NUR 426 EXAM 4 2024/2025 WITH 100% AC
b b b b b b b
CURATE SOLUTIONS b
Whenbprovidingbcare bwithinbthe bcontextbofbprimarybhealthbcare,bthe bmostbimportantbpersonbis/are:
1.
The bindividual/family
2.
The bpopulation
3.
The bprimary-care bphysician
4.
The bmedicalbspecialistb-bPrecise bAnswerb✔✔The bindividual/bFamily
Abnurse bisblookingbtobreducebthe bnumberbofbadolescentsbinbherbcommunitybthatbare busingbtobacco.bThe bn
urse bimplementsbabcommunity-
wide bprogrambtobraise bawarenessbaboutbthebdangersbof bnicotinebuse bandbcreatesbabsupportbgroupbspecific
allybaimedbatbteensblookingbtobquitbsmoking.bThisbisbanbexample bof:
1.
Healthbprotection.
2.
Healthbpromotion.
3.
Riskbreduction.
4.
Tertiarybprevention. b-bPrecise bAnswerb✔✔HealthbPromotion
The bnurse batbabcommunity-
basedbprimarybcare borganizationbisbeducatingbnewlybhiredbnursesbaboutbthebprocessbusedbatbthebclinicbforb
developingbpublicbhealthbprogramsbaimedbatbbenefitingbcommunitybmembersbwhetherbtheybattendbthe bcl
,inicborbnot.bThe bnursebexplainsbthatbevenbthoughbthe bprimarybcare bofferedbatbthebclinicbfocusesbonbcaringb
forbanbindividual,bthebhealthbpromotionbactivitiesbthatbtheybarebdevelopingbforbthebcommunitybarebfocuse
dbon:
1.
The bfamily.
2.
The bhealth-care bprovider.
3.
The bhealth-care borganization.
4.
The bpopulation.b-bPrecise bAnswerb✔✔The bpopulation
Abyoungbwomanbpresentsbtobherbprimarybcare bprovider.bHerbmotherbhasbjustbbeenbdiagnosedbwithbHuntin
gton'sbdisease,bandbseveralbotherbmembersbof bherbfamilybhave bbeenbdiagnosedbwithbthebconditionbasbwell
.bShe bwantsbtobknowbherboptionsbregardingbtestingbtobsee bifbshebisbabgeneticbcarrier.bFrombanbethicalbpersp
ective,bwhatbissue bwouldbbe bmostbimportantbtobdiscussbwithbthe bpatient?
1.
The bcostbofbHuntington'sbdisease bscreening
2.
Whetherbthe btestbisbavailable batbthe blocalblab
3.
Whatbwillbhappenbwhenbherbinsurance bfindsboutbthe bresults
4.
The bfactbthatbthere bisbnobknownbtreatmentbthatbcanbalterbthe bprogressionbof bthe bdisease b-
b Precise b Answerb ✔✔The bfactbthere bthereb isb nob knownbtreatmentb thatb canbalterb theb progression b of btheb dis
ease.
Abnurse bisbworkingbwithbabcommunitybcenterbthatbprimarilybservesbabnearbybNative bAmericanbtribe.bThebn
urse bknowsbthatbmanybofbthe btribebmembersbsufferbfrombtype b2bdiabetes.bwhichbofbthebfollowingbinterven
tionsbisbanbexample bof btertiarybprevention?
1.
Teachingbschool-agedbchildrenbhealthybexercise.
,2.
Conductingbabbloodbglucose bscreeningbforbprogrambforbthe badultsbinbthe bcommunity.
3.
Activelybencouragingbpatientsbdiagnosedbwithbtypeb2bdiabetesbtobhavebfoot,beye,bandbhemoglobinbA1Cbscr
eeningbtestsbeveryb3bmonths.
4.
Publishingbabculturallybgroundedbguide baboutbpreventingbdiabetesbusingbinputbfrombthe btribalbleadersband
b distributingb itb tob allb persons b whob come b tob the b clinic. b -
b Precise b Answerb ✔✔Actively b encouragingbpatients bdiagnosedb withb type b2b diabetes b tob haveb foot,b eye, band
b hemoglobin b A1Cb screeningb testsb every b 3b months.
