CMN 571 -- NP Questions from NPC Exam and Practice Questions and Answers
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Course
CMN 571
Institution
CMN 571
CMN 571 -- NP Questions from NPC Exam and Practice Questions and Answers
An example of a primary prevention measure for a 78-year-old man with chronic obstructive pulmonary disease is:
A. reviewing the use of prescribed medications.
B. conducting a home survey to minimize fall risk.
C. checking...
CMN 571 -- NP Questions from NPC
Exam and Practice Questions and
Answers
An example of a primary prevention measure for a 78-year-old man with chronic
obstructive pulmonary disease is:
A. reviewing the use of prescribed medications.
B. conducting a home survey to minimize fall risk.
C. checking FEV1 (force expired volume at 1 second) to FVC (forced vital capacity)
ratio.
D. ordering fecal occult blood test (FOBT). - answerB -- Primary prevention measures
include activities provided to individuals to prevent the onset or acquisition of a given
disease. The goal of primary prevention measures is to spare individuals the suffering,
burden, and cost associated with the clinical condition and is the first level of healthcare.
An example is health-protecting education and counseling, such as encouraging the use
of car restraints and bicycle helmets, counseling about safer sexual practices, and
*providing information on accident and fall prevention*. Given its focus on preventing
illness or injury, primary prevention is usually viewed as the most effective form of
healthcare.
Which of the following is an example of a primary prevention activity in a 76-year-old
woman with osteoporosis?
A. bisphosphonate therapy
B. calcium supplementation
C. ensuring adequate illumination in the home
D. use of a back brace - answerC
Secondary prevention measures for a 78-year-old man with chronic obstructive
pulmonary disease include:
A. screening for mood disorders.
B. administering influenza vaccine.
C. obtaining a serum theophylline level.
D. advising about appropriate use of car passenger
restraints. - answerA
Tertiary prevention measures for a 69-year-old woman with heart failure include:
A. administering antipneumococcal vaccine.
B. adjusting therapy to minimize dyspnea.
C. surveying skin for precancerous lesions.
D. reviewing safe handling of food. - answerB Tertiary prevention measures are part of
the management of an established disease. The goal is to minimize disease associated
, complications and the negative health effects of the conditions to the patient. Examples
include *medications and lifestyle modification* to normalize blood glucose levels in
individuals with diabetes mellitus and *in conjunction with the treatment of heart failure,
aimed at improving or minimizing disease-related symptoms*.
Which of the following products provides passive immunity?
A. hepatitis B immune globulin (HBIG)
B. measles, mumps, and rubella (MMR) vaccine
C. pneumococcal conjugate vaccine
D. live attenuated influenza vaccine (LAIV) - answerA
Active immunity is defined as:
A. resistance developed in response to an antigen.
B. immunity conferred by an antibody produced in another host.
C. the resistance of a group to an infectious agent.
D. defense against disease acquired naturally by the infant from the mother. - answerA
-- Active immunization through the use of vaccines provides long-term protection
from disease.
Which of the following is usually viewed as the most cost-effective form of healthcare?
A. primary prevention
B. secondary prevention
C. tertiary prevention
D. cancer-reduction measures - answerA
An 18-year-old woman with allergic rhinitis presents for primary care. She is sexually
active with a male partner and is 1 year post-coitarche; during this time she had had two
sex partners. An example of a primary prevention activity for this patient is:
A. screening for sexually transmitted infection.
B. counseling about safer sexual practices.
C. prescribing therapies for minimizing allergy.
D. obtaining a liquid-based Papanicolaou (Pap) test. - answerB
When a critical portion of a community is immunized against a contagious disease, most
members of the community, even the unimmunized, are protected against
that disease because there is little opportunity for an outbreak. This is known as
_________ immunity.
A. passive
B. humoral
C. epidemiologic
D. community - answerD -- In *herd or community immunity*, a significant portion of a
given population has immunity against an infectious agent; the likelihood that the
susceptible portion of the
group would become infected is minimized
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