ADVANCED HEALTH ASSESSMENT MIDTERM EXAM 2024-2025, Exams of Nursing

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ADVANCED HEALTH ASSESSMENT

MIDTERM EXAM 2024-2025 WITH

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A 17-year-old girl presents to the clinic for a sports physical. Physical examination findings reveal bradycardia, multiple erosions of tooth enamel, and scars on her knuckles. She appears healthy otherwise. You should ask her if she binges and vomits. Mr. D. complains of a headache. During the history, he mentions his use of alcohol and illicit drugs. This information would most likely belong in the: personal and social history. A college student comes to the student health center complaining of difficulty in concentrating during class and while studying. The diet that would contribute to this problem is one that consumes mostly: lean meat and fish. You are completing a general physical examination on Mr. Rock, a 39-year-old man with complaints of constipation. When examining a patient with tense abdominal musculature, a helpful technique is to have the patient flex his or her knees. What finding is unique to the documentation of a physical examination of an infant?

Fontanel sizes When communicating with older children and teenagers, you should be sensitive to their: typical reluctance to talk. Under normal circumstances, how much water is lost daily by the body? 2 to 2.5 L A fixed image of any group that rejects its potential for originality or individuality is known as a(n) stereotype. Knowledge of the culture or cultures represented by the patient should be used to: help make the interview questions more pertinent. Mrs. Webb is a 38-year-old patient who has been changing her lifestyle to eat in a healthy way and lose weight. During your health promotion education regarding her nutritional status, you explain the function of dietary protein as building and maintaining tissues. When recording physical findings, which data are recorded first for all systems? Inspection Brittle nails are a typical finding in: older adults Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the: A. descending aorta. B. lower liver border. C. medial border of the spleen. D. upper right kidney ridge. Lower liver border Which of the following is an expected change in the assessment of the thyroid during pregnancy? A bruit is auscultated due to increased vascularity Unusual white areas on the skin may be due to:

○ adrenal disease

○ polycythemia

○ vitiligo

○ Down syndrome Vitiligo A 5-year-old child presents with nasal congestion and a headache to assess for sinus tenderness your should palpate over the: Maxillary sinuses only Mr. Atkins is a78-year-old patient who presents to the clinic with complaints of hearing loss. Which of t he following changes in hearing occur in the elderly? Loss of high frequency

Sounds may be garbled, difficult to locate

Unable to hear in a crowded room Mrs. Grace is a 58-year-old patient who has a diagnosis of pernicious anemia. Which B vitamin is deficient in patients with pernicious anemia? B You are examining a pregnant patient and have noted a vascularized lesion. When you blanche over the vascularized lesion, the site blanches and refills evenly from the center outward. The nurse documents this lesions as a: Spider angioma When palpating the abdomen, you should note whether the liver is enlarged in the: right upper quadrant Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence? Realize that cultural values are difficult to change and must be respected The review of systems is a component of the: health history You are planning to palpate the abdomen of your patient. Which part of the examiners' hand is best for palpating vibration? Ulnar surface

Mrs. Leonard brings her newborn infant into the pediatrician's office for a first well- baby visit. As the health care provider, you teach her that newborns are more vulnerable to hypothermia due to D. a poorly developed subcutaneous fat layer. Bulging of an amber tympanic membrane without mobility is most often associated with middle ear effusion Which cranial nerves innervate the face? C. V and VII The most common form of birth trauma of the scalp is: caput succedaneum Mr. Sanchez is a 45-year-old gentleman who has presented to the office for a physical examination to establish a new primary care health care provider. Which of the following describes a physical, not a cultural, differentiator? Race A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient avoids eye contact and answers questions only by saying, "Yeah," "No," or "I guess so." Which of the following is appropriate for the interviewer to say or ask? Are you uncomfortable talking with me? Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure: hearing range of normal speech. Spasmodic muscular contractions of the head, face, or neck are called: Tics Which of the following occurs when firm pressure is used to apply the stethoscope's bell end-piece to the skin? It functionally converts to a diaphragm end-piece. Knowledge of the culture or cultures represented by the patient should be used to: help make the interview questions more pertinent

