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NU 629 FINAL EXAM | QUESTIONS & 100%
CORRECT ANSWERS (VERIFIED) | LATEST
UPDATE | GRADE A+
Good morning, Mr. Smith. Tell me what's on your mind today. Correct Answer: An open-ended question offers an indication to patients that you want to listen to them. It demonstrates that you do not have an agenda and you are not putting up any roadblocks. You are asking patients to openly talk with you. Stress is of both theoretical and practice interest to nurses. The World Health Organization's Global Burden of Disease Survey estimated that the global impact of stress-related conditions would continue to rise; therefore, by the year 2020, ________ disorders, including stress-related conditions, will be the second most prevalent health problem, second only to ischemic heart disease. Correct Answer: Depression and anxiety disorders Obesity in children is more prevalent in which of the following ethnicities? Correct Answer: Hispanics, American Indian/Alaska Native, and Non-Hispanic Blacks have the highest rate of obesity. Identify the populations that have a greater-than-average risk of developing health problems. Choose the answer that is most correct. Correct Answer: The poor, children, women, elderly, immigrants, and ethnic minorities.
Secondary prevention aims to prevent further illness in persons who are already diagnosed with a disease. Review the following scenarios and choose the one that best represents secondary prevention. Correct Answer: Sally is a 48-year-old Type II diabetic. She is taking three different P.O. medications to help control her blood sugar, and her Hgb A1C is 7.5. Sally's provider is insisting that she be stricter with her diet and that she increase her physical activity. If this doesn't improve her BS, she will need to start insulin; Secondary prevention is gaining more attention as the number of those living with chronic illnesses continues to increase. Primary prevention aims to "prevent" a disease state from occurring. PP strategies reduce the occurrence or delay the onset of disease such as diabetes, heart disease, stroke, and cancer; secondary prevention activities promote health within the limits of the illness or disability. What percentage of lifetime cases of mental health conditions begin by the age of 24? Correct Answer: There is a high likelihood that those individuals who are predisposed to a mental health disorder will show symptoms while in college. Seventy-five percent of individuals with a mental health disorder developed it by the age of 24. Living with ________ challenges a households ability to obtain food and make healthy choices and can exacerbate stress and chronic disease risk. Correct Answer: food insecurity Providers sharing patient records with the patient has allowed people to see for themselves what is being written about them and to feel they have control over their records is called ________. Correct Answer: transparency ________ is one of the primary determinants of good health. Choose the most correct answer. Correct Answer: good nutrition
The American Diabetic Association published nutritional recommendations and interventions for the primary prevention of diabetes. Their recommended changes for moderate weight loss for adults and adolescents at risk for Type 2 DM includes ________. Choose all that apply. Correct Answer: reduction of calories and intake of dietary fats When a health care provider decides they know what is best for the patient, this is known as ________. Correct Answer: paternalism Which of the following is considered the authoritative source to clinical preventive services? Correct Answer: United States Preventive Services Task Force (USPSTF) Obesity related health conditions continue to be documented in the literature. Choose the correct statement(s) below regarding those disease processes. Correct Answer: Heart disease, stroke, Type 2 DM, and certain types of cancers Which of the following is(are) social determinants of health? Choose all that apply. Correct Answer: Cleanliness of water, food, and air Your employer encourages participating in community outreach, and as part of this program, you work in a free clinic at an inner-city public school one day a month. The following activities are on your schedule today. Choose the scenario that best reflects the correct USPSTF guideline. Correct Answer: Many school systems participate in the Youth Risk Behavior Surveillance System (YRBSS) through the CDC. You will be attending a meeting this afternoon to discuss the results. There are six categories listed in the report and it includes behaviors that contribute to unintentional injuries and violence. The data can be viewed by state.
