FORMATIVE ASSESSMENT 1 ALREADY
PASSED
An advanced practice registered nurse (APRN) is working with patients at an eating disorder
clinic. One patient is a 64-year-old woman with a long history of anorexia nervosa.
Which health promotion intervention is appropriate for this patient due to complications of her
disease process?
Encouraging high-impact aerobic exercise
Recommending daily calcium and vitamin D supplements
Prescribing a cholesterol-lowering medication
Ordering a screening colonoscopy and antidiarrheal medication ✔✔Recommending daily
calcium and vitamin D supplements
This patient is at high risk of osteoporosis and stress fractures due to the extensive history of
anorexia nervosa. The body changes its hormone production in response to low body weight,
which negatively affects bone growth and strength.
A young adult patient and the patient's spouse are meeting with an advanced practice registered
nurse (APRN) for a fertility consultation. The patient informs the nurse practitioner that the
couple culturally identifies as African American, and the APRN recommends that the couple
consult a genetic counselor for a preconception consultation.
, Which health topic is important for this patient to review based on prevalence of disease?
Stomach cancer
Cystic fibrosis
Sickle cell anemia
Huntington disease ✔✔Sickle cell anemia
Sickle cell disease has an increased prevalence in African Americans (1 in 600).
A patient with a basal metabolic index (BMI) of 29 is seen by an advanced practice registered
nurse (APRN) to discuss routine health maintenance. The patient reports a strong family history
of colorectal cancer and has mild hypertension and normal cholesterol.
Which primary recommendation should the APRN make to decrease the risk associated with this
patient's family history?
Multiple vitamin with iron daily
Exercise of one hour daily
Low-fat dietary intake daily
Two glasses of red wine daily ✔✔Low-fat dietary intake daily
A high-fat diet raises the risk of colorectal cancer. It would be important for this patient who has
a familial risk (nonmodifiable) for colorectal cancer to decrease as many modifiable risks
possible.