Exam 3 & Exam 4: NURS 623/ NURS623 (Latest 2024/
2025 Updates STUDY BUNDLE PACKAGE WITH
SOLUTIONS) Adult/ Gerontology Health Care II | Qs &
As| 100% Correct| Grade A (Verified Answers)-
Maryville
Eileen, a 42-year-old woman, comes to your office with the chief complaint of
fatigue, weight loss, and blurred vision. Eileen has a negative past medical history for
any chronic medical problems. You obtain a fasting chemistry panel, lipid profile,
complete blood count (CBC), and a HgbA1c. The results of the blood work show
Eileen's blood sugar to be elevated at 356 mg/dL, total cholesterol elevated at 255,
high-density lipoprotein (HDL) cholesterol low at 28, LDL elevated at 167,
triglycerides 333, and HgbA 1c 12. On questioning Eileen further, you discover that
both her grandmothers had adult-onset diabetes mellitus. You diagnose type 2
diabetes mellitus. Your treatment plan should include a cholesterol-lowering agent,
an agent that lowers blood sugar, and which other class of medication?
A. ACE inhibitor
B. Diuretic
C. Weight-loss medication
D. Beta blocker - ANSWERAnswer: A
Studies have shown the use of ACE inhibitors in clients with diabetes with or without
hypertension has slowed the progression of nephropathy. You must monitor the
client's creatinine and potassium levels routinely. If the client's renal function does
decrease, elevated potassium levels may occur. Some clinicians disagree on this
approach and recommend waiting until microalbuminuria is present before initiating
an ACE inhibitor.
Which statement about gender disparities and suicide is true?
A. Women take their own lives more often than men.
B. Men attempt suicide more often than women.
C. Suicide rates for males are highest among those aged 75 and older.
D. Poisoning is the most common method of suicide for both sexes. -
ANSWERAnswer: C
Suicide rates for males are highest among those aged 75 and older. Suicide rates for
females are highest among those aged 45 to 54. Males take their own lives at nearly
four times the rate of females and represent 78.8% of all U.S. suicides. During their
lifetime, women attempt suicide about two to three times as often as men. Firearms
are the most commonly used method of suicide among males (55.7%). Poisoning is
the most common method of suicide for females (40.2%).
Which of the following definitions refers to the epidemiologic term endemic ?
,A. Outbreaks of an illness/disease that occur occasionally and are unrelated in space
and time
B. Presence of an event (illness or disease) at a much higher than expected rate
based on past history
C. Presence of an illness/disease constantly present or present at a rate that is
expected based on history
D. Presence of an event in epidemic proportions affecting many communities and
countries in a short period of time - ANSWERAnswer C
The definition of endemic is answer C.
Option A defines sporadic;
B defines epidemic; and
D defines pandemic .
Twenty percent of colorectal cancers can be attributed to which dietary cause?
A. High-fat diet
B. High-carbohydrate diet
C. Use of alcohol
D. Lack of fiber in the diet - ANSWERAnswer D
Twenty percent of colorectal cancers can be attributed to a lack of fiber in the diet. A
high-fat diet has also been secondarily implicated.
Mark, a 56-year-old man, comes to your practice seeking help to quit smoking. You
prescribe varenicline (Chantix), a prescription medication, to aid with his attempt.
What instructions do you give Mark regarding how to stop smoking with Chantix?
A. Start the Chantix today according to the dosing schedule and then quit smoking
after the 12-week medication schedule.
B. Start the Chantix today according to the dosing schedule and then pick a date to
stop smoking about 7 days after starting Chantix.
C. Pick a date to stop smoking and start Chantix that day according to the dosing
schedule.
D. Start Chantix today, take it twice a day for 2 weeks, and then stop smoking. -
ANSWERAnswer B
Chantix has been shown to be more effective in helping smokers quit than Zyban,
another nonnicotine prescription medicine for smoking cessation. While Chantix
contains no nicotine, it works on the same receptors as nicotine. It's the addiction to
nicotine inhaled from smoking that makes quitting so hard. The recommended
dosing schedule for Chantix is as follows:
Day 1 to day 3 - one 0.5 mg tablet per day;
Day 4 to day 7 - one 0.5 mg tablet twice a day (once in the morning and once in the
evening);
,Day 8 to the end of treatment: one 1 mg tablet twice per day (once in the morning
and once in the evening).
