Rasmussen College

NURSING NU278

Quiz1

Question 1)

The clinic nurse knows that providing an influenza vaccination clinic for patients aged 65 years and older is best described as an example of:

health promotion

Of the three levels of prevention, the most desirable level is primary prevention. This encompasses health promotion and activities specifically meant to prevent disease from occurring—in this case, scheduling vaccinations. Secondary prevention refers to early identification and prompt treatment of a health problem before it has an opportunity to spread or become more serious. Tertiary prevention is intended to restore health to the highest functioning state that is possible.

Question 2

One goal of the Healthy People 2020 initiative is to increase the number of people who have some form of health insurance. What percentage of the population is the target?

100%

Question 3

A nursing student wishes to investigate national health goals. Where should the student research this information?

Healthy People initiative

The Healthy People initiative is the blueprint for the nation’s health goals. Updated every 10 years, it lists national health priorities. Information related to the Healthy People initiative can be found on the other sites, but they are secondary sources. The student would do best to investigate the primary source.

Question 4

The clinic nurse is working with a mother and her 3-year-old child who have arrived for the child’s routine checkup. The nurse encourages the mother to return for her child’s measles-mumps-rubella immunization prior to the child's entering school. This intervention is an example of what type of care?

Primary health prevention

Of the three levels of prevention, the most desirable level is primary prevention. This encompasses health promotion and activities specifically meant to prevent disease from occurring—in this case, scheduling vaccinations. Secondary prevention refers to early identification and prompt treatment of a health problem before it has an opportunity to spread or become more serious. Tertiary prevention is intended to restore health to the highest functioning state that is possible

Question 5

A nurse is working with a woman who is 4 months pregnant. The woman has had a series of temporary housing, has no job, and is wearing clothing that is obviously way too big for her. What action can the nurse take to most improve the health of this woman and child?

Consult a social worker to help her apply for the WIC program

WIC, or the Women, Infants, and Children Program, targets pregnant women, infants, and children up to age 5 who are nutritionally at risk. WIC provides supplemental nutritious foods and nutrition counseling. Forty-five percent of infants born in this country participate in the WIC program. Helping with transportation needs and facilitating return appointments is helpful too, but not to the degree that improving this woman’s nutrition will be. The woman might be eligible for Medicaid, but not Medicare, which is for the elderly.

Question 6

A mother brings her 6-month-old child and 18-month-old infant to the health clinic for a routine visit. The nurse counsels the mother about lead exposure testing and includes the following appropriate comments: (Select all answers that apply.)

1. “About one-fourth of all homes where kids under 6 live are contaminated by lead.”
2. “Both of your children should have testing for lead at this time.”
3. “Lead exposure may cause anemia, seizures, and mental retardation if not treated.”
4. “Lead testing for children is recommended by the American Academy of Pediatrics.” E. “We can test your older child for lead exposure, but it is too early for the 6-month- old.”

ANS: A, C, D, E The American Academy of Pediatrics recommends that all children between the ages of 1 and 2 years receive testing for lead exposure, as 25% of homes presently occupied by children under the age of 6 have known lead contamination. Lead exposure has been linked to a number of medical and developmental problems, including anemia, seizures, and mental retardation.

Question 7

A nurse working in a women’s health clinic has several patients who are from a minority culture, live in the inner city, lack employment that offers benefits, have large families, and often lack transportation to health care. Which of these factors are considered broad determinants of health? (Select all that apply.)

1. Access to health care
2. Employment
3. Environment
4. Family size
5. Race

Broad determinants of health care are personal, community, and societal systems and include environment, employment, insurance, class, race, social support, access to health services, genetic endowment, and personal histories. Family size itself is not a broad determinant of health care; however, it could be included in the larger category of personal history.

Question 8

The family clinic nurse encourages a patient to continue breastfeeding her 8-month-old infant to facilitate maturation of the infant’s immune system that normally occurs at about:

24 months

Because an infants immune system does not become fully mature until 2 years of age, the maternal transfer of antibodies and immune factors enhances development of the immune system and facilitates the neonates immune system response. The longer the time that an infant is breastfed, the stronger the protection again infection and the earlier the maturation of the infants immune system.

Question 9

A nurse is interested in providing tertiary prevention activities. Which of the following activities would this nurse choose to do?

Join the county pandemic outbreak response team

Tertiary prevention attempts to restore health to its highest level of functioning. Working with a county response team in the event of a pandemic outbreak would be an example of tertiary prevention. Primary prevention includes activities designed to keep health problems from happening. It often includes education. Assisting with swimming lessons and conducting monthly seminars will educate the target audiences in order to prevent a health problem. Secondary prevention is screening, early detection, and prompt treatment for health problems. Providing glucose and cholesterol screening is an example of secondary prevention.

Question 10

2 out of 2 points

A nurse is interested in primary prevention programs. Which of the following activities would this nurse choose to do?

Teach teenagers about the dangers of texting and driving.

Primary prevention includes activities designed to keep health problems from happening. It often includes education. Teaching teens the dangers of texting and driving will (hopefully) prevent motor vehicle crashes. Secondary prevention is screening, early detection, and prompt treatment for health problems. Providing blood pressure screening and mammograms are examples of secondary prevention. Tertiary prevention attempts to restore health to its highest level of functioning. Providing eyeglasses for needy people with vision problems is an example of tertiary prevention.

Question 11

The community health nurse is aware that the goals of Healthy People 2020 include which of the following? (Select all that apply.)

1. Creating physical environments that promote health
2. Developing healthy behaviors in children and teens
3. Eliminating health disparities and increasing equity
4. Improving the health of all groups in the country
5. Increasing the average life span for all adults

ANS: A, C, D Goals of the Healthy People 2020 document include the following: (1) To attain high-quality, longer lives free of preventable disease, disability, injury, and premature death; (2) to achieve health equity, eliminate disparities, and improve the health of all groups; (3) to create social and physical environments that promote good health for all; and (4) to promote quality of life, healthy development, and healthy behaviors across all life stages. The blueprint does not call for developing healthy behaviors only in children and teens, nor does it call for simply increasing the average life span.

Question 12

A nurse wants to work in the community providing secondary prevention activities. Which action would this nurse choose to do?

Provide STD/STI testing at the local youth center.

Secondary prevention is screening, early detection, and prompt treatment for health problems. Testing youths for STD/STIs is an example of secondary prevention. Primary prevention includes activities designed to keep health problems from happening. It often includes education. Educating teenage girls about birth control options will (hopefully) prevent unintentional pregnancies and is an example of primary prevention. Likewise, staffing the flu shot clinic is also an example of primary prevention. Tertiary prevention