Regular habits that comprise a daily sleep routine that promote effective rest and well- being: Correct Answer: create sleep hygiene What communication style helps patients voice and clarify what they are experiencing and feeling? Correct Answer: listening Choose the correct definition of pharmacokinetics. Correct Answer: Time course of absorption, distribution across compartments, metabolism, and excretion of drugs in the body Think of the communication styles discussed as a continuum. This allows for a trusting relationship to build between provider and patient and the honoring of the patient's wishes. However, providers frequently overuse one communication style. Read the following scenario and choose the interaction that depicts this overused style. Ester is an 83-year-old female who returns for a blood pressure recheck. You review Ester's list of BP readings for the past two weeks and you note that her BP for the past four days has been 162/88 in the afternoon. You explain to Ester that you want her to increase her BP medication and follow up in three months. Correct Answer: Ester states that she doesn't want to change her medication, but you insist and leave her with a new prescription. Choose the correct definition of pharmacodynamics. Correct Answer: Response of the body to the drug that is affected by receptor binding, post-receptor effects, and chemical interactions What do new college students experience from the adverse outcomes resulting from the lack of preparation for the transition to college? Correct Answer: stress
Sickle cell disorder is most common in people of African descent but is also common in families from the following region(s). Choose all that apply. Correct Answer: Sickle cell anemia is more common in certain populations and ethnicities. It is most common in people of African descent. It affects one out of every 375 African-American infants. However, it is also common in people whose families come from South or Central America (especially Panama), the Caribbean islands, Mediterranean countries (such as Turkey, Greece, and Italy), India, and Saudi Arabia. What is the main downfall of asking serial questions? Correct Answer: Serial questions tend to evoke defensiveness, often leading to answers that are half-truths as a means of protecting self-esteem. What are the four guiding principles of motivational interviewing? Correct Answer: Resist, Understand, Listen, Empower What is the primary benefit of asking open-ended questions? Correct Answer: The skillful practitioner asking open-ended questions appears to be taking lots of time yet can be making efficient progress. Choose the correct definition of ambivalence. Correct Answer: simultaneous and contradictory attitudes or feelings (such as attraction and repulsion) toward an object, person, or action For which of the following is STOPP the acronym? Correct Answer: Screening tool of older people's prescriptions Developing skills in this area is essential for success at the collegiate level. Correct Answer: Time management
Large, urban universities rarely have a psychiatric-mental health nurse practitioner or psychiatrist available to students.T/F Correct Answer: false How could a poor directing style done with a lack of grace leave a patient feeling? Correct Answer: Unheard and dissatisfied What do social screenings have to do with good health? Correct Answer: Learning about the environment in which our patients live gives us insight into their daily struggles. These screenings help providers to identify risk factors that need to be addressed so that patients can achieve optimal health. Primary prevention focuses on persons who are at risk for disease. Review the following scenarios and choose the one that best represents primary prevention. Correct Answer: Joe is 54-year-old with hypertension and hypercholesterolemia. Joe's PCP is recommending a fasting blood sugar be drawn with his next appointment. The USPSTF recommends early screening for syphilis infection in all pregnant women. Untreated syphilis infection in pregnant women can be transmitted to the fetus (congenital syphilis) at any time during pregnancy or at birth. Congenital syphilis is associated with all of the following EXCEPT: Correct Answer: preterm labor How many serious diseases are childhood immunizations designed to help prevent? Correct Answer: 14 Read the following scenarios and choose the one that follows the USPSTF guidelines. Correct Answer: JR is a 54-year-old male. As a matter of primary prevention, you recommend that JR start on statin therapy to help prevent the development of cardiovascular disease.