Chantix should be taken with a full glass of water after eating. The client should
choose a quit date to stop smoking. Chantix should be taken for 7 days before the
quit date. This lets Chantix build up in the body. Smoking should cease on the quit
day, and Chantix should be continued for up to 12 weeks. If the client has not
completely quit smoking by 12 weeks, another 12 weeks may help the client stay
cigarette free. The most common side effect is nausea (30%), but not enough to
make the client discontinue the medication.
When should an African American man start to be screened for prostate cancer by a
digital rectal exam?
A. Age 60 and then yearly
B. Age 40 and then every 2 years
C. Never
D. After discussing the latest research - ANSWERAnswer D
The evidence is insufficient to determine whether screening for prostate cancer with
prostate-specific antigen (PSA) or digital rectal exam (DRE) reduces mortality from
prostate cancer. Screening tests are able to detect prostate cancer at an early stage,
but it is not clear whether this earlier detection and consequent earlier treatment
leads to any change in the natural history and outcome of the disease. Observational
evidence shows a trend toward lower mortality for prostate cancer in some
countries, but the relationship between these trends and intensity of screening is not
clear, and associations with screening patterns are inconsistent. The observed trends
may be due to screening, or to other factors such as improved treatment. Results
from two randomized trials show no effect on mortality through 7 years but are
inconsistent beyond 7 to 10 years. Not all medical institutions agree on when men
should begin screening (routine testing) for prostate cancer or even if a DRE should
be part of the screening.
One of the major criteria for diagnosing chronic fatigue syndrome is
A. generalized headaches.
B. unexplained, generalized muscle weakness.
C. sleep disturbance.
D. fatigue for more than 6 months. - ANSWERAnswer D
Fatigue for more than 6 months and absence of other clinical conditions that may
explain such fatigue are the two major criteria the client must demonstrate to be
diagnosed with chronic fatigue syndrome. Other minor criteria include generalized
headaches, unexplained generalized muscle weakness, sleep disturbances, sore
throat, mild fever or chills, and migratory arthralgias without swelling or redness.
, How do you respond when Jill, age 42, asks you how long she should work out each
week?
A. Exercise for at least 30 minutes every day
B. Exercise a total of 2 hours per week
C. Exercise for at least 20 minutes, 3 or more days per week
D. Exercise for at least 30 minutes, 5 days per week - ANSWERAnswer D
The American College of Sports Medicine (ACSM) recommends 3 to 5 days per week
for most cardiovascular exercise programs. For cardiovascular benefits, aim for 20 to
60 minutes in your target heart rate zone, apart from the warm-up and cool-down
period. ACSM's overall recommendation is for most adults to engage in at least 150
minutes of moderate-intensity exercise each week. If you encourage patients to
exercise most days of the week, they might make this goal.
Carol, a nursing student, is at your office for her nursing school admittance physical
exam and immunizations. On reviewing Carol's allergies, you find that she is allergic
to baker's yeast. What would you tell Carol regarding the hepatitis B vaccine?
A. You recommend that she receive the first hepatitis B vaccine today.
B. You advise her to wait until she is starting her clinical rotations to get the first
hepatitis B injection.
C. You advise her that she cannot receive the hepatitis B vaccine because of her
allergy to baker's yeast.
D. You instruct her to receive the first hepatitis B vaccine today, the second injection
in 6 months, and the third injection in 1 year. - ANSWERAnswer C
An allergy to baker's yeast is a definite contraindication to receiving the hepatitis B
vaccine. Yeast is used in making the vaccine and is still present in the vaccine.
Marvin is a gay man who is ready to "come out." What is the last step in the process
of coming out?
A. Testing and exploration
B. Identity acceptance
C. Identity integration and self-disclosure
D. Awareness of homosexual feelings - ANSWERAnswer C
The last step in the process of a gay man or lesbian "coming out" is that of identity
integration and self-disclosure. The process of discovering and revealing one's sexual
orientation can occur at any age and is known as "coming out." Stage theories for
coming out have been summarized as a four-step process:
1 - Awareness of homosexual feelings,
2 - Testing and exploration,
3 - Identity acceptance, and
4 - Identity integration and self-disclosure.
