Conditions to Screen for in an 80-year-old
- A. Polypharmacy
- B. Kidney failure
- C. Illegal drug use
- D. Alcoholism
Correct Answer: A
Rationale: Older adults on multiple medications are at higher risk for drug interactions, making polypharmacy a key concern.
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A Medicare client reports to the home care nurse that he is receiving care through an accountable care organization (ACO). Which of the following considerations should be made when delivering care to this individual?
- A. The individual must see a primary care provider before being referred to a specialist.
- B. The focus of care is prevention and management of individuals with chronic disease.
- C. The individual has paid a membership fee to be part of this organization.
- D. The focus of care is to conserve money in a health savings account.
Correct Answer: B
Rationale: The focus of accountable care organizations (ACOs) is on managing chronic conditions and preventing hospital readmissions.
Stress related to family dynamics: Who is at risk?
- A. A 54-year-old couple whose daughter and grandson move back in
- B. A 44-year-old single mother raising three children
- C. A 60-year-old couple whose children live in another state
- D. A 36-year-old couple whose child plays competitive tennis
Correct Answer: A
Rationale: Family dynamics involving caregiving or financial stressors increase the risk of stress-related issues.
A community health nurse is educating health care providers in a local clinic about steps to take to help their clients improve their health-related behaviors. Which of the following would be included as the nurse teaches about the acronym LEARN?
- A. Explain how small changes can affect health.
- B. Acknowledge that action needs to be taken.
- C. Negotiate an agreement.
- D. Refer to community resources.
Correct Answer: C
Rationale: LEARN involves Listen, Explain, Acknowledge, Recommend, and Negotiate.
After the 2010 Dietary Guidelines were released, a community health nurse updated a nutrition presentation that was being used to educate various community groups about healthy eating habits. Which of the following information would have been added to the presentation?
- A. Consumption of increased amounts of carbohydrates
- B. Impact of the environment on the public’s food, drink, and activity choices
- C. Revised guidelines for the use of MyPyramid
- D. Inclusion of physical activity standards
Correct Answer: B
Rationale: The 2010 guidelines introduced the impact of the environment on health decisions, including food and physical activity choices.
Which cultural group defines illness as a price that is being paid for the past or the future?
- A. African
- B. Native American
- C. Arabian
- D. Asian
Correct Answer: B
Rationale: Native American cultures often view illness as a price being paid for actions in the past or for actions that will affect the future.