. A nurse is developing a primary prevention strategy to address the problem of obesity. Which of the following interventions is being created? Encouraging an active lifestyle during childhood years Prescribing orlistat (Alli) Recommending the Jenny Craig program Recommending gastric banding surgery During an office visit, a nurse meets with a woman who states she does not have time to exercise. Which of the following actions should the nurse take next? Do nothing because she has already made the decision to not exercise. Provide her with information on the benefits of exercising.Develop an exercise prescription with her. Schedule a follow-up in 2 months to see if she still feels the same way. A nurse is providing health education for a group of older adults about the risks of developing coronary heart disease. Which of the following group members is at highest risk? Takes a beta-blocker for hypertension Has a total cholesterol level of 201 Doesn’t participate in any form of regular physical activity Has a family history of Type 2 diabetes mellitus Chapter 13 A nurse is collecting health assessment data about a person’s coping mechanisms in relation to stressors. Who would provide the best source of this information? Person’s primary care physician Person’s spouse/significant other The person Expert objective analysis skills of the nurse A nurse has stated that the person she is working with demonstrates stress hardiness. Which of the following individuals is most likely being described? Refuses to see family members after the nurse practitioner tells him or her about test results Conducts Internet research to learn about the latest treatment options for a health deviation Calls in sick when faced with a personal relationship problem Views stressors as negative life eventsA nurse is helping a man restructure his eating, sleeping, exercise, and thinking patterns to reduce stress. Which of the following nursing interventions would be most effective for this person? Encourage writing in a journal on a daily basis. Suggest joining a support group. Offer referral to individual or group therapy sessions. Promote purchasing a gym membership. A nurse is caring for a person who has a diagnosis of “Sleep disturbance related to stress as evidenced by excessive daytime fatigue.” Which of the following nursing interventions would most likely to assist this person? Encourage daytime naps. Encourage exercise one hour before bedtime. Encourage a cool shower before bedtime. Encourage a consistent sleep-wake schedule. A nurse is helping a person reduce stress-disinhibition related to poor dietary choices. Which of the following nursing interventions would be most appropriate? Work with the person to develop a plan to slowly replace high-fat, high-calorie foods with more healthy choices. Encourage the person to eliminate all high-calorie, high-fat foods from the diet as quickly as possible. Give the person a standard list of low-fat, low-calorie foods. Provide the person a copy of the Food Guide Pyramid. A nurse is defining stress to a person. Which of the following statements should the nurse should make? “Happy events, such as the birth of a child, are rarely as stressful as unhappy events.”“An event that requires any change in behavior in stressful.” “All stressors create a challenge to health.” “Once stressors are identified, they can be controlled.” A nurse is counseling a person on how to effectively deal with stress. Which of the following actions would the nurse recommend the person take first? Recognize signs of stress. Take action to reduce stress. Connect warning signs with stressors. Develop effective coping skills. The nurse is conducting community education about stress. Which of the following statements should be made by the nurse? “Stress always has a negative effect on the body.” “A moderate amount of short-term stress can make a person more efficient and goal-focused.” “Long-term stress is useful in helping one to meet goals.” “Stress always has a positive effect on the body.” A nurse is explaining the concept of “presence.” The nurse should include that presence means that the person: is in the same room as another. multitasks in order to examines all aspects of a situation. sets goals in response to what another is saying. practices active listening and focuses on what is being said.The nurse is assisting a person to develop a positive attitude toward exercise. Which of the following nursing interventions would be most successful when working with this person? Educate the person that 60 minutes of moderate to strenuous exercise a day is required to lower the risk of heart disease. Suggest that the person participate in a formal exercise program that has been demonstrated to produce the best results. Educate the person that exercise patterns established in young adulthood are more effective than those established later in life. Suggest that the person walk at a moderate pace for 30 minutes a day, 5 days a week for improvement in physical and psychological health. A nurse is educating a person about the process of cognitive restructuring. Which of the following actions should be taken at the end of this process? Take a deep breath. Select a realistic alternative thought. Reflect on the situation. Stop generating negative thoughts. The nurse conducted a community health education program about the benefits and limitations of alternative therapies. The nurse recognizes that learning has occurred when a participant makes which of the following statements? “Acupuncture is a technique that can be easily learned and practiced.” “Hypnosis can be safely used