2025 Updates STUDY BUNDLE PACKAGE WITH
SOLUTIONS) Adult/ Gerontology Health Care II | Qs &
As| 100% Correct| Grade A (Verified Answers)-
Maryville
Eileen, a 42-year-old woman, comes to your office with the chief complaint of
fatigue, weight loss, and blurred vision. Eileen has a negative past medical history for
any chronic medical problems. You obtain a fasting chemistry panel, lipid profile,
complete blood count (CBC), and a HgbA1c. The results of the blood work show
Eileen's blood sugar to be elevated at 356 mg/dL, total cholesterol elevated at 255,
high-density lipoprotein (HDL) cholesterol low at 28, LDL elevated at 167,
triglycerides 333, and HgbA 1c 12. On questioning Eileen further, you discover that
both her grandmothers had adult-onset diabetes mellitus. You diagnose type 2
diabetes mellitus. Your treatment plan should include a cholesterol-lowering agent,
an agent that lowers blood sugar, and which other class of medication?
A. ACE inhibitor
B. Diuretic
C. Weight-loss medication
D. Beta blocker - ANSWERAnswer: A
Studies have shown the use of ACE inhibitors in clients with diabetes with or without
hypertension has slowed the progression of nephropathy. You must monitor the
client's creatinine and potassium levels routinely. If the client's renal function does
decrease, elevated potassium levels may occur. Some clinicians disagree on this
approach and recommend waiting until microalbuminuria is present before initiating
an ACE inhibitor.
Which statement about gender disparities and suicide is true?
A. Women take their own lives more often than men.
B. Men attempt suicide more often than women.
C. Suicide rates for males are highest among those aged 75 and older.
D. Poisoning is the most common method of suicide for both sexes. -
ANSWERAnswer: C
Suicide rates for males are highest among those aged 75 and older. Suicide rates for
females are highest among those aged 45 to 54. Males take their own lives at nearly
four times the rate of females and represent 78.8% of all U.S. suicides. During their
lifetime, women attempt suicide about two to three times as often as men. Firearms
are the most commonly used method of suicide among males (55.7%). Poisoning is
the most common method of suicide for females (40.2%).
Which of the following definitions refers to the epidemiologic term endemic ?
,A. Outbreaks of an illness/disease that occur occasionally and are unrelated in space
and time
B. Presence of an event (illness or disease) at a much higher than expected rate
based on past history
C. Presence of an illness/disease constantly present or present at a rate that is
expected based on history
D. Presence of an event in epidemic proportions affecting many communities and
countries in a short period of time - ANSWERAnswer C
The definition of endemic is answer C.
Option A defines sporadic;
B defines epidemic; and
D defines pandemic .
Twenty percent of colorectal cancers can be attributed to which dietary cause?
A. High-fat diet
B. High-carbohydrate diet
C. Use of alcohol
D. Lack of fiber in the diet - ANSWERAnswer D
Twenty percent of colorectal cancers can be attributed to a lack of fiber in the diet. A
high-fat diet has also been secondarily implicated.
Mark, a 56-year-old man, comes to your practice seeking help to quit smoking. You
prescribe varenicline (Chantix), a prescription medication, to aid with his attempt.
What instructions do you give Mark regarding how to stop smoking with Chantix?
A. Start the Chantix today according to the dosing schedule and then quit smoking
after the 12-week medication schedule.
B. Start the Chantix today according to the dosing schedule and then pick a date to
stop smoking about 7 days after starting Chantix.
C. Pick a date to stop smoking and start Chantix that day according to the dosing
schedule.
D. Start Chantix today, take it twice a day for 2 weeks, and then stop smoking. -
ANSWERAnswer B
Chantix has been shown to be more effective in helping smokers quit than Zyban,
another nonnicotine prescription medicine for smoking cessation. While Chantix
contains no nicotine, it works on the same receptors as nicotine. It's the addiction to
nicotine inhaled from smoking that makes quitting so hard. The recommended
dosing schedule for Chantix is as follows:
Day 1 to day 3 - one 0.5 mg tablet per day;
Day 4 to day 7 - one 0.5 mg tablet twice a day (once in the morning and once in the
evening);
,Day 8 to the end of treatment: one 1 mg tablet twice per day (once in the morning
and once in the evening).
