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Exam (elaborations) Nr-222

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1. Which action best reflects primary prevention?

A. Taking blood pressure medication
B. Participating in cardiac rehab
C. Getting an annual physical exam
D. Receiving an immunization
Primary prevention prevents disease before it occurs; vaccines are a classic example.



2. A community health nurse screens older adults for fall
risks. This is an example of:

A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
Secondary prevention involves early detection and screening.



3. The nurse teaches a patient to use an inhaler correctly.
This demonstrates:

A. Primary prevention
B. Tertiary prevention
C. Health protection
D. Risk reduction
Tertiary prevention minimizes disability and optimizes function after illness.



4. Which factor is a determinant of health?

A. Eye color
B. Blood type
C. Socioeconomic status
D. Shoe size
Determinants include social and economic factors affecting health outcomes.



5. A nurse develops a program to reduce teen vaping. Which
model is best used?

A. Maslow’s hierarchy
B. Growth and development theory

,C. Health Belief Model
D. Erikson’s theory
The Health Belief Model predicts health-related behaviors.



6. A client says, “I know smoking is bad, but I’m not ready
to quit.” This stage of change is:

A. Preparation
B. Contemplation
C. Action
D. Maintenance
Contemplation = aware of the problem, not ready to act.



7. A nurse helps a diabetic client set goals for diet changes.
What skill is this?

A. Assessment
B. Delegation
C. Health coaching
D. Case management
Health coaching guides clients toward behavior change.



8. Which patient behavior shows health promotion?

A. Removing rugs to prevent falls
B. Taking antibiotics correctly
C. Joining a fitness class
D. Attending dialysis
Health promotion focuses on increasing well-being.



9. Teaching postpartum mothers about car seat safety is:

A. Tertiary prevention
B. Primary prevention
C. Secondary prevention
D. Rehabilitation
Safety teaching prevents injury before it occurs.



10. What is the leading factor influencing health outcomes?

, A. Genetics
B. Immunizations
C. Hospital care access
D. Social determinants of health
Research shows SDOH have the largest impact on health.



11. A client refuses treatment due to cultural beliefs. The
nurse should first:

A. Educate the client
B. Document refusal
C. Ask family to intervene
D. Assess cultural beliefs
Cultural assessment is the first step in culturally competent care.



12. Which population is most at risk for health disparities?

A. Middle-income adults
B. Individuals with private insurance
C. Low-income minority groups
D. College students
Minorities and low-income groups experience more disparities.



13. A nurse teaching nutrition at a community center is
practicing:

A. Acute care nursing
B. Community health nursing
C. Triage nursing
D. Occupational nursing
CHN focuses on populations and prevention.



14. What is the first step in the nursing process?

A. Evaluation
B. Planning
C. Intervention
D. Assessment
Assessment is always the first step.

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