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Which of the following actions should be taken when a 32-year-old woman with malaise is suspected of experiencing achievement-oriented stress?
- A. Sleeping 10 hours per day
- B. Unintentional loss of 10 pounds in the past 3 weeks
- C. Expressed fear of company layoffs
- D. Calling in sick once every 2 weeks for the past month
Correct Answer: B
Rationale: Weight loss, a common sign of achievement-oriented stress, typically occurs due to neglect of health while focusing on career.
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Which of the following teenagers is exhibiting a behavior that causes concern and requires further evaluation?
- A. Is always very happy
- B. Is agitated and has trouble sleeping
- C. Has a lot of homework and stays up late to finish it
- D. Values his friend’s opinion more than his parent’s opinion
Correct Answer: B
Rationale: Agitation and insomnia are signs of potential substance abuse, requiring further evaluation.
Which model of health is most likely used by a person who does not believe in preventive health care?
- A. Clinical model
- B. Role performance model
- C. Adaptive model
- D. Eudaimonistic model
Correct Answer: A
Rationale: The clinical model views the absence of disease as health, and people using this model typically wait until they are very ill to seek care.
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 community health nurse is presenting information about the current health of the nation in 2011. What would be included?
- A. Funding of public health programs
- B. Provision of health care
- C. Advances in technology
- D. Consumer education
Correct Answer: A
Rationale: Substantial funding of public health programs improves health outcomes.
A man states that he would like to change his dietary habits to decrease his risk of developing cancer in the future. Which of the following statements would be the best response for the nurse?
- A. “Consume at least cups of fruits and vegetables each day.”
- B. “Dietary habits have minimal effect in reducing your risk of developing cancer.”
- C. “A glass of red wine should be consumed daily.”
- D. “Dietary supplements of specific nutrients will maximize the effects of dietary changes.”
Correct Answer: A
Rationale: Consuming a variety of fruits and vegetables can help reduce cancer risk.