NU629/ NU 629 FINAL EXAM: (NEW 2024/ 2025 UPDATE) ADVANCED HEALTH PROMOTION & DISEASE PRE, Exams of Nursing

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NU629/ NU 629 FINAL EXAM: (NEW 2024/

2025 UPDATE) ADVANCED HEALTH PROMOTION &

DISEASE PREVENTION GUIDE| QS & AS| GRADE A|

(VERIFIED ANSWERS) – REGIS

Think of the communication styles discussed as a continuum. This allows for a trusting relationship to build between provider and patient and the honouring 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. - ANS ✓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. - ANS ✓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? - ANS ✓stress How do vaccinations help individuals fight off disease? - ANS ✓Vaccines introduce a small number of antigens into the individual's body. Which of the following statements reflects a pharmacodynamic problem? - ANS ✓Martha is taking ginkgo biloba and Coumadin, and her INR is higher than usual.

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Choose all the statement(s) that are true about motivational interviewing (MI). - ANS ✓MI is a skilful clinical style Listening may appear passive, but it is a very active experience. Choose the reason(s) that providers should hone their listening skills. - ANS ✓Listening helps providers gather important information that they might otherwise miss; Listening will promote the provider-client relationship.; Patients whose providers listen to them are more comfortable and satisfied with their care— making the patients more willing to open up and be honest.; Listening can save providers time, because they develop an ability to quickly grasp the essence of the patients' concerns. This allows providers to move from topic to topic Choose the correct statement(s) regarding the burden of disease as related to syphilis in pregnancy. - ANS ✓Late or limited prenatal care has been associated with congenital syphilis; Detection and treatment of maternal syphilis often occurs too late to treat the fetus and prevent congenital syphilis. Diagnostic decision-making trees often require practitioners to ask the right questions to be able to make choices and recommendations. There are two primary types of questions that can be asked. Choose the best two statements that represent these primary types of questions. - ANS ✓What is your address? How are you feeling? 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. - ANS ✓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? - ANS ✓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? - ANS ✓Resist, Understand, Listen, Empower

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Read the following scenarios and choose the one that follows the USPSTF guidelines. - ANS ✓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. What type of high-fidelity model can be used to teach the core principles of psychiatric-mental health nursing? - ANS ✓simulation What is the first step providers should take when using the informing part of the communication process? - ANS ✓asking permission Which of the following scenarios best describes the abilities of a nine- month-old? - ANS ✓Micah is sitting on his mom's lap and they are playing pat-a- cake as you come into the room. He comes to you when you offer to take him from Mom, but soon afterwards is babbling and you think you hear him say "Mama" and reach out to her. According to BEERS, which of the following statements is true? - ANS ✓People older than 65 years consume more than one-third of all prescription drugs and purchase 40% of OTC medications. USPSTF has made the following recommendation in relation to Weight Loss to Prevent Obesity-Related Morbidity and Mortality in Adults: Behavioural Interventions. - ANS ✓The USPSTF recommends that clinicians offer or refer adults with a body mass index (BMI) of 30 or higher to intensive, multicomponent behavioural interventions. To initiate change and adherence to treatment, motivational interviewing works by activating patients' own: - ANS ✓motivation For which of the following is START the acronym? - ANS ✓Screening tool to alert to right treatment Which of the following statements demonstrates ambivalence? - ANS ✓I need to lose some weight, but I hate exercising. Not taking medications or participating in treatment as prescribed is defined as: - ANS ✓non adherence How can childhood developmental milestones be noted? Choose all that apply. - ANS ✓playing, learning, speaking, acting

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Which of the following is (are) social determinants of health? Choose all that apply. - ANS ✓Access to social and economic opportunities and the nature of social interactions and relationships, Resources and supports available in homes, neighbourhoods, 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. - ANS ✓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? - ANS ✓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? - ANS ✓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. - ANS ✓the highest If alcohol is consumed, it should be in moderation " ________ " and only by adults of legal drinking age. - ANS ✓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? - ANS ✓Stressors frequently identified by young and middle age adults Screening for obesity in children and adolescents should occur at what age?

• ANS ✓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. - ANS ✓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.

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something, hurt by choking or suffocating, beaten, burned on purpose, or threatened with a knife or gun. 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. - ANS ✓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. - ANS ✓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. - ANS ✓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? - ANS ✓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. - ANS ✓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? - ANS ✓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 ________. - ANS ✓chlamydia and gonorrhea

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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. - ANS ✓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. Good morning, Mr. Smith. Tell me what's on your mind today. - ANS ✓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. - ANS ✓Depression and anxiety d is orders Obesity in children is more prevalent in which of the following ethnicities? - ANS ✓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. - ANS ✓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. - ANS ✓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

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Technology has become an integral part of our world over the last decade, and now there are many opportunities to explore its use inside medicine. Which of the following are being used to drive technology driven medical trends? - ANS ✓Smart phones; telehealth; search engines; social media Marginalized people experience discrimination, poor access to health care, and resultant illnesses and traumas from environmental dangers or violence that make them vulnerable to ________. Choose the most comprehensive answer. - ANS ✓a wide range of health problems 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. - ANS ✓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 ________. - ANS ✓paternalism Which of the following is considered the authoritative source to clinical preventive services? - ANS ✓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. - ANS ✓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. - ANS ✓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. - ANS ✓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 behaviours that contribute to unintentional injuries and violence. The data can be viewed by state.

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Regular habits that comprise a daily sleep routine that promote effective rest and well-being: - ANS ✓create sleep hygiene What communication style helps patients voice and clarify what they are experiencing and feeling? - ANS ✓listening Choose the correct definition of pharmacokinetics. - ANS ✓Time course of absorption, distribution across compartments, metabolism, and excretion of drugs in the body