Cherry angiomas are a common finding in: a. adults older than 30 years. b. newborns. c. pregnant women. d. sunbathers. adults older than 30 years. Mr. D. complains of a headache. During the history, he mentions his use of alcohol and illicit drugs. This information would most likely belong in the personal and social history. Tangential lighting is best used for inspecting skin: Contour Your patient returns for a blood pressure check 2 weeks after a visit during which you performed a complete history and physical. This visit would be documented by creating a: Progress Note Expected hair distribution changes in older adults include: increased terminal hair follicles to the tragus of men's ears Which part of the information contained in the patient's record may be used in court? All information A guideline for history taking is for caregivers to: make notes sparingly so that patients can be observed during the history taking. Which action would best promote accurate translations as well as confidentiality when the caregiver does not speak the patient's language? Ask a person unfamiliar with the patient to translate. Behaviors that diffuse anxiety during the interview include providing forthright answers to questions. Periods of silence during the interview can serve important purposes, such providing time for reflection Mr. F. is speaking with you, the health care provider, about his respiratory problem. Mr. F. says, "I've had this cough for 3 days, and it's getting worse." You reply, "Tell me more about your cough." Mr. F. states, "I wish I could tell you more. That's why I'm here. You tell me what's wrong!" Which caregiver response would be most appropriate for enhancing communication?

"After 3 days, you're tired of coughing. Have you had a fever?" A patient becomes restless during the history and says, "I don't have time for all of this conversation. I've got to get back to work." Your most appropriate response would be to acknowledge his anger and proceed with the history and examination. When questioning a patient regarding alcohol intake, she tells you that she is "only a social drinker." Which initial response is appropriate? "What amount and what kind of alcohol do you drink in a week?" Ms. T. is crying and states that her mother couldn't possibly have a tumor. "No one else in the family has ever had cancer!" exclaims the daughter. The most appropriate response to Ms. T. would be "Why do you think that your mother's tumor is cancerous?" A 50-year-old man comes to the primary care clinic. He tells you he is worried because he has had severe chest pains for the past 2 weeks. Which initial history interview question is most appropriate? "Can you describe the pain?" A 36-year-old woman complains that she has had crushing chest pain for the past 2 days. She seems nervous as she speaks to you. An appropriate response is to continue to collect information regarding the chief concern in an unhurried manner. Ms. A. states, "My life is just too painful. It isn't worth it." She appears depressed. Which one of the following statements is the most appropriate caregiver response? "What in life is causing you such pain?" During a history-taking session, Mr. B appears to be avoiding certain questions. He keeps looking out the window. What should the caregiver do? Make a note to pursue sensitive issues later in the interview You are collecting a history from an 11-year-old girl. Her mother is sitting next to her in the examination room. When collecting history from older children or adolescents, they should be given the opportunity to be interviewed without the parent at some point Information that is needed during the initial interview of a pregnant woman includes all of the following except the gender that the woman hopes the baby will be. When communicating with older children and teenagers, you should be sensitive to their typical reluctance to talk. When interviewing older adults, the examiner should position himself- or herself face to face with the patient.

When you suspect that your 81-year-old patient has short-term memory loss because he cannot remember what he had for breakfast, you should validate the concern with his family or caregivers. A brief statement of the reason the patient is seeking health care is called the chief concern When questioning the patient regarding his or her sexual history, which question should be asked initially? "Do you have any worries or concerns regarding your sex life?" Direct questioning about intimate partner violence in the home should be a routine component of history taking with female patients. Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the CAGE questionnaire. When you enter the examination room of a 3-year-old girl, you find her sitting on her father's lap. She turns away from you when you greet her. Initially, your best response is to leave the child sitting in the father's lap while you talk to the father. Tom is a 16-year-old young man with diabetes who does not follow his diet. He enjoys his dirt bike and seems unconcerned about any consequences of his activities. Which factor is typical of adolescence and pertinent to Tom's health? Propensity for risk taking Pain is difficult to assess in older adults because sharp pain may be felt as a dull ache. A survey of mobility and activities of daily living (ADLs) is part of a(n) functional assessment. Constitutional symptoms in the ROS refer to: fever, chills, fatigue, and malaise. J.M. has been seen in your clinic for 5 years. She presents today with signs and symptoms of acute sinusitis. The type of history that is warranted is a(n) _____ history. problem or focused Mary Jane has brought in her 16-year-old son, Kyle. She states that he has been sleeping more and doesn't hang around his friends, and recently his girlfriend broke up with him. Your most immediate question is to ask Kyle