by a licensed hypnotist to treat all cases of anxiety.” “Reiki is a type of massage that can be used to relieve stress.” “Herbal products must be used with caution because some can interact with prescription medications.” The nurse is caring for a person who is obese, sedentary, and has recently been diagnosed with Type 2 diabetes mellitus. Which of the following goals for the person is correctly stated?The person will exercise more often. The person will consume 900 calories a day. The person will walk one-quarter mile a day, 5 days a week. The person will eliminate all refined sugar and processed foods from her diet. A nurse is describing adults who are in the “sandwich generation.” Which of the following provides the best description of this term? Middle-aged adults who are starting a family at an older age Young adults who are beginning to find jobs, marry, and start a family Middle-aged adults who are caring for children and aging parents Young adults who have several small children A nurse is caring for a person who has experienced a minor injury following a fall. Which of the following physiological responses to stress would the nurse anticipate? Lowered blood pressure Elevated heart rate Lowered respiratory rate Elevated blood supply to the gut Which of the following statements concerning enjoying healthy activities is true? People enjoy pleasant activities even when they are stressed. People cherish happy activities and feel that such activities are important even during times of stress. People generally feel that they deserve to be happy.People who have hobbies are better able to handle stress than those without hobbies. A nurse responded to a natural disaster and used expressive writing as a means of coping with the stress related to this experience. Which of the following benefits of expressive writing should the nurse expect? Immediate relief of stress through storytelling Insight into the personal meaning of the experience Absence of the symptoms of stress Feeling a great sense of relief immediately after making a journal entry A nurse is demonstrating how to use effective communication when dealing with conflict. Which of the following statements would be most appropriate for the nurse to make? “I am so angry that you are late again that you are grounded for a week.” “When you miss an appointment, I am hurt.” “Because you cannot be on time, you cannot have the car for a week.” “I feel anxious when you do not come home on time because I worry about your safety.” A nurse is assisting a client in values clarification. Which of the following actions should the nurse assist the client to complete first? Develop a religious affiliation to assist with the process. Identify what is meaningful in one’s life. Act in a way that is consistent with one’s beliefs. Use beliefs held by others as a guideline for life. Chapter 9A nurse is speaking to a women’s group in the community about the importance of completing mammography to screen for breast cancer. At which age should the nurse recommend that mammography begin? 18 21 35 40 The proportion of people with a condition who correctly test positive when screened is known as: sensitivity. specificity. validity. efficacy. For which of the following is Type 2 diabetes mellitus screening recommended? Overweight woman Teenager Man with hypertension Woman with a family history of Type 2 diabetes mellitus A nurse is implementing a test that screens for hypercholesterolemia. Which of the following parameters should this test have? No cutoff point Low cutoff pointIntermediate cutoff point High cutoff point A nurse is planning to offer a depression screening at a local community center. Which of the following should be considered prior to implementation of the program? Limited referral sources in the community Limited support groups in the community Insufficient evidence that depression screening tools are cost effective Insufficient evidence mental health screening is appropriate A nurse is examining the incidence, prevalence, and mortality rates of colon cancer in the community. Which of the following measures of life is being investigated? Quality adjusted life year (QALY) Quantity of life Disability adjusted life year (DALY) Satisfaction of life Which of the following women should be screened for breast cancer? A 35-year old woman with three children and no family history of breast cancer A 59-year-old woman with no children who still gets her period every month A 25-year-old woman with one child whom she gave birth to when she was a teenager A 17-year-old woman with one child who started menstruating at the age of 13 Which of the following is an example of a screenable population for hypertension?High school students Professional hockey players High-level business executives attending an annual conference Cardiac rehabilitation clients A nurse is educating a group of community members about how hypertension screening is effective in reducing the rate of cardiovascular disease, thus reducing the expenses that are spent on management of this disease. Which of the following ratios is being described? Cost-disease analysis Cost-efficiency analysis Cost-benefit ratio analysis Cost-effectiveness analysis A nurse is assessing a low-income population in a community. Which of the following would be most appropriate for this population? HIV screening Blood pressure screening Colorectal cancer screening Breast cancer mammography screening The nurse is examining the ability of a phenylketonuria (PKU) screening test to distinguish correctly between newborns who have and who do not have the disease. Which of the following