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NUR 426 - Exam 4 Practice Questions and Correct Answers
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A young woman presents to her primary care provider. Her mother has just been diagnosed with Huntington's disease, and several other members of her family have been diagnosed with the condition as well. She wants to know her options regarding testing to see if she is a genetic carrier. From an ethi...

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  • August 28, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nur 426 exam 4 practice questions and correct an
  • a young woman presents to her primary care provide
  • a nurse is working with a community center that pr

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  • NUR 426

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NUR 426 - Exam 4 Practice Questions
and Correct Answers
A young woman presents to her primary care provider. Her mother has just been
diagnosed with Huntington's disease, and several other members of her family have
been diagnosed with the condition as well. She wants to know her options regarding
testing to see if she is a genetic carrier. From an ethical perspective, what issue would
be most important to discuss with the patient? ✅The fact that there is no known
treatment that can alter the progression of the disease

A nurse is working with a community center that primarily serves a nearby Native
American tribe. The nurse knows that many of the tribe members suffer from type 2
diabetes. Which of the following interventions is an example of a tertiary prevention?
✅Actively encouraging patients diagnosed with type 2 diabetes to have foot, eye, and
hemoglobin A1C screening tests every 3 months.

The public health department (PHD) is concerned about an outbreak of measles that
has occurred in a country adjacent to theirs. Although there are currently no reported
cases, as one of their actions the PHD reaches out to all the primary care providers to
encourage all of their unvaccinated patients to get vaccinated and to encourage the
parents of unvaccinated children to get their vaccinations up to date. Such a public
health initiative is an example of: ✅A primary prevention approach focused on health
protection.

A new strain of flu has emerged, and the CDC has released a new vaccine that is for
use in high-risk populations. Which population is most apt to be high-risk? ✅pregnant
women, older adults, children

A nurse is meeting with a patient with no history of IV drug use after he has spoken with
the doctor and received a diagnosis of hepatitis B and E. The patient expresses concern
that someone will find out about his diagnosis. How does the nurse respond? "I can
understand that you are concerned about this. ___________________." ✅"However,
this is a reportable disease in this state. This means the public health department will
ask you for all your possible contacts that might requiring counseling and/or post-
exposure prophylaxis."

A primary health nurse has observed an increase in the rate of patients being treated for
pertussis in her community. The nurse has seen multiple news reports on the issue and
knows that this isn't an isolated problem. The nurse decides to brainstorm strategies to
reduce the pertussis rate in her community. First, the nurse should: ✅Perform a health
and cultural evaluation of her community.

A primary care nurse works at the Native American Health Center, a nonprofit
organization serving the California Bay Area Native Population. The center has asked

, her to put together a comprehensive prevention plan related to type 2 diabetes. Which
of the following interventions is an example of a primary intervention? ✅Encouraging a
healthy diet and weight loss if appropriate

A nurse is working in a primary health-care setting that has had a recent influx of
persons immigrating from a West African country. She wants to incorporate cultural
components to the care of patients from this country. What are possible aspects of the
culture that she should learn more about? (Select all that apply.) ✅kinship, gender
roles, value of children

A nurse is working in a family planning clinic that provides treatment for sexually
transmitted infections (STIs). The nurse has noticed a significant increase in the
incidence rate of STIs in the young women being seen at the clinic and wonders if this is
a community-wide problem. Which of the following techniques would be a helpful first
step in answering her question? ✅Develop collaborative relationships with other
health-care providers in the area concerned with STIs.

A nurse is considering entering the specialty of parish nursing. Nurses working in this
field perform which of the following activities specific to that of a parish nurse?
✅Improving spiritual health through practices such as grief counseling.

A student nurse is reviewing important global communities for ideas about a final
research project. The student nurse discovers a movement in Europe that focuses on
reducing health disparities and involving the local community in program design and
implementation. What program does this describe? ✅Healthy Cities

The state public health department in a large northern state has convened a task force
to help optimize the health of the populations living in the state's rural communities by
addressing major barriers to promoting optimal health in those rural communities. Which
of the following is a major barrier? (Select all that apply.) ✅Decreased access health
care,
Lack of funding for safety net programs,
Difficulty recruiting physicians, physician assistants, and nurse practitioners

STEPS IN ✅

A group of nurses wants to develop a collaborative effort that works to reduce the
obesity rate in their community. Place the following steps in the order in which they
should be performed (A-D): ✅_____ C. Determine if there is a need to collaborate with
other agencies or individuals.
_____ A. Describe the major problems and issues and determine how a partnership
would benefit their goals.
_____ B. Identify the key stakeholders within the community and beneficial
collaborators.
_____ D. Establish mutual goals and a plan that addresses those goals.

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