HESI A2 Reading Comprehension Related

Without a doubt, one of the biggest risks to the elderly today is falling. It is also one of the most common accidents that people age 65 and older experience. Some just receive a few bumps and bruises, while others are hurt so badly that they cannot ever fully recover. U.S. health officials surveyed thousands of elderly people and found that approximately one in six of them had fallen in the past three months. A third of these people sustained considerable injuries, including the most dreaded break of all, a hip fracture. Approximately 16,000 people even died from the injuries they suffered, whereas even more were left completely disabled.

Center for Disease Control and Prevention (CDC) epidemiologist Judy Stevens stated, "It's a tremendous public health problem because so many older adults are affected." It only takes one fall to completely steal an older person's self-confidence. According to a CDC report, "Even when those injuries are minor, they can seriously affect older adults' quality of life by inducing a fear of falling, which can lead to self-imposed activity restrictions, social isolation, and depression."

Along with an admonition to move slowly and carefully, the CDC also recommends that the elderly get enough gentle exercise or physical therapy to help strengthen their muscles and improve their balance. This will not only reduce the number of falls but also give a real boost to older adults' self-esteem.

What is the meaning of the word 'admonition' as used in the last paragraph?

• A. Permission
• B. Prescription
• C. Caution
• D. Verdict

SPANKING:
Put a dozen parents together in a room, and you will most likely have a dozen different theories of parenting. One of the most debated issues in raising kids is how to discipline them, especially when it comes to the question of to spank or not to spank. Some moms and dads are sure that it is an integral part of showing their kids what is right and wrong. Others are equally sure that spanking is a cruel act of violence against kids. Which is it?
According to a new study reported at the American Psychological Association Summit Conference on Violence and Abuse in Relationships, spanking or other forms of corporal punishment apparently increase the risk of future sexual problems such as violent or coercive sex with partners. "The more children are spanked, the more aggressive they are and the more likely they are to engage in delinquent or at-risk behaviors," says Elizabeth Gershoff from the University of Michigan's School of Social Work. "Kids may learn that sometimes there's pain and fear involved in loving relationships."
Naturally, there are those who disagree as well. Some scientists believe that spanking two- to six-year-old children can be very helpful as long as parents are not angry or out of control emotionally. Human development researcher Robert Larzelere adds that parents simply must be able to differentiate between appropriate and inappropriate use. Although opinion on spanking remains divided, research continues on this contentious issue. In the meantime, however, the American Academy of Pediatrics advises parents to use other methods of discipline.

What does the word 'integral' mean as used in the first paragraph of the passage?

• A. Central
• B. Initial
• C. Trifling
• D. Irrelevant

VEGETERIAN DIET:
By studying the role diet might have in the prevention of cancer, recent studies have also noted that a vegetarian, or meatless, diet can help improve a person's overall health. A true vegetarian diet consists of a variety of grains, fruits, vegetables, nuts, and pulses—edible seeds from legumes such as peas, beans, and lentils. A modified vegetarian diet, known as lacto-ovo vegetarian, may include dairy products and eggs. A vegan diet excludes any food with animal origins, including butter, eggs, and honey.
When properly planned, a true vegetarian diet can provide a person with all essential nutrients, protein, and carbohydrates. In one study, researchers at Oxford University noted that overall, a vegetarian diet is lower in saturated fats and higher in fiber than other diets. The study noted that people who followed a vegetarian diet were generally found to have lower cholesterol and lower BMI (a measure of body fat based on a person's weight and height) and to be at a lower risk for certain types of heart disease. From the evidence presented, researchers suggested that the adoption of a vegetarian diet could prevent more than 30,000 deaths a year that are attributed to heart disease.
Other available information indicates that vegetarians live, on average, seven years longer than meat eaters do. Throughout the world, breast, colon, and prostate cancers are more common among people who have a high-fat, high-meat, low-fiber diet. Former Surgeon General C. Everett Coop has said that diet is a factor in 70 percent of all people who die from disease in the United States. On the whole, vegetarians are less likely to be afflicted with chronic diseases than those who make meat a centerpiece of their diet.

What is the meaning of the word "pulses" as it appears in the first paragraph?

• A. The regular throbbing of the arteries caused by successive contractions of the heart
• B. The general attitude of the public or a specific population toward health concerns
• C. The edible seeds produced by legumes such as peas, beans, or lentils
• D. Any type of food with animal origins such as butter, honey, or eggs

THE CDC:
The Centers for Disease Control and Prevention (CDC) is always busy monitoring health issues and sending out regular warnings to make sure people know of any impending threats. One of the most recent warnings, however, caught Americans by surprise. The CDC announced that one of today's most under-recognized public health problems is sleep loss. It is estimated that between 50 and 70 million Americans suffer from this problem. Adequate sleep is essential to good mental and physical health. If you do not get enough sleep on a regular basis, you run an increased risk of obesity, diabetes, high blood pressure, stroke, cardiovascular disease, depression, cigarette smoking, and excessive drinking. Those are not minor health issues!
To find out how many Americans are not getting enough sleep, the CDC surveyed almost 20,000 adults in four states. Ten percent of the people studied reported not getting enough sleep every single day of the previous month, and 38 percent reported not getting enough in seven or more days in the previous month. How much sleep is enough sleep? According to the National Sleep Foundation, adults need 7 to 9 hours each night, whereas children under 12 need 9 to 11 hours and teenagers need between 8½ and 9½ hours.
Unfortunately, instead of sleeping, many people stay up late at night to surf the Internet or watch television. Along with the health risks that chronic sleep loss can bring, experts also believe it is responsible for thousands of people who die on the road each year from accidents caused by sleepy drivers. There is no doubt that spending less time with eyes closed can make your days longer, your health worse, and your driving riskier.

What does the word "surf" mean as used in the fourth paragraph?

• A. Spend time swimming in the ocean
• B. Look at different websites
• C. Watch late-night television
• D. Complete online assignments

PHOTOTHERAPY:
Phototherapy, commonly referred to as light therapy, has been an established form of medicine for more than a century. In recent years it has become closely associated with seasonal affective disorder, of which it is an effective and well-known treatment, but it is also used to treat a broad range of medical issues including acne, psoriasis, and eczema.
The most common form of light therapy involves a patient sitting in front of a medically designed light box for a prescribed amount of time every morning. The light is positioned at an exact distance from the patient's eyes so that it strikes both the skin and the retina. The light box mimics the effects of natural sunlight, but the UV rays are filtered to ensure there is no damage to the patient's skin or eyes. Phototherapy is thought to be a safe method of reducing the amount of bacteria on the skin, reducing inflammatory responses, and affecting the chemicals in the brain associated with mood.
One of the most recent technologies to be associated with phototherapy is the phototherapy blanket. In the late 1960s it was discovered that phototherapy can be used to treat jaundice in newborn babies. Neonatal jaundice, a yellowing of the skin in newborn infants due to excess bilirubin levels in the blood, is usually harmless but can cause brain damage if left untreated. Newborns are given a phototherapy blanket, a small pad with flexible LED light panels sewn into the fabric, to sleep with until their livers are able to process the excess bilirubin.
The many benefits of phototherapy make it a valuable resource for addressing a variety of ailments. Emerging innovations in LED and photo technologies ensure that many more practical applications will be developed for this particular form of treatment in the years to come.

What is the meaning of the word 'established' as used in the first paragraph?

• A. Created
• B. Ascertained
• C. Founded
• D. Reputable