"Have you made plans to harm yourself?" Which of the following is considered an IADL but not an ADL? Paying bills A pedigree diagram is drafted for the purpose of obtaining genetic and familial health problems. The primary objective of the initial encounter is to: establish the tone of a successful partnership. If language is a barrier, the interpreter should be: a professional interpreter Ms. Yale is a 52-year-old patient who presents to the office for evaluation. During the interview, you say "Tell me what you do when you have knee pain." The health care provider is asking information about aggravating and relieving factors of the complaint. To prevent personal appearance from becoming an obstacle in patient care, the health care professional should avoid extremes in dress Which action would best promote accurate translation and confidentiality when the caregiver does not speak the patient's language? Ask a person unfamiliar with the patient to translate. Behaviors that diffuse anxiety during the interview include: providing forthright answers to questions. Mr. Franklin is speaking with you, the health care provider, about his respiratory problem. Mr. Franklin says, "I've had this cough for 3 days, and it's getting worse." You reply, "Tell me more about your cough." Mr. Franklin states, "I wish I could tell you more. That's why I'm here. You tell me what's wrong!" Which caregiver response would be most appropriate for enhancing communication "After 3 days, you're tired of coughing. Have you had a fever?" After you ask a patient about her family history, she says, "Tell me about your family now." Which response is generally most appropriate? Give a brief, undetailed answer. During an interview, you have the impression that a patient may be considering suicide. Which action is essential? Ask whether the patient has considered self-harm.

Mr. Mills is a 55-year-old patient who presents to the office for an initial visit for health promotion. A survey of mobility and activities of daily living (ADLs) is part of a(n): functional assessment. Which of the following are connection types of communication?

Select all that apply Good eye contact Avoiding being judgmental Respecting silence Mr. Abdul is a 40-year-old Middle Eastern man who presents to the office for a first visit with the complaint of new abdominal pain. You are concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to: inform the patient of the reason for the examination and ask if it is acceptable to him. A college student comes to the student health center complaining of difficulty in concentrating during class and while studying. The diet that would contribute to this problem is one that consumes mostly: Lean meat and fish When hearing is evaluated, which cranial nerve is being tested? VIII Ms. Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, your diagnosis would be obese Which of the following is the most vital nutrient? Water Mr. L. presents to the clinic with severe groin pain and a history of kidney stones. Mr. L.'s son tells you that, for religious reasons, his father wishes to keep any stone that is passed into the urine filter that he has been using. What is your most appropriate response? "With your father's permission, we will examine the stone and request that it be returned to him." Recommended carbohydrate content of total dietary intake (% total calories) is ____% 45% to 65%

Tympanic thermometers measure body temperature when a probe is placed in the auditory canal Which of the following is an "ABCD" characteristic of malignant melanoma? Asymmetric borders The position on a clock, topographic notations, and anatomic landmarks: are methods for recording locations of findings What finding is unique to the documentation of a physical examination of an infant? Fontanel sizes Mr. Mathews is a 47-year-old patient who presents for a routine physical examination. On examination, you have noted a bruit heard over the thyroid. This is suggestive of: hyperthyroidism Mrs. Raymonds is a 24-year-old patient who has presented for a routine concern over her current weight. In your patient teaching with her, you explain the importance of macronutrients. Which of the following is a macronutrient? fat The review of systems is a component of the: health history The recommended minimum daily protein requirement for the normal adult is 10% to 35% of total calories

or 45 grams You are palpating a patient's thyroid and find that its broadest dimension measures 4 cm. The right lobe is 25% larger than the left. These data would indicate A normal thyroid gland A flat, nonpalpable lesion is described as a macule if the diameter is: less than 1 cm Ms. Otten is a 45-year-old patient who presents with a complaint of weight gain. Which medication is frequently associated with weight gain? Steroids