Abnurse bisbspeakingbwithbherbaccountantbaboutbopeningbabfreebclinicbasbab501(c)(3) borganization.bThebacco
untantbadvisesbthe bnurse:
1.
Tobcharge bpatientsbhisborbherbregularbfees.
2.
Tobwaive bherbprofessionalbfeesbbutbcharge bforbtestingbandbmore badvancedbcare.
3.
Tobcharge babnominalbfee bifbthe bpatientbcanbaffordbtobpaybbutbprovide bservicesbregardless.
4.
Tobcharge babsmallbfee,busuallybaroundb25%bof bthe bservice bvalue.b-
b Precise b Answerb ✔✔Tob chargeb abnominalb feeb if btheb patientbcanb affordb tob pay b butb provideb services bregardl
ess.
The bpublicbhealthbdepartmentb(PHD)bisbconcernedbaboutbanboutbreakbofbmeaslesbthatbhasboccurredbinbabc
ountrybadjacentbtobtheirs.bAlthoughbtherebarebcurrentlybnobreportedbcases,basbone bofbtheirbactionsbthebPH
Dbreachesboutbtoballbthe bprimarybcare bprovidersbtobencourage ballbofbtheirbunvaccinatedbpatientsbtobgetbvac
cinatedbandbtobencouragebthebparentsbofbunvaccinatedbchildrenbtobgetbtheirbvaccinationsbupbtobdate.bSuc
hbabpublicbhealthbinitiative bisbanbexample bof:
1.
Absecondarybpreventionbapproachbrelatedbtobscreening.
2.
, Abprimarybpreventionbapproachbfocusedbonbhealthbprotection.
3.
Abprimarybpreventionbapproachbfocusedbonbhealthbpromotion.
4.
Abprimarybpreventionbapproachbfocusedbonbscreening.b-
b Precise b Answerb ✔✔Primary b prevention b approach b focused b onb healthb protection.
Abnurse bworkingbinbanbinner-
citybcommunitybhealthbclinicbisbconcernedbthatbherbpatientbeducationbeffortsbrelatedbtobachievingbabhealt
hyblifestyle barebnotbresultingbinbanybsubstantialbchangesbinbherbpatients.bWhenbshe bdiscussedbthisbwithbon
e bmotherbwhose bchildrenbare bstrugglingbwithbobesity,bthebmotherbexplainedbthatbshe bisbunablebtobfindbfre
shbfruitsbandbvegetablesbinbtheirbneighborhoodbandbresortsbtobthebusebofbfastbfood.bThisbinformationbmak
esbthe bnurse bwonderbif bthisbisbtrue bforbotherbfamilies.bWhatbshouldbshe bdobnext?
1.
Askbfamiliesbshe bseesbtobkeepbabfoodbjournalbtobsee bwhatbfoodbsubstitutionsbcouldbbe bmade.
2.
Performbabproblem-borbhealth-issue-
basedbassessmentbbeginningbwithbanbassessmentbof bsourcesbofbhealthybfoodsbsuchbasbsupermarketsbandbf
armersbmarketsbavailable binbthe bcommunity.
3.
Arrange bforbfree bbussingbfrombthe bcommunitybcenterbtobthe bclosestbsupermarket.
4.
Referbthembtobthe blocalbsupplementalbnutrib-
b Precise b Answerb ✔✔Performbab problemb orb healthb issueb basedb assessmentbbeginningb withb anb assessmentb
ofbsourcesbof bhealthybfoodsbsuchbasbsupermarketsbandbfarmersbmarketsbavailable binbthe bcommunity.
Abnewbstrainbofbflubhasbemerged,bandbthe bCDCbhasbreleasedbabnewbvaccine bthatbisbforbuse binbhigh-
riskbpopulations. bwhichbpopulationbisbmostbaptbtobbe bhigh-risk?
1.
