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.
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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.
A client who is 36 weeks of gestation is at her prenatal visit. The nurse tells the client that she will be screened for group B Streptococcus during today’s visit. Which of the following statements would be made by the nurse when providing client education about this screening test?
- A. “Screening for group B Streptococcus is necessary as this infection can cause complications with pregnancy and to the unborn infant.”
- B. “This screening will help us to determine if your unborn infant will be susceptible to respiratory distress when he or she is born.”
- C. “Screening for group B Streptococcus will help us identify if you have been exposed to this or any other infections during your pregnancy.”
- D. “This screening is necessary to determine if there is any Rh blood group incompatibility between you and your unborn child.”
Correct Answer: A
Rationale: Group B Streptococcus screening is important as this infection can lead to severe complications for the infant.
During an office visit, a nurse provides counseling to a 70-year-old woman with osteoporosis who is otherwise very healthy. Which of the following information should the nurse provide to the woman?
- A. Avoid all forms of exercise because of the risk of fractures.
- B. Walk with a partner at least 30 minutes a day 5 days a week.
- C. Use a wheelchair to get around so that she can prevent falls.
- D. Take a step aerobics class 5 days a week.
Correct Answer: B
Rationale: Walking with a partner is a safe, weight-bearing activity that can help improve bone density and prevent falls.
Hurricane Aftermath
- A. Unequal access to health care
- B. Exposure to CA-MRSA
- C. Increased incidence of suicide
- D. Outbreaks of acute respiratory infection
Correct Answer: D
Rationale: Outbreaks of acute respiratory infections are common after natural disasters due to disrupted infrastructure.
An occupational health nurse is trying to promote regular activity at her institution. Which of the following interventions would most likely be the most successful?
- A. Educate all employees regarding the benefits of exercise.
- B. Initiate a lunchtime walking group that employees can join.
- C. Provide all employees with an exercise prescription.
- D. Recommend that employees who do not exercise be terminated from their positions.
Correct Answer: B
Rationale: Lunchtime walking groups are effective as they are convenient, social, and easy to access, promoting physical activity.