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Which interventions address both the National Institute of Nursing Research themes and Healthy People 2020 goals?
- A. Establishing a new park with a well-lit track
- B. Establishing a smoking cessation campaign
- C. Providing reduced-cost transportation passes
- D. Providing free condoms at health clinics
Correct Answer: B
Rationale: Smoking cessation aligns with health promotion and disease prevention goals of Healthy People 2020.
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Which is a violation of the Health Insurance Portability and Accountability Act of 1996?
- A. Nurse reporting a case of TB to the health department
- B. Nurse reporting a case of child abuse to the Department of Human Services
- C. Nurse discussing the person’s case with his or her physician
- D. Nurse discussing the person’s case with his or her school nurse
Correct Answer: D
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) is a federal privacy standard that requires safeguards to protect the security and confidentiality of health information. Disclosures without individual authorization are allowed only to public health authorities authorized by law to collect and receive information for the purpose of preventing or controlling disease, injury, or disability. Before speaking to the school nurse, the nurse must obtain authorization from the client’s parents.
A nurse has implemented a smoking cessation program for teenagers and is now evaluating the rate of teenage smoking in the community. Which of the following functions is being demonstrated by the nurse?
- A. Codependent function
- B. Independent function
- C. Interdependent function
- D. Dependent function
Correct Answer: B
Rationale: Evaluating the effectiveness of a program (like smoking cessation) is an independent nursing function.
A client who is taking Coumadin tells the nurse that she has started taking a vitamin E supplement as she has heard that this will help decrease the likelihood of her developing cancer. Which of the following would be the most appropriate response by the nurse?
- A. “Vitamin E supplements are unnecessary, so I don’t recommend you use this supplement.”
- B. “Vitamin E can interfere with the actions of vitamin K and enhance the effects of Coumadin.”
- C. “Vitamin E supplements can interfere with the absorption of iron and create additional health problems.”
- D. “Vitamin E must be used cautiously, as it is easy to experience a toxicity of this nutrient.”
Correct Answer: B
Rationale: Vitamin E can interact with Coumadin and affect clotting, which is a concern for individuals on blood thinners.
A nurse is planning a home visit for a family. Which of the following actions would be most appropriate for the nurse to take?
- A. Study information regarding the family from agency records and other sources.
- B. Make a contract with the family that states specific goals and objectives.
- C. Identify how the home visit will be financed.
- D. Understand the situation from the family’s perspective.
Correct Answer: A
Rationale: Studying the family’s information helps the nurse prepare for the visit, ensuring that the interventions are relevant to the family’s specific needs.
According to the physical activity and fitness section of the Healthy People 2020 report, what percentage of adults 18 years of age or older report no leisure-time physical activity?
- A. 16%
- B. 26%
- C. 36%
- D. 46%
Correct Answer: D
Rationale: According to the report, 36% of adults 18 years and older report no leisure-time physical activity.