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FNP 590:Health Promotion Final questions and answers.
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FNP 590: Health Promotion FinalA 24 year old man with severe cognitive impairment, and no relative participating in his care,
needs to make a decision about removal of a brain tumor that will render him totally
dependent for completion of all activities of daily living. The nurse participates in ethical
decision making on his behalf, knowing that the client is unable to benefit from which of the
following ethical concepts? - correct answer-Autonomy
A 37 year old woman asks the nurse if she should take a nutritional supplement. Which of
the following would be the best reply by the nurse? - correct answer-"The best way to obtain
nutrients is by eating a variety of foods"
A 45-year-old man has been diagnosed with metabolic syndrome. Which of the following
characteristics would this man exhibit? - correct answer-Blood pressure: 146/88
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. - correct answer-15%
a blended house has six children ages 2,4,4,5,7,10. During a home visit the nurse noticed
that the 7year old seems quiet and withdrawn whereas the other children are playing loudly
in the garage. which of the following conclusions can the nurse make from this observation?
- correct answer-the child is one of multiple children closely spaced in age
a client is schedules to have open heat surgery. his physical condition is such that he is at
high risk to experience complications during the procedure, but has not been advised of the
possibility. Which of the following ethical concepts has been ignored in rendering care for
this client? - correct answer-Informed Consent
a client reports that her family will be. moving because her husband is taking a new job in
another state. she is very unhappy about the decision and doesn't want to move. what action
should the nurse take next? - correct answer-assess the client's and family's coping
mechanism in handling stress
A client who is taking Coumadin tells the nurse that she has started taking 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? -
correct answer-"Vitamin E can interfere with the actions of vitamin K and enhance the effects
of Coumadin"
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? - correct answer-Make at least half of your grains whole grains
,A 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? - correct answer-negotiate an
agreement
A community health nurse is providing education about the "Dietary Approaches to stop
Hypertension" (DASH) eating plan to people atttending cardiac rehab. Which of the following
recommendations would be included in this presentation? - correct answer-This dietary plan
includes eating greater amounts of fruits and vegetables
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? - correct answer-It serves an
overall guideline for the population
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? - correct answer-Supplemental Nutrition
Assistance Program (SNAP)
A community is considering banning smoking in all schools. Based on the community's
current stage of change, which action should the nurse take next? - correct answer-Point out
positive outcomes associated with banning smoking such as maintenance of lung function.
A community is in the maintenance stage of change. Which of the following would be an
appropriate intervention for the community health nurse? - correct answer-Highlight past
successes
a community nurse develops a plan to address the problem of teenage pregnancies. which
of the following actions should the nurse take next? - correct answer-provide educational
programs at local schools regarding pregnancy prevention
A community planning committee is working on the development of a community nursing
center. Which of the following essential components should be included in this center? -
correct answer-nurse as a chief manager
A family has recently become homeless. Which of the following factors most likely
contributed to this situation? - correct answer-Being unable to find affordable housing
A health care professional is caring for an individual who is homeless. Which of the following
considerations should be made? - correct answer-The percentage of the population who has
health insurance is much lower among the homeless than the general population.
A health care professional is caring from an Arab American individual. Which of the following
cultural practices of this ethnic minority should be considered when planning care? - correct
answer-religion plays and important role in this culture
, A health care professional is leading a community action coalition to address the problem of
homelessness within the neighborhood. Which of the following statements would most likely
be made by health care professional? - correct answer-Homelessness should be a concern
to everyone in the neighborhood
A health care professional is offering an educational session about providing culturally
congruent care. Which of the following information would be included in the presentation? -
correct answer-Native Americans are present oriented, taking one day at a time
A health care professional is searching for a funding source to develop a colorectal cancer
screening program for ethnic and racial minorities in the community. Which of the following
federal agencies would most likely be able to assist with this initiative? - correct answer-The
Office of Minority and Health
A health care provider is working with an African American woman who has recently suffered
a stroke and is homebound. She insists that she must get out of the house and attend
Sunday worship services. What is the most likely explanation for her insisting that she
participate in this cultural practice? - correct answer-The church serves as a social support
for its members
A Hispanic mother tells the nurse that she has been using home remedies for her child's
asthma. Which home remedy might this mother be using? - correct answer-In the Hispanic
population, asthma is viewed as a cold disease (hot-cold imbalance) and thus is treated with
warm therapies. Diet is often used to maintain equilibrium. Thus, warm tea added to the
child's diet might be used to restore equilibrium between hot and cold in this child who has
asthma.
a home care nurse is planning and intervention with a family on decreasing susceptibility.
which of the following nursing interventions would be most appropriate to implement? -
correct answer-education on hand hygiene
A hurricane has just caused extensive damage within a local community. Which of the
following are community members at risk to experience? - correct answer-Outbreaks of
acute respiratory infection
A liver for which two people are tissue-typed has become available after the death of a donor
in a car accident. Client A in a 45 year old substance abuser whose liver is damaged as a
result of his use of alcohol. Client B is a 16 year old adolescent in need of a liver transplant
because of a birth abnormality. Which of the following would be appropriate for a nurse in
giving input to which of the two should receive the liver? - correct answer-using a guided set
of moral principles in decision-making before advocating for either
A major cause of death in the early twentieth century was: - correct answer-Infection & acute
disease
A man is telling. nurse that he feels that his health is a gift from God. This statement is most
closely coincides with beliefs of which cultural group? - correct answer-Hispanice
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