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A nurse is working at a women’s health clinic and is asked by a client when she should return for her next Pap smear. Which of the following resources would the nurse use to find the most current recommendations?
- A. National Health Information Center
- B. Healthy People 2020
- C. U.S. Preventive Services Task Force (USPSTF) website
- D. Centers for Disease Control and Prevention (CDC) website
Correct Answer: C
Rationale: The USPSTF website provides the most current recommendations based on scientific evidence.
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A deviation of the line of vision from the midline resulting from extraocular muscle weakness or imbalance is known as:
- A. Amblyopia
- B. Farsightedness
- C. Nearsightedness
- D. Strabismus
Correct Answer: D
Rationale: Strabismus is the misalignment of the eyes, often due to muscle imbalance, which may require treatment.
A community health nurse most effectively preserves the health of a person with tuberculosis (TB) and the community by:
- A. Administering and reading the purified protein derivative (PPD) of all close contacts
- B. Providing direct observed therapy (DOT) for the individual with TB
- C. Isolating the person because it is likely drug resistant
- D. Telling the person to wear a mask when leaving the home
Correct Answer: B
Rationale: Direct observed therapy (DOT) ensures the patient takes the full course of medication, preventing the spread of TB.
Which is an example of asymptomatic pathogenesis?
- A. Blood pressure of 170/98 experiencing headaches
- B. Positive finding on colonoscopy and blood in stool
- C. Elevated prostate-specific antigen (PSA)
- D. Elevated TSH who is always tired
Correct Answer: C
Rationale: Elevated PSA without symptoms is an example of asymptomatic pathogenesis, where the disease is present but not yet manifested.
Using developmental theory, a community nurse assesses the community and determines that the majority of residents who are 45 years of age or older lead sedentary lives. Which of the following would be the priority for this nurse to promote?
- A. Health promotion activities
- B. Accident prevention activities
- C. Drug prevention activities
- D. Pregnancy prevention activities
Correct Answer: A
Rationale: The priority would be health promotion activities to encourage physical activity, especially for older adults.
A nurse is using a genogram to represent a family. Which of the following statements is accurate?
- A. A genogram identifies the genetic disorders of the family.
- B. A genogram includes information about the past two generations.
- C. A genogram can be used to make connections about family health patterns.
- D. A genogram begins with a circle in the center of the page.
Correct Answer: C
Rationale: A genogram helps identify family health patterns and relationships, and typically includes data from at least three generations.