Chronic Disease Discussion Questions

Chronic Disease Discussion Questions Related

Review Chronic Disease Discussion Questions related questions and content

Traditionally, nurses have been involved with tertiary cancer prevention. However, an increasing emphasis is being placed on both primary and secondary prevention. What would be an example of primary prevention?

  • A. Yearly Pap tests
  • B. Testicular self-examination
  • C. Teaching patients to wear sunscreen
  • D. Screening mammograms
Correct Answer: C

Rationale: Primary prevention stops cancer before it starts by reducing risk factors in healthy folks. Teaching sunscreen use blocks UV radiation a prime cause of skin cancer like melanoma fitting this category perfectly. Pap tests and mammograms are secondary prevention, detecting cervical and breast cancer early for treatment. Testicular self-exams also fall under secondary, aiming to catch testicular cancer sooner. The shift to primary efforts, like sun protection, reflects a proactive stance, cutting UV-induced DNA damage that kicks off carcinogenesis. Nurses pushing this can slash skin cancer rates, especially in fair-skinned populations, by fostering habits that shield against environmental triggers, unlike reactive screening or post-diagnosis care.

You may also like to solve these questions

A 75-year-old female presented to the emergency department with shortness of breath. The client's daughter is at the bedside and shares that the client has a history of heart failure. The nurse places the client on the cardiac monitor and finds that the client is in atrial fibrillation at a rate of 180 beats per minute. Which is a likely finding?

  • A. Bounding pulses
  • B. Lethargy
  • C. Hypotension
  • D. Edema
Correct Answer: C

Rationale: Atrial fibrillation at 180 beats/minute in heart failure loses atrial kick, slashing output hypotension follows as rapid, erratic beats fail to fill ventricles, a likely finding with this tachycardic chaos. Bounding pulses need strong ejection, not here. Lethargy or edema might emerge, but BP drop's immediate, tied to poor perfusion. Nurses expect this, anticipating rate control or fluids, a critical catch in this acute decompensation.

With regards to metabolic and bariatric surgery performed in East Asia, which ONE of the following is most commonly performed?

  • A. Roux-en-Y gastric bypass (RYGB)
  • B. Adjustable gastric banding (AGB)
  • C. Mini-gastric bypass
  • D. Sleeve gastrectomy (SG)
Correct Answer: D

Rationale: In East Asia, sleeve gastrectomy (SG) has emerged as the most common bariatric surgery, surpassing Roux-en-Y gastric bypass (RYGB) and adjustable gastric banding (AGB), per regional data and trends. SG's popularity stems from its technical simplicity, lower complication rates, and effectiveness in weight loss and metabolic improvement, appealing in populations with lower average BMI but high visceral fat, like Asians. RYGB, while effective, is less favored due to complexity and malabsorption risks. AGB has declined globally due to less sustained outcomes. Mini-gastric bypass is rising but not dominant. SG's prominence reflects practical and cultural fit, informing physicians on regional preferences for obesity management.

Endothelial dysfunction is one of the first steps in the development of atherosclerosis. Question: Which factor is NOT involved in endothelial dysfunction?

  • A. Haemodynamic changes (e.g. hypertension)
  • B. Inflammation
  • C. Lipids
  • D. Proteinuria
Correct Answer: D

Rationale: Endothelial flops pressure, inflammation, lipids kick it, proteinuria's kidney, not vessel start. Nurses spot this, a chronic dysfunction trio.

During a routine health examination, a 40-yr-old patient tells the nurse about a family history of colon cancer. Which action should the nurse take next?

  • A. Obtain more information about the family history.
  • B. Schedule a sigmoidoscopy to provide baseline data.
  • C. Teach the patient about the need for a colonoscopy at age 50.
  • D. Teach the patient how to do home testing for fecal occult blood.
Correct Answer: A

Rationale: Family history of colon cancer flags risk first step's digging deeper: who, when, how many cases? That shapes if it's sporadic or hereditary (e.g., Lynch syndrome), guiding screening timing. Jumping to sigmoidoscopy or fecal tests skips assessment too soon without details. Colonoscopy at 50's standard, but family history might bump it earlier (e.g., 40 or 10 years before kin's diagnosis). Nurses in oncology start here, gathering intel to tailor prevention, not rushing tools that might miss the mark without context.

A primary nursing responsibility is the prevention of lung cancer by assisting patients in smoking/tobacco cessation. Which tasks would be appropriate to delegate to the LPN/LVN?

  • A. Develop a quit plan
  • B. Explain the application of a nicotine patch
  • C. Discuss strategies to avoid relapse
  • D. Suggest ways to deal with urges for a tobacco
Correct Answer: B

Rationale: LPN/LVNs shine in standardized teaching like explaining nicotine patch application, a medication-focused task within their scope, detailing placement and timing to aid cessation. Developing a quit plan requires RN-level planning and assessment of individual needs. Discussing relapse strategies involves behavioral counseling, an RN forte. Suggesting urge-coping methods needs tailored insight, beyond LPN/LVN training. Patch explanation leverages their skills, supporting lung cancer prevention through practical cessation aid, a delegated task enhancing team efforts while keeping complex planning with RNs.

Copyright © 2025 Nokea. All rights reserved.