SWIFT RIVER COMMUNITY HEALTH
EXAM 2025 QUESTIONS AND ANSWERS
Carlos Mancia, 48 y/o Spanish speaking male; he and his wife have TB and have educated
themselves by video for meds - ANS health promotion: increased
risk reduction: increased
community assessment: increased
culture/beliefs/spirituality: increased
disease/illness prevention: increased
education/counseling: increased
resource id: increased
self-management: increased
social determinants of health: increased
surveillance: increased
Suzanne Olsen, 24 y/o female; increased vaginal discharge, pain w/ intercourse, five abortions,
two deliveries (gave up for adoption) - ANS health promotion: increased
risk reduction: increased
community assessment: increased
culture/beliefs/spirituality: normal
disease/illness prevention: increased
education/counseling: increased
resource id: increased
self-management: increased
1|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
, social determinants of health: increased
surveillance: increased
Kenny Barrett, 64 y/o male; undiagnosed HTN r/t vasculitis, Buerger's disease, smokes one
pack/day, country boy (far from doctors) - ANS health promotion: increased
risk reduction: increased
community assessment: increased
culture/beliefs/spirituality: normal
disease/illness prevention: increased
education/counseling: increased
resource id: increased
self-management: increased
social determinants of health: increased
surveillance: normal
Arthur Silverstein, 68 y/o male; Vietnam vet dx: PTSD r/t abuse during imprisonment from war,
lives in homeless shelter, alcohol addiction, hyper-vigilant and gets anxious in crowds, has not
seen kids in years - ANS health promotion: increased
risk reduction: increased
community assessment: increased
culture/beliefs/spirituality: normal
disease/illness prevention: increased
education/counseling: increased
resource id: increased
self-management: increased
social determinants of health: increased
surveillance: normal
2|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
, Mary Jane, 21 y/o female; self-mutilation, anxiety, dx: major depressive disorder,
anxiety/depression r/t unemployment, lives with parents, dropped out of college -
ANS health promotion: increased
risk reduction: increased
community assessment: increased
culture/beliefs/spirituality: normal
disease/illness prevention: increased
education/counseling: increased
resource id: increased
self-management: increased
social determinants of health: increased
surveillance: normal
Jenny Smith, 23 y/o G2P1; dilatation and curettage (D&C) following miscarriage at 10 wks, "felt
fine" so cancelled follow-up appt; has lower abd pain, generalized malaise, body aches, has 4
y/o son and is a teacher - ANS health promotion: increased
risk reduction: increased
community assessment: increased
culture/beliefs/spirituality: normal
disease/illness prevention: increased
education/counseling: increased
resource id: increased
self-management: increased
social determinants of health: normal
surveillance: normal
Antel Musaka, 13 y/o male; cerebral anoxia during prolonged L&D which caused cerebral palsy,
quadriplegia & developmental delay, attends school, has GERD and PEG tube for meds (still eats
3|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
EXAM 2025 QUESTIONS AND ANSWERS
Carlos Mancia, 48 y/o Spanish speaking male; he and his wife have TB and have educated
themselves by video for meds - ANS health promotion: increased
risk reduction: increased
community assessment: increased
culture/beliefs/spirituality: increased
disease/illness prevention: increased
education/counseling: increased
resource id: increased
self-management: increased
social determinants of health: increased
surveillance: increased
Suzanne Olsen, 24 y/o female; increased vaginal discharge, pain w/ intercourse, five abortions,
two deliveries (gave up for adoption) - ANS health promotion: increased
risk reduction: increased
community assessment: increased
culture/beliefs/spirituality: normal
disease/illness prevention: increased
education/counseling: increased
resource id: increased
self-management: increased
1|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
, social determinants of health: increased
surveillance: increased
Kenny Barrett, 64 y/o male; undiagnosed HTN r/t vasculitis, Buerger's disease, smokes one
pack/day, country boy (far from doctors) - ANS health promotion: increased
risk reduction: increased
community assessment: increased
culture/beliefs/spirituality: normal
disease/illness prevention: increased
education/counseling: increased
resource id: increased
self-management: increased
social determinants of health: increased
surveillance: normal
Arthur Silverstein, 68 y/o male; Vietnam vet dx: PTSD r/t abuse during imprisonment from war,
lives in homeless shelter, alcohol addiction, hyper-vigilant and gets anxious in crowds, has not
seen kids in years - ANS health promotion: increased
risk reduction: increased
community assessment: increased
culture/beliefs/spirituality: normal
disease/illness prevention: increased
education/counseling: increased
resource id: increased
self-management: increased
social determinants of health: increased
surveillance: normal
2|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
, Mary Jane, 21 y/o female; self-mutilation, anxiety, dx: major depressive disorder,
anxiety/depression r/t unemployment, lives with parents, dropped out of college -
ANS health promotion: increased
risk reduction: increased
community assessment: increased
culture/beliefs/spirituality: normal
disease/illness prevention: increased
education/counseling: increased
resource id: increased
self-management: increased
social determinants of health: increased
surveillance: normal
Jenny Smith, 23 y/o G2P1; dilatation and curettage (D&C) following miscarriage at 10 wks, "felt
fine" so cancelled follow-up appt; has lower abd pain, generalized malaise, body aches, has 4
y/o son and is a teacher - ANS health promotion: increased
risk reduction: increased
community assessment: increased
culture/beliefs/spirituality: normal
disease/illness prevention: increased
education/counseling: increased
resource id: increased
self-management: increased
social determinants of health: normal
surveillance: normal
Antel Musaka, 13 y/o male; cerebral anoxia during prolonged L&D which caused cerebral palsy,
quadriplegia & developmental delay, attends school, has GERD and PEG tube for meds (still eats
3|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