Which of the following statements demonstrates ambivalence? Correct Answer: I need to lose some weight, but I hate exercising. Not taking medications or participating in treatment as prescribed is defined as: Correct Answer: non adherence How can childhood developmental milestones be noted? Choose all that apply. Correct Answer: playing, learning, speaking, acting Which of the following is (are) social determinants of health? Choose all that apply. Correct Answer: Access to social and economic opportunities and the nature of social interactions and relationships, Resources and supports available in homes, neighborhoods, and communities, Quality of schooling and the safety of workplaces, Cleanliness of water, food, and air Choose the three core communication skills from the following list. Correct Answer: Asking, Listening, Informing The USPSTF deferred recommendations on sickle cell screening to the Health Resources and Services Administration (HRSA) Discretionary Advisory Committee on Heritable Disorders in Newborns and Children (DACHDNC). What is the recommendation from HRSA? Correct Answer: Every newborn screening program should include a Uniform Screening Panel that screens for 35 core disorders and 26 secondary disorders. What supports regular exercise, healthy eating, and a consistent study schedule? Correct Answer: regular sleeping patterns Rates of binge drinking are ______ for students living off campus (and not with parents) and those living in fraternity or sorority houses. Correct Answer: the highest
If alcohol is consumed, it should be in moderation " ________ " and only by adults of legal drinking age. Correct Answer: up to one drink per day for women and up to two drinks per day for men What are: establishing oneself in a productive career, nourishing long-term relationships, childbearing, and child rearing? Correct Answer: Stressors frequently identified by young and middle age adults Screening for obesity in children and adolescents should occur at what age? Correct Answer: six years old and older The CDC and USPSTF recommend screening all high-risk individuals for hepatitis C and tuberculosis. Read the following scenarios and choose the best option. Correct Answer: Mike is a 38-year-old male who just finished a 10-year sentence for multiple armed robberies. You volunteer at the local health clinic and are seeing Mike for the first time. Due to his history of being incarcerated, Mike is at risk for TB and Hep C. Stacey is 26 years old and is 12 weeks pregnant. Today, she has no protein in her urine and her BP is 104/62; however, with her last pregnancy she developed proteinuria with hypertension and had to be placed on bedrest for the last trimester of her pregnancy. Correct Answer: Per the USPSTF Guidelines, you will recommend that Stacey start a low dose aspirin daily immediately as she is 12 weeks pregnant and at high risk for preeclampsia. Read the following scenarios. Choose the scenario that best depicts the role of the provider in relation to health planning and the USPSTF Guidelines. Correct Answer: Judith is 68 and presents to your office for an annual exam. She is asking about having an ultrasound done to screen for ovarian cancer. She states that
Screening is not right for everyone or every health problem. Screenings uncover health problems in an efficient and economically feasible manner when certain factor(s) are present. Read the following scenarios and choose the one(s) most consistent with the requirements of preventative screening. Correct Answer: Jacob is a 74-year-old male who smoked for 30+ years, but he quit smoking when he was 50. After his annual exam, you write orders for lab work and a CT of his lungs. Haden just delivered her third child at home. She and the baby are both doing well. The midwife who was present for the birth should ________. Choose all that apply. Correct Answer: treat the newborn with prophylactic ocular topical medication to prevent gonococcal ophthalmia neonatorum Read the following scenarios and choose the correct exchange based on the USPSTF Guidelines. Correct Answer: Kathy is a 66-year-old female who presents to your office to establish care, and you recommend a bone density screen since Kathy is over 65. The USPSTF screening for hypertension in adults is best applied to which of these scenarios? Correct Answer: John is a 32-year-old Caucasian male who is in your office with complaints of anxiety. His BP is 186/100. You recommend John check his BP outside of the office and call with those results before starting any medications. How can developmental milestones be noted in children? Choose all that apply. Correct Answer: act The Women's Health Initiative studies caused controversy when trials were halted. The disinformation that came from the halting of the trials caused a panic. What are the current recommendations for healthful diet and exercise and the use of hormone replacement therapy in postmenopausal women?
Correct Answer: The USPSTF recommends against the use of combined estrogen and progestin for the primary prevention of chronic conditions in postmenopausal women. The most commonly reported STD in the United States is ________. Correct Answer: chlamydia and gonorrhea The CDC makes the following statements about chronic disease: Six in 10 adults in the United States have a chronic disease. Four in 10 adults in the United States have two or more chronic diseases. Chronic diseases are the leading cause of death and disability in the United States. Tobacco use, poor nutrition, lack of physical activity, and excessive alcohol use are key lifestyle risks for chronic disease. Now that you have reviewed these statements from the CDC, read the following scenarios and choose the one that most reflects the statistics on chronic disease. Correct Answer: Sandy is a 56-year-old female with frequent episodes of shingles. She is diabetic, has hypertension, and continues to smoke. Sandy's BMI is 38.