George Michaels, a 22-year-old patient, tells the nurse that he is here today to "check his allergies." He has been having "green nasal discharge" for the last 72 hours. How would the nurse document his reason for seeking care G.M. is a 22-year-old male here for having "green nasal discharge" for the past 72 hours. Expected normal percussion tones include: a. dullness over the lungs. b. hyperresonance over the lungs. c. tympany over an empty stomach. d. flatness over an empty stomach. tympany over an empty stomach. Which type of speculum should be used to examine a patient's tympanic membrane? The largest speculum that will fit comfortably in the ear Differential diagnoses belong in the: Assessment Ms. G. is being seen for her routine physical examination. She is a college graduate and president of a research firm. Although her exact salary is unknown, she has adequate health insurance. Most of the above information is part of Ms. G.'s _____ history personal and social The attitudes of the health care professional: are culturally derived. Mrs. Kinder is a 39-year-old patient who presents to the office with complaints of an earache. In explaining to the patient about the function of her ears, which ear structure would you tell her is responsible for equalizing atmospheric pressure when swallowing, sneezing, or yawning? Eustachian tube Mrs. Britton brings her 16-year-old son in with a complaint that he is not developing correctly into adolescence. Which structures disproportionately enlarge in the male during adolescence? Nose and thyroid cartilages Mr. and Mrs. Johnson have presented to the office with their infant son with complaints of ear drainage. When examining an infant's middle ear, the nurse should use one hand to stabilize the otoscope against the head while using the other hand to: pull the auricle down and back.

Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)? Brief SOAP Note Small, minute bruises are called? petechiae Regardless of the origin, discharge is described by noting? Color and consistency Tracheal tug suggests the presence of a(n)? aortic aneurysm Your patient presents with symptoms that lead you to suspect acute appendicitis. Which assessment finding is least likely to be associated with this condition early in its course Obturator muscle test A tool used to screen adolescents for alcoholism is the CRAFFT Which question would be considered a leading question? "You don't get headaches often, do you?" Mrs. Berger is a 39-year-old woman who presents with a complaint of epigastric abdominal pain. You have completed the inspection of the abdomen. What is your next step in the assessment process? Auscultation Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic. Which question has the most potential for exploring a patient's cultural beliefs related to a health problem? "Why do you think you are having these symptoms?" Which technique is most likely to result in the patient's understanding of questions? Use the patient's own terms if possible. You are collecting a history from an 11-year-old girl. Her mother is sitting next to her in the examination room. When collecting history from older children or adolescents, they should be: given the opportunity to be interviewed without the parent at some point during the interview.

The most superior part of the stomach is the: fundus White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are aphthous ulcers. You are using an ophthalmoscope to examine a patient's inner eye. You rotate the lens selector clockwise, then counterclockwise to compensate for myopia Mrs. Raymonds is a 24-year-old patient who has presented for a routine concern over her current weight. In your patient teaching with her, you explain the importance of macronutrients. Which of the following is a macronutrient? Fat Mr. Mathews is a 47-year-old patient who presents for a routine physical examination. On examination, you have noted a bruit heard over the thyroid. This is suggestive of: hyperthyroidism he adult recommended dietary fat intake should be _____ g/day 20 to 35 g a day for an adult Which of the following is the most accurate reflection of an individual's food intake? Food Diary Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish: D. seborrheic keratoses from actinic keratoses. Bulging of an amber tympanic membrane without mobility is most often associated with middle ear effusion. Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted C. with illumination provided by daylight. Sweat glands, hair, and nails are all formed from: C. invaginations of epidermis into dermis. Mr. Williams, age 25, has recovered recently from an upper and lower respiratory infection. He describes a long-standing nasal dripping. He is seeking treatment for a