measures of accuracy of the instrument is being evaluated? Sensitivity SpecificityValidity Efficacy A nurse is planning a comprehensive health promotion activity to provide community members with a better opportunity to manage their own risk. Which of the following activities would be most appropriate for the nurse to perform? Obtaining blood pressures and cholesterol levels during a screening Obtaining blood pressures and family histories during a screening Obtaining blood pressures and discussing the importance of exercise during a screening Obtaining blood pressures, cholesterol levels, and glucose levels during a screening A nurse is working at a women’s health clinic and is asked by a client when she should return for her next Pap smear. Which of the following resources would the nurse use to find the most current recommendations? National Health Information Center Healthy People 2020 U.S. Preventive Services Task Force (USPSTF) website Centers for Disease Control and Prevention (CDC) website Which represents a disadvantage of screening? Utilization of group screening methods Utilization of multiple test screening Utilization of a test with high specificity Utilization of a test with low sensitivity Influenza occurs among Americans at a rate of 36 per 100 people annually. Which type of rate is this statement describing?Prevalence rate Incidence rate Morbidity rate Mortality rate Which is an example of asymptomatic pathogenesis? Blood pressure of 170/98 experiencing headaches Positive finding on colonoscopy and blood in his or her stool Elevated prostate-specific antigen (PSA) Elevated TSH who is always tired A nurse is using a sweat test to screen people for cystic fibrosis. Which of the following results demonstrates poor sensitivity? When 6 out of every 10 sweat tests performed are negative, but the six individuals actually have cystic fibrosis When 6 out of every 10 sweat tests performed are positive, but the six individuals do not actually have cystic fibrosis When 6 out of every 10 sweat tests performed are negative, and the six individuals really do not have cystic fibrosis When 6 out of every 10 sweat tests performed are positive, and the six individuals really do have cystic fibrosis A nurse is creating a hypertension screening program. Which of the following methods would be the best way to design a successful program? Work with stakeholders to conduct a community assessment. Purchase state-of-the-art sphygmomanometers to measure blood pressures. Use the program developed at a previous place of employment. Contact a local church to see if the program can be implemented there.To screen for colorectal cancer, colonoscopy should be conducted every 10 years beginning at age: 30. 40. 50. 60. A nurse is reviewing the chart of a 15-year-old girl who has been sexually active since the age of 12. Which of the following findings would be of most concern? She does not perform self-breast exams. She has never had a Pap test. She had one HIV test performed at the age of 13. She does not use birth control pills. Chapter 25 A nurse is providing care to HIV positive clients living in sub-Saharan communities in Africa. When discussing prevention of the transmission of HIV, which of the following statements should be made by the nurse? “Alternative practices to traditional sexual cleansing should be considered after the death of a spouse.” “Traditional sexual cleansing should be performed with a cleanser who is known to not have HIV.” “Virgin cleansing is a safer option than traditional sexual cleansing.” “Traditional sexual cleansing can lead to further transmission of HIV.” The nurse is working at a crisis hotline center. Which of the following callers would be most at risk for suicide? A 16-year-old girl who broke up with her boyfriend A 26-year-old male who has been laid off from his jobA 50-year-old female who has a history of alcohol abuse A 40-year-old male whose brother died suddenly Question 3 (1 point) A hurricane has just caused extensive damage within a local community. Which of the following are community members at risk to experience? Question 3 options: Unequal access to health care Exposure to community-associated methicillin-resistant Staphylococcus aureus Increased incidence of suicide Outbreaks of acute respiratory infection Which of the following age groups is experiencing the greatest increase in suicide rates? 15 to 24 25 to 39 40 to 59 60 to 70 Which of the following statements best explains priorities related to preventative health care? Global initiatives have been developed to respond to health care needs around the world. Health care initiatives are focused mainly on people in developed countries because of the access to medication. Health care initiatives are focused mainly on people in developing countries because of their great need. Public health agencies are leaders in health care development. Question 6 (1 point)A nurse states that many community members are concerned about the increasing number of natural disasters that have been occurring in the United States. Which of the following would the community members be referring to? Question 6 options: Fires and suicides Wildfires and hurricanes Traffic accidents and floods Tornadoes and food poisonings Question 7 (1 point) A nurse is working in the emergency department (ED). Which of the following situations would cause the nurse to suspect bioterrorism? Question 7 options: When two people out of twenty who ate at a restaurant come to the ED with nausea and vomiting When a worker in a lab comes to the ED complaining of a severe headache When thirteen people, aged 24 to 