Chantix should be taken with a full glass of water after eating. The client should
choose a quit date to stop smoking. Chantix should be taken for 7 days before the
quit date. This lets Chantix build up in the body. Smoking should cease on the quit
day, and Chantix should be continued for up to 12 weeks. If the client has not
completely quit smoking by 12 weeks, another 12 weeks may help the client stay
cigarette free. The most common side effect is nausea (30%), but not enough to
make the client discontinue the medication.
When should an African American man start to be screened for prostate cancer by a
digital rectal exam?
A. Age 60 and then yearly
B. Age 40 and then every 2 years
C. Never
D. After discussing the latest research - ANSWERAnswer D
The evidence is insufficient to determine whether screening for prostate cancer with
prostate-specific antigen (PSA) or digital rectal exam (DRE) reduces mortality from
prostate cancer. Screening tests are able to detect prostate cancer at an early stage,
but it is not clear whether this earlier detection and consequent earlier treatment
leads to any change in the natural history and outcome of the disease. Observational
evidence shows a trend toward lower mortality for prostate cancer in some
countries, but the relationship between these trends and intensity of screening is not
clear, and associations with screening patterns are inconsistent. The observed trends
may be due to screening, or to other factors such as improved treatment. Results
from two randomized trials show no effect on mortality through 7 years but are
inconsistent beyond 7 to 10 years. Not all medical institutions agree on when men
should begin screening (routine testing) for prostate cancer or even if a DRE should
be part of the screening.
One of the major criteria for diagnosing chronic fatigue syndrome is
A. generalized headaches.
B. unexplained, generalized muscle weakness.
C. sleep disturbance.
D. fatigue for more than 6 months. - ANSWERAnswer D
Fatigue for more than 6 months and absence of other clinical conditions that may
explain such fatigue are the two major criteria the client must demonstrate to be
diagnosed with chronic fatigue syndrome. Other minor criteria include generalized
headaches, unexplained generalized muscle weakness, sleep disturbances, sore
throat, mild fever or chills, and migratory arthralgias without swelling or redness.
, How do you respond when Jill, age 42, asks you how long she should work out each
week?
A. Exercise for at least 30 minutes every day
B. Exercise a total of 2 hours per week
C. Exercise for at least 20 minutes, 3 or more days per week
D. Exercise for at least 30 minutes, 5 days per week - ANSWERAnswer D
The American College of Sports Medicine (ACSM) recommends 3 to 5 days per week
for most cardiovascular exercise programs. For cardiovascular benefits, aim for 20 to
60 minutes in your target heart rate zone, apart from the warm-up and cool-down
period. ACSM's overall recommendation is for most adults to engage in at least 150
minutes of moderate-intensity exercise each week. If you encourage patients to
exercise most days of the week, they might make this goal.
Carol, a nursing student, is at your office for her nursing school admittance physical
exam and immunizations. On reviewing Carol's allergies, you find that she is allergic
to baker's yeast. What would you tell Carol regarding the hepatitis B vaccine?
A. You recommend that she receive the first hepatitis B vaccine today.
B. You advise her to wait until she is starting her clinical rotations to get the first
hepatitis B injection.
C. You advise her that she cannot receive the hepatitis B vaccine because of her
allergy to baker's yeast.
D. You instruct her to receive the first hepatitis B vaccine today, the second injection
in 6 months, and the third injection in 1 year. - ANSWERAnswer C
An allergy to baker's yeast is a definite contraindication to receiving the hepatitis B
vaccine. Yeast is used in making the vaccine and is still present in the vaccine.
Marvin is a gay man who is ready to "come out." What is the last step in the process
of coming out?
A. Testing and exploration
B. Identity acceptance
C. Identity integration and self-disclosure
D. Awareness of homosexual feelings - ANSWERAnswer C
The last step in the process of a gay man or lesbian "coming out" is that of identity
integration and self-disclosure. The process of discovering and revealing one's sexual
orientation can occur at any age and is known as "coming out." Stage theories for
coming out have been summarized as a four-step process:
1 - Awareness of homosexual feelings,
2 - Testing and exploration,
3 - Identity acceptance, and
4 - Identity integration and self-disclosure.