mild hearing loss that has not gone away. Information concerning his chronic postnasal drip should be documented within which section of his history Past medical data Mr. Mills is a 55-year-old patient who presents to the office for an initial visit for health promotion. A survey of mobility and activities of daily living (ADLs) is part of a(an): functional assessment. Before performing an abdominal examination, the examiner should: have the patient empty his or her bladder. Which part of the information contained in the patient's record may be used in court? All information When taking a history, you should: use a chronologic and sequential framework. Which is the best way to position a patient's neck for palpation of the thyroid? C. Flexed toward the side being examined In examining the neck of a 34-year-old female patient, you note that the uppermost ridge of the tracheal cartilage is at the cricoid Periods of silence during the interview can serve important purposes, such as: providing time for reflection. When palpating the abdomen, you should note whether the liver is enlarged in the: right upper quadrant. You are palpating a patient's thyroid and find that its broadest dimension measures 4 cm. The right lobe is 25% larger than the left. These data would indicate: C. a normal thyroid gland. Your patient is complaining of acute, intense sharp epigastric pain that radiates to the back and left scapula with nausea and vomiting. Based on this history, your prioritized physical examination should be to inspect for ecchymosis of the flank. During an interview, tears appear in the patient's eyes and his voice becomes shaky. Initially, you should: offer a tissue and let him know it is all right to cry.

A 51-year-old woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to: come to the laboratory for a stool guaiac test. Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence? Realize that cultural values are difficult to change and must be respected. Placing the base of a vibrating tuning fork on the midline vertex of the patient's head is a test for lateralization of sound. During an interview, you have the impression that a patient may be considering suicide. Which action is essential Ask whether the patient has considered self-harm. A detailed description of the symptoms related to the chief complaint is presented in the: history of present illness. Which statement is true regarding the relationship of physical characteristics and culture? There is a difference between distinguishing cultural characteristics and distinguishing physical characteristics. Which technique is most likely to result in the patient's understanding of questions? Use the patient's own terms if possible. Mrs. Britton is a 34-year-old patient who presents to the office with complaints of skin rashes. You have noted a 4' 3-cm, rough, elevated area of psoriasis. This is an example of a A. plaque. Your patient returns for a blood pressure check 2 weeks after a visit during which you performed a complete history and physical. This visit would be documented by creating a(n): progress note. Mrs. Hartzell is a 34-year-old patient who has presented for nutritional counseling because she is a vegetarian. Deficiency of which of the following is a concern in the vegetarian diet? Vitamin B

Fluorescing lesions are best distinguished using a(n): Wood's lamp. When assessing abdominal pain in a college-age woman, one must include: the first day of the last menstrual period. During percussion, a dull tone is expected to be heard over: the liver. In issues surrounding ethical decision making, beneficence refers to the: need to do good for the patient. Nuchal rigidity is most commonly associated with: B. meningeal irritation. Subjective and symptomatic data are: placed in the history section. As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include repeated trauma or irritation to skin. Mrs. Tuber is a 36-year-old patient who comes into the health center with complaints that her fingernails are not growing. Which structure is the site of new nail growth? C. Matrix To correctly document absent bowel sounds, one must listen continuously for: 5 minutes. Which of the following is an "ABCD" characteristic of malignant melanoma? Asymmetric borders You are planning to palpate the abdomen of your patient. Which part of the examiner's hand is best for palpating vibration? Ulnar surface Mr. Jones is a 45-year-old patient who presents for a physical examination. On examination, you note costochondral beading, enlarged skull, and bowed legs and diagnose him with rickets. A deficiency of which fat-soluble micronutrient can result in rickets? Vitamin D

Mr. Johnson presents with a freely movable cystic mass in the midline of the high neck region at the base of the tongue. This is most likely a: thyroglossal duct cyst. In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for: normal growth and development. Mrs. Kinder is a 39-year-old patient who presents to the office with complaints of an earache. In explaining to the patient about the function of her ears, which ear structure would you tell her is responsible for equalizing atmospheric pressure when swallowing, sneezing, or yawning? Eustachian tube Regardless of the origin, discharge is described by noting: color and consistency. Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first? Inspection Penicillin is considered a "hot" medicine. Peritonitis produces bowel sounds that are: hypoactive. When are open-ended questions generally most useful? During the initial part of the interview Mrs. Britton brings her 16-year-old son in with a complaint that he is not developing correctly into adolescence. Which structures disproportionately enlarge in the male during adolescence? D. Nose and thyroid cartilages Before performing an abdominal examination, the examiner should: have the patient empty his or her bladder. Nasal symptoms that imply an allergic response include: bluish gray turbinates. Coarse, dry, and brittle hair is associated with which metabolic disorder? Hypothyroidism

