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This comprehensive study guide contains 300 unique, multiple-choice questions
designed for the FNP 590 exam, covering health promotion, disease prevention,
advanced primary care, and community health assessment. The questions are
organized into ten sections addressing health models, prevention levels,
community health assessment, functional health patterns, cultural competence,
health policy, nursing roles, epidemiology, leadership, and comprehensive review
content. Each question includes the correct answer and a detailed rationale
explaining the underlying nursing principles and evidence-based practice. The
content is based on course syllabi, test bank materials, and foundational textbooks
for family nurse practitioner education.
Section 1: Models of Health, Prevention Levels, and Nursing
Roles (Questions 1-60)
Question 1
Which model of health is most likely used by a person who does not believe in
preventive health care?
A. Clinical model
B. Role performance model
C. Adaptive model
D. Eudaimonistic model
Correct Answer: A
Rationale: The clinical model views health as the absence of signs and symptoms
of disease. People who use this model typically wait until they are very sick to seek
care and do not believe in preventive health measures.
,Question 2
A person with chronic back pain is cared for by a primary care provider and also
receives acupuncture. Which model of health does this person likely favor?
A. Clinical model
B. Role performance model
C. Adaptive model
D. Eudaimonistic model
Correct Answer: D
Rationale: The eudaimonistic model embodies the interaction and
interrelationships among physical, social, psychological, and spiritual aspects of
life and the environment in goal attainment and creating meaning. Seeking both
conventional and complementary care reflects this holistic approach.
Question 3
Which of the following represents a method of primary prevention?
A. Informational session about healthy lifestyles
B. Blood pressure screening
C. Interventional cardiac catheterization
D. Diagnostic cardiac catheterization
Correct Answer: A
Rationale: Primary prevention precedes disease or dysfunction. It includes health
promotion and specific protection and encourages increased awareness; thus,
education about healthy lifestyles fits this definition.
Question 4
Which of the following represents a method of secondary prevention?
A. Self-breast examination education
B. Yearly mammograms
C. Chemotherapy for advanced breast cancer
D. Complete mastectomy for breast cancer
Correct Answer: B
Rationale: Screening is secondary prevention because the principal goal of
screenings is to identify individuals in an early, detectable stage of the disease
,process. A mammogram is a screening tool for breast cancer and thus is considered
a method of secondary prevention.
Question 5
In reviewing a person's medical claims, a nurse realizes that the individual with
moderate persistent asthma has had two emergency department visits and one
hospitalization in the past year. The nurse works with the individual to schedule
follow-up appointments and avoid unnecessary duplication of services. The nurse
is acting as a(n):
A. Advocate
B. Care manager
C. Consultant
D. Educator
Correct Answer: B
Rationale: Care managers act to prevent duplication of service and reduce cost.
Care managers base recommendations on reliable data sources such as evidence-
based practices and protocols.
Question 6
During a home visit, a nurse assists an individual to complete an application for
disability services. The nurse is acting as a(n):
A. Advocate
B. Care manager
C. Consultant
D. Educator
Correct Answer: A
Rationale: The advocacy role of the nurse helps individuals obtain what they are
entitled to receive from the health care system, tries to make the system more
responsive to individuals' community needs, and assists individuals in developing
skills to advocate for themselves.
Question 7
During a home visit, a nurse discusses the dangers of smoking with an individual.
In this scenario, the nurse is acting as a(n):
A. Advocate
B. Care manager
, C. Consultant
D. Educator
Correct Answer: D
Rationale: Health education is an independent nursing function. The nurse provides
information to promote health and prevent disease, which is the educator role.
Question 8
A nurse has implemented a smoking cessation program for teenagers and is now
evaluating the rate of teenage smoking in the community. Which function is being
demonstrated by the nurse?
A. Codependent function
B. Independent function
C. Interdependent function
D. Dependent function
Correct Answer: B
Rationale: Evaluating nursing activities such as health promotion and health
education is an independent function. In this case, the nurse is evaluating the
nursing activity (smoking cessation program), and therefore it is an independent
function.
Question 9
A nurse is planning to deliver an educational program to individuals with diabetes.
Which of the following should be the initial action taken by the nurse?
A. Assess the knowledge level of the individuals
B. Establish teacher-learner goals with the individuals
C. Establish multiple teaching sessions with the individuals
D. Select the teaching methods most likely to succeed
Correct Answer: B
Rationale: The first step in developing an educational program is to establish
teacher-learner goals. Once goals are established, the nurse can select appropriate
teaching methods.
Question 10