Pregnantbwomen
2.
Olderbadults
b b b b b b b
CURATE SOLUTIONS b
Whenbprovidingbcare bwithinbthe bcontextbofbprimarybhealthbcare,bthe bmostbimportantbpersonbis/are:
1.
The bindividual/family
2.
The bpopulation
3.
The bprimary-care bphysician
4.
The bmedicalbspecialistb-bPrecise bAnswerb✔✔The bindividual/bFamily
Abnurse bisblookingbtobreducebthe bnumberbofbadolescentsbinbherbcommunitybthatbare busingbtobacco.bThe bn
urse bimplementsbabcommunity-
wide bprogrambtobraise bawarenessbaboutbthebdangersbof bnicotinebuse bandbcreatesbabsupportbgroupbspecific
allybaimedbatbteensblookingbtobquitbsmoking.bThisbisbanbexample bof:
1.
Healthbprotection.
2.
Healthbpromotion.
3.
Riskbreduction.
4.
Tertiarybprevention. b-bPrecise bAnswerb✔✔HealthbPromotion
The bnurse batbabcommunity-
basedbprimarybcare borganizationbisbeducatingbnewlybhiredbnursesbaboutbthebprocessbusedbatbthebclinicbforb
developingbpublicbhealthbprogramsbaimedbatbbenefitingbcommunitybmembersbwhetherbtheybattendbthe bcl
,inicborbnot.bThe bnursebexplainsbthatbevenbthoughbthe bprimarybcare bofferedbatbthebclinicbfocusesbonbcaringb
forbanbindividual,bthebhealthbpromotionbactivitiesbthatbtheybarebdevelopingbforbthebcommunitybarebfocuse
dbon:
1.
The bfamily.
2.
The bhealth-care bprovider.
3.
The bhealth-care borganization.
4.
The bpopulation.b-bPrecise bAnswerb✔✔The bpopulation
Abyoungbwomanbpresentsbtobherbprimarybcare bprovider.bHerbmotherbhasbjustbbeenbdiagnosedbwithbHuntin
gton'sbdisease,bandbseveralbotherbmembersbof bherbfamilybhave bbeenbdiagnosedbwithbthebconditionbasbwell
.bShe bwantsbtobknowbherboptionsbregardingbtestingbtobsee bifbshebisbabgeneticbcarrier.bFrombanbethicalbpersp
ective,bwhatbissue bwouldbbe bmostbimportantbtobdiscussbwithbthe bpatient?
1.
The bcostbofbHuntington'sbdisease bscreening
2.
Whetherbthe btestbisbavailable batbthe blocalblab
3.
Whatbwillbhappenbwhenbherbinsurance bfindsboutbthe bresults
4.
The bfactbthatbthere bisbnobknownbtreatmentbthatbcanbalterbthe bprogressionbof bthe bdisease b-
b Precise b Answerb ✔✔The bfactbthere bthereb isb nob knownbtreatmentb thatb canbalterb theb progression b of btheb dis
ease.
Abnurse bisbworkingbwithbabcommunitybcenterbthatbprimarilybservesbabnearbybNative bAmericanbtribe.bThebn
urse bknowsbthatbmanybofbthe btribebmembersbsufferbfrombtype b2bdiabetes.bwhichbofbthebfollowingbinterven
tionsbisbanbexample bof btertiarybprevention?
1.
Teachingbschool-agedbchildrenbhealthybexercise.
,2.
Conductingbabbloodbglucose bscreeningbforbprogrambforbthe badultsbinbthe bcommunity.
3.
Activelybencouragingbpatientsbdiagnosedbwithbtypeb2bdiabetesbtobhavebfoot,beye,bandbhemoglobinbA1Cbscr
eeningbtestsbeveryb3bmonths.
4.
Publishingbabculturallybgroundedbguide baboutbpreventingbdiabetesbusingbinputbfrombthe btribalbleadersband
b distributingb itb tob allb persons b whob come b tob the b clinic. b -
b Precise b Answerb ✔✔Actively b encouragingbpatients bdiagnosedb withb type b2b diabetes b tob haveb foot,b eye, band
b hemoglobin b A1Cb screeningb testsb every b 3b months.
