NR 511 WEEK 8 FINAEXAM QUESTIONS AND ANSWERS OF BEST SOLUTIONS

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1. Which of the following initiatives does not fall under the National Prevention Strategy? • Diabetes Management. Reference Page 29 • Tobacco Free Living • Healthy Eating • Mental and Emo ... tional Wellbeing 2. All of the following statements about the US Preventive Services Task Force (USPSTF) are true except? • All of the recommendations made by the USPSTF are strong recommendations. (The recommendations made by this organization are based on a grading scale. Some of the guidelines state that they don’t have enough scientific data to support an informed recommendation.) Reference Page 31-32 • This is a private sector group without government ties. • This group makes recommendations about preventive medicine. • All of the USPSTF recommendations are considered mandatory in primary care. 3. What type of reaction following an immunization is considered serious and requires reevaluation? • Temperature greater than 103˚F. (High fever is a reason to reevaluate a patient following a vaccine. Reference Page 33 • Fatigue • Temperature of 100.2˚F. • Erythema and soreness at the injection site. 4. Herbert, a 69-year-old man, comes to your office complaining of nocturia. On questioning Herbert, you find that for the past 3 months he has been getting up at least 5 times a night to void. He came in to seek help today because of his wife’s insistence that he be checked out. When you perform the digital rectal exam, you find that his prostate protrudes 3 to 4 cm into the rectum. What grade would you assign to Herbert’s prostate enlargement? • Grade 1 (Grade 1 enlargement is a protrusion of 1 to 2 cm.) • Grade 2 (Grade 2 enlargement is a protrusion of 2 to 3 cm) • Grade 3 (The degree of prostate enlargement is based on the amount of projection of the prostate into the rectum. The normal prostate protrudes less than 1 cm into the rectum. A grade 3 enlargement is 3 to 4 cm. into the rectum) Reference Page 748 • Grade 4 (Grade 4 enlargement is a protrusion of greater than 4 cm) 5. Which of the following individuals should get the shingles (herpes zoster) vaccine? • Jerry, who has a mild upper respiratory tract infection and is allergic to neomycin (Allergy to neomycin is a contraindication to receiving the shingles vaccine) • Tim, who has been on prolonged use of high-dose steroids for his chronic obstructive pulmonary disease (COPD). (Prolonged use of high-dose steroids is a contraindication to receiving the shingles vaccine) • Joan, whose husband recently had shingles and who is trying to get pregnant (Women should not get pregnant until 4 weeks after receiving the vaccination) • Joe, who has a stressful job (Joe, who has a stressful job, is a candidate for the shingles (herpes zoster) vaccine) Reference page 134 6. As a primary care provider, which of the following topics is not typically important for adults aged 20 to 40? • Focusing on increasing lifespan. (This is typically important to patients greater than 65 years old) • Career development. • Self-image. • Family relationships. 7. Which of the following statements defines health literacy? • The level to which a patient can understand, gain access to, and make proper medical decisions. • The ability of a patient to read health pamphlets. • The extent to which a patient can travel to see a medical provider. • The ability of a patient to write in the language of the health practitioner. 8. Between ages 7 and 18, both boys and girls are immunized against the following diseases: • Tetanus, diphtheria, pertussis, meningitis, and human papillomavirus. • Tetanus, diphtheria, pertussis, and rotavirus. (The rotavirus vaccine is given prior to age 7) • Tetanus, diphtheria, pertussis, meningitis, human papillomavirus, and hepatitis A. (The hepatitis A vaccine is given prior to age 7) • Tetanus, diphtheria, pertussis, meningitis, human papillomavirus, and hepatitis C. (There is no known vaccine for Hep C yet) [Show More]

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