The infant should be placed in which position to have his or her height or length measured? Supine on a measuring board Cherry angiomas are a common finding in: adults older than 30 years. Underestimation of blood pressure will occur if the blood pressure cuff's width covers: more than two-thirds of the upper arm. Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure: hearing range of normal speech. Auscultation should be carried out last, except when examining the: abdomen You have just completed a skin assessment on Mr. Baker. During your assessment, you have transilluminated a skin lesion. During the physical examination, you know that skin lesions are transilluminated to distinguish: C. fluid-filled from solid cysts or masses. Which of the following organs is part of the alimentary tract? Stomach When assessing abdominal pain in a college-age woman, one must include: the first day of the last menstrual period. To perform the Rinne test, place the tuning fork on the: mastoid bone. A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness you should palpate over the: maxillary sinuses only. A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the: peritoneum Inspection of the abdomen should begin with the patient supine and the examiner: seated on the patient's right. When you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker. Which initial response is appropriate?

"What amount and what kind of alcohol do you drink in a week?" During physical examination of a 30-year-old Chinese man, you notice slight asymmetry of his face. The cranial nerve examination is normal. Your best action is to: D. record the finding in the patient's chart. A brief statement of the reason the patient is seeking health care is called the: chief complaint. Unusual white areas on the skin may be due to: vitiligo When examining the skull of a 4-month-old baby, you should normally find: B. closure of the posterior fontanel. To approximate vocal frequencies, which tuning fork should be used to assess hearing? 500 to 1000 Hz Which of the following is an expected change in the assessment of the thyroid during pregnancy? A bruit is auscultated. Mr. Walters, a 32-year-old patient, tells you that his ears are "stopped up." An objective assessment of this complaint is achieved by using the: tympanometer. Ms. Otten is a 45-year-old patient who presents with a complaint of weight gain. Which medication is frequently associated with weight gain Steroids The term denoting the caregiver's need to do no harm to the patient is: nonmaleficence. Mr. Black is a 44-year-old patient who presents to the clinic with complaints of neck pain that he thinks is from his job involving computer data entry. As the examiner, you are checking the range of motion in his neck and note the greatest degree of cervical mobility is at: D. C4 to C5. Peritonitis produces bowel sounds that are: hypoactive. Macronutrients are so named because they:

are required in large amounts. As you explain your patient's condition to her husband, you notice that he is leaning toward you and pointedly blinking his eyes. Knowing that he is from England, your most appropriate response to this behavior is to: ask whether he has any questions Which of the following statements about your total health if NOT true? a. Your heath triangle includes physical, mental/emotional, and social health. b. It's important to pay attention to all three areas of your health triangle. c. Physical health is the most important area of your health triangle. d. Spiritual health is part of mental/emotional health. c. Physical health is the most important area of your health triangle. Which of the following factors that influence health do individuals have the least control over? a. Heredity b. Social environment c. Attitude d. Behavior a. Heredity Which of the following is NOT a risk behavior? a. Tobacco use b. Violence c. Alcohol use d. Abstinence d. Abstinence Eating high-fat foods every day at lunch is an example of a. cumulative risks. b. prevention. c. abstinence. d. chronic disease a. cumulative risks.

Which of the following describes a health disparity? a. Men and women have different rates of survival after a heart attack. b. Individuals learn to access valid health information on the Internet. c. Communities promote health and wellness through various programs. d. National health goals are revised every 10 years. a. Men and women have different rates of survival after a heart attack.