33, come to the ED with ascending flaccid muscle paralysis When five people come to the ED with an upper respiratory infection Question 8 (1 point) The school nurse has been asked to present a workshop on CA-MRSA for high school teachers. Which of the following information would the nurse most likely include? Question 8 options: CA-MRSA is a common viral infection that responds well to antiviral meds. CA-MRSA is a serious bacterial infection that does not spread easily. CA-MRSA is a fungal infection common in school settings. CA-MRSA is a potentially fatal skin infection that is difficult to treat.Question 9 (1 point) A nurse is determining if children with severe acute malnutrition (SAM) should receive facility-based or community-based care. Which of the following children should receive care in the community? Question 9 options: 3-year-old male who has a history of dehydration 9-month-old male whose family has adequate support and resources to obtain the recommended treatment 4-year-old female who has sensitivity to milk products 6-month-old female who has a good appetite and no underlying medical conditions A primary care clinic is being established in a rural county that recently experienced a hurricane severely damaging its infrastructure for medical care. Which of the following considerations would be the priority when planning for this clinic? The ability to provide mental health services to community members The ability to deliver primary care services to community members The ability to refer community members to other necessary services The ability to supply community members with daily necessities Question 11 (1 point) A nurse is encouraging members of the community to advocate for the prevention of premature deaths in children under the age of 5 at the international level. Which of the following interventions would most likely be discussed by the nurse? Question 11 options: Using mosquito netting in sleeping areas Participating in international vaccination programs Implementing accident prevention programs Providing nutritional supplementsQuestion 12 (1 point) A nurse is working with UNAIDS to fight against HIV/AIDS at the global level. Which of the following activities would the nurse most likely be involved in? Question 12 options: Determining prevalence rates of HIV/AIDS in African countries Administering antiretroviral medications to pregnant women who are HIV positive Providing treatment access for all HIV-positive individuals who need medication Reporting confirmed cases of HIV to the World Health Organization The school nurse is planning a workshop for high school students about interpersonal violence (IPV). Which of the following information would the nurse discuss as risk factors for IPV? Cultural norms Family support Drug and alcohol abuse Depression Which of the following projects would most likely be administered by International Micronutrient Malnutrition Prevention and Control (IMMPaCT) Program? Researching best methods to preserve the freshness of foods Surveying various populations about consumption patterns Comparing the effectiveness of vitamin pills versus fresh fruit and vegetables Analyzing the relationship between BMI and cardiovascular disease Question 15 (1 point) A nurse using the four-step public health approach to respond to violence. Which of the following actions would occur as the nurse identifies risk and protective factors? Question 15 options:Planning a community-based educational program to respond to violence Reviewing police reports and population-based surveys Interviewing local community members about their experiences with violence Examining characteristics in the community where violence has not occurred Question 16 (1 point) The school nurse has been asked to present a workshop on how to prevent CA-MRSA spread in the school. Which of the following interventions should be emphasized? Question 16 options: Completing prophylactic antibiotic therapy for those in close contact with an infected person Using correct hand-washing technique Requiring those infected stay home from school until the infection has resolved Disinfecting all classrooms on a daily basis A nurse is working at a clinic in a third world country and suspects a child has severe acute malnutrition (SAM). Which of the following assessment findings would be expected? Distended abdomen Bulging eyes Large tears when crying Lethargy Question 18 (1 point) Which of the following information about anthrax is correct? Question 18 options: Anthrax is a viral infection.Anthrax can cause skin lesions or pneumonia. Anthrax is spread by person-to-person contact. Anthrax is treated by IV penicillin for 30 days. Question 19 (1 point) A nurse is advocating for improved disease prevention and health promotion within the local community. Which of the following interventions would the nurse most likely implement? Question 19 options: Educate community members about the violence rates that exist within the community. Administer flu shots for elderly at a local senior citizens center. Participate in a disaster planning committee within the community. Talk with a state legislator about improved access to health care for the uninsured and underinsured. A nurse is using the four-step public health approach to address violence in the community. Which of the following actions would the nurse take first? Analyze a variety of data sources to determine the cause of the problem. Examine risk factors that have contributed to the violence. Develop an evidence-based program to address the problem. Train community members to discuss the problem within their neighborhoods.