Abnurse bisbspeakingbwithbherbaccountantbaboutbopeningbabfreebclinicbasbab501(c)(3) borganization.bThebacco
untantbadvisesbthe bnurse:
1.
Tobcharge bpatientsbhisborbherbregularbfees.
2.
Tobwaive bherbprofessionalbfeesbbutbcharge bforbtestingbandbmore badvancedbcare.
3.
Tobcharge babnominalbfee bifbthe bpatientbcanbaffordbtobpaybbutbprovide bservicesbregardless.
4.
Tobcharge babsmallbfee,busuallybaroundb25%bof bthe bservice bvalue.b-
b Precise b Answerb ✔✔Tob chargeb abnominalb feeb if btheb patientbcanb affordb tob pay b butb provideb services bregardl
ess.
The bpublicbhealthbdepartmentb(PHD)bisbconcernedbaboutbanboutbreakbofbmeaslesbthatbhasboccurredbinbabc
ountrybadjacentbtobtheirs.bAlthoughbtherebarebcurrentlybnobreportedbcases,basbone bofbtheirbactionsbthebPH
Dbreachesboutbtoballbthe bprimarybcare bprovidersbtobencourage ballbofbtheirbunvaccinatedbpatientsbtobgetbvac
cinatedbandbtobencouragebthebparentsbofbunvaccinatedbchildrenbtobgetbtheirbvaccinationsbupbtobdate.bSuc
hbabpublicbhealthbinitiative bisbanbexample bof:
1.
Absecondarybpreventionbapproachbrelatedbtobscreening.
2.
, Abprimarybpreventionbapproachbfocusedbonbhealthbprotection.
3.
Abprimarybpreventionbapproachbfocusedbonbhealthbpromotion.
4.
Abprimarybpreventionbapproachbfocusedbonbscreening.b-
b Precise b Answerb ✔✔Primary b prevention b approach b focused b onb healthb protection.
Abnurse bworkingbinbanbinner-
citybcommunitybhealthbclinicbisbconcernedbthatbherbpatientbeducationbeffortsbrelatedbtobachievingbabhealt
hyblifestyle barebnotbresultingbinbanybsubstantialbchangesbinbherbpatients.bWhenbshe bdiscussedbthisbwithbon
e bmotherbwhose bchildrenbare bstrugglingbwithbobesity,bthebmotherbexplainedbthatbshe bisbunablebtobfindbfre
shbfruitsbandbvegetablesbinbtheirbneighborhoodbandbresortsbtobthebusebofbfastbfood.bThisbinformationbmak
esbthe bnurse bwonderbif bthisbisbtrue bforbotherbfamilies.bWhatbshouldbshe bdobnext?
1.
Askbfamiliesbshe bseesbtobkeepbabfoodbjournalbtobsee bwhatbfoodbsubstitutionsbcouldbbe bmade.
2.
Performbabproblem-borbhealth-issue-
basedbassessmentbbeginningbwithbanbassessmentbof bsourcesbofbhealthybfoodsbsuchbasbsupermarketsbandbf
armersbmarketsbavailable binbthe bcommunity.
3.
Arrange bforbfree bbussingbfrombthe bcommunitybcenterbtobthe bclosestbsupermarket.
4.
Referbthembtobthe blocalbsupplementalbnutrib-
b Precise b Answerb ✔✔Performbab problemb orb healthb issueb basedb assessmentbbeginningb withb anb assessmentb
ofbsourcesbof bhealthybfoodsbsuchbasbsupermarketsbandbfarmersbmarketsbavailable binbthe bcommunity.
Abnewbstrainbofbflubhasbemerged,bandbthe bCDCbhasbreleasedbabnewbvaccine bthatbisbforbuse binbhigh-
riskbpopulations. bwhichbpopulationbisbmostbaptbtobbe bhigh-risk?
1.
Pregnantbwomen
2.
Olderbadults
