Nokea
Which of the following types of cancers has a genetic predisposition to its occurrence?
- A. Lung
- B. Breast
- C. Cervix
- D. Testicles
Correct Answer: B
Rationale: Genetic testing can also show an inherited predisposition to several different types of cancer, including breast and ovarian cancer, melanoma, and colon cancer.
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Which of the following factors has a major impact on the development of chronic illness?
- A. Poverty
- B. Social stability
- C. Urban dwelling
- D. High school diploma
Correct Answer: A
Rationale: Poverty and socioeconomic disadvantage are recognized to have a major impact on the development of chronic illness. Social stability, urban living, and having a high school education are not factors contributing to the development of chronic illness.
According to the World Health Organization's ICF Bio-Psycho-Social Model, which of the following factors is an environmental contextual factor?
- A. Social background
- B. Behaviour pattern
- C. Social attitudes
- D. Coping style
Correct Answer: C
Rationale: Contextual factors are composed of external environmental factors (e.g. social attitudes, architectural characteristics, and legal and social structures, as well as climate, terrain, and so forth). The other choices represent internal personal factors (e.g. gender, age, coping styles, social background, education, profession, past and current experience, overall behaviour pattern, character, and other factors that influence how disability is experienced by the individual.
Which of the following models calls for a political response to disability?
- A. Social
- B. Medical
- C. Activist
- D. Collaborative
Correct Answer: A
Rationale: The social model of disability, conversely, sees disability as a socially created problem and not an inherent attribute of an individual. The social model perspective calls for a political response, because the problem is created by an unaccommodating physical environment brought about by attitudes and other features of the social environment.
Which of these patients assigned to the nurse is most likely to need planning for long-term nursing management?
- A. 22-year-old with appendicitis who has had an emergency appendectomy
- B. 56-year-old with bilateral knee osteoarthritis who weighs 159 kg
- C. 34-year-old with cholecystitis who has had a laparoscopic cholecystectomy
- D. 62-year-old with acute sinusitis who will require antibiotic therapy for 5 days
Correct Answer: B
Rationale: The patient's osteoarthritis is a chronic problem that will require planning for long-term interventions such as physical therapy and nutrition counselling. The other patients have acute problems that are not likely to require long-term management.
Which of the following is an example of multimorbidity?
- A. Chronic obstructive pulmonary disease and a urinary tract infection
- B. Lung cancer and pneumonia
- C. Chronic kidney disease and appendicitis
- D. Diabetes and exacerbation of rheumatoid arthritis
Correct Answer: D
Rationale: Multimorbidity is the simultaneous occurrence of several chronic medical conditions, which may or may not be related to each other, in the same person. Pneumonia, urinary tract infection, and appendicitis are all acute conditions.