Collective beliefs, customs, and behaviors of a group Culture Various methods for communicating information Media Actions that threaten your health and the health of others Risk behaviors Radio, television, and the Internet Technology Related risks that increase in effect with each added risk Cumulative risks True or False There are three main components of you social health. True True or False Social health refers to the health of the body. False True or False An individual's position on the health continuum continues to change as he of she moves through life. True True or False Clean, safe bike paths are a health-enhancing part of a physical environment. True True or False Peers are a part of your mental/emotional network. False True or False Risk behaviors are behaviors that can harm your health. True

True or False A health literacy is a difference in health outcomes between groups. False True or False Heart disease is an example of a chronic disease. True True or False Your culture and your physical surroundings are parts of your environment. True True or False Language, diet, and family background are components of culture. True True or False Eating nutritious foods can improve your physical health. True True or False Practicing healthful behaviors can reduce the risk of chronic diseases. True True or False Getting eight hours of sleep each night is an example of a cumulative risk. False True or False Optimists usually have a higher degree of wellness than pessimists. True True or False A Web site that ends in .gov or .edu is probably unreliable. False Avoiding harmful behaviors Abstinence All the traits that are biologically passed from parent to child. Heredity The sum of an individual's surroundings.

Environment Taking steps to keep something from happening or getting worse. Prevention People of the same age who share similar interests. Peers Being constantly overwhelmed by everyday challenges is a sign of poor a. physical health b. mental/emotional health c. spiritual health d. social health b. mental/emotional health Which of the following is an accurate statement about the health triangle? a. You can work on only one side at a time. b. It's most important to work on physical health. c. Good overall health requires a balance between all three sides. d. If you work on social health, other areas of health will automatically improve. c. Good overall health requires a balance between all three sides.

Which of the following does NOT have a positive impact on your position on the health continuum? a. Eating nutritious foods b. Avoiding risk behaviors c. Having chronic disease d. Having a positive social environment c. Having a chronic disease Safe parks, clean water, and nutritious foods are all components of a healthy a. social environment b. attitude c. culture d. physical environment d. physical environment Which is an example of positive peer pressure? a. A teen encouraging a friend to drink alcohol b. A student asking others to join the leadership club c. A teacher telling his students to have a safe weekend d. A parent telling her son to wear his seatbelt

b. A student asking others to join the leadership club It rained on the day of an event several students had been planning. Which reaction demonstrates a pessimistic attitude? a. "We can just reschedule for next weekend. I'm sure it will be sunny then." b. "We can move the event indoors-let me make some phone calls and get it arranged." c. "My whole weekend is ruined. Nothing ever works for me." d. "If we reschedule, we'll have time to make the event even bigger and better." c. "My whole weekend is ruined. Nothing ever works for me." A reliable source of information on the Internet would most likely be a. a site that advertises the products of a prescription drug manufacturer. b. a chat forum to which anyone can post. c. a site run by the Centers for Disease Control and Prevention. d. a site that claims to have information about a miracle cure. c. a site run by the Centers for Disease Control and Prevention. Which of the following is a health risk behavior? a. Wearing a seatbelt b. Using sunscreen c. Getting plenty of rest d. Carrying a weapon d. Carrying a weapon Getting regular check-ups with a doctor and a dentist is an example of a. prevention. b. a cumulative risk. c. a risk behavior. d. abstinence. a. prevention. Which of the following best describes the group of people to which the goals of Health People 2010 apply? a. Preschoolers and students b. Women and infants c. Senior citizens d. All people in the United States d. All people in the United States Body mass index is a measure of body weight relative to a. age. b. height. c. gender. d. rate of growth.

b. height. A healthful weight a. is the same for every individual b. is associated with type 2 diabetes. c. is different for different individuals. d. is something teens should not worry about. c. is different for different individuals. Skinfold testing can be used to measure a. weight b. height c. metabolism d. body max index d. body max index A person who burns more calories that he or she consumes will a. become obese. b. gain weight. c. maintain their weight. d. lose weight. d. lose weight. Weakness, trouble concentrating, and difficulty fighting disease are health risks associated with a. being underweight b. being a healthful weight c. being overweight d. being obese a. being underweight True or False Peer pressure is not a factor that influences teens' body images. False True or False Weight cycling is a pattern of repeated weight gain and loss. True True or False Taking diet pills is not a healthful way for most people to lose weight. True True or False Most fad diets do follow the MyPyramid guidelines.