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FINAL EXAM HPDP WITH CORRECT SOLUTIONS 100% CORRECT
"Environment 2020 LHI Healthy People - CORRECT ANSWER 1. Air quality index
- Children exposed to second-hand smoke"
"Clinical Preventative Services 2020 LHI Healthy People - CORRECT ANSWER 1. Adults receiving
colorectal screening
- Adults living with hypertension that is controlled
- Person diagnose with diabetes whose A1C values are greater than 9%
- Children receiving DTaP, Polio and MMR"
"Nutrition, Physical Activity and Obesity 2020 LHI Healthy People - CORRECT ANSWER 1. Adults
meeting aerobic physical activity and muscle strengthening
- Obesity among children
- Obesity among adults
- Mean daily intake of total veggies"
"SMART Goals definition - CORRECT ANSWER S-Specific
M-Measurable A-Attainable R-Realistic T-Time-bound"
"Risk factors for common diseases & conditions - CORRECT ANSWER 1. Genetic and physiological
factors- physical functioning of the body
- Age- infants and elderly are more at risk
- Environment- where we live and its waste and toxins
- Lifestyle- activities, habits, and practices"
"Early identification of developmental problems - CORRECT ANSWER 1. Noticing risk factors
- Recognizing developmental milestones for age-groups
- Regular screening to detect developmental delay"
"Early identification and early intervention are critical - CORRECT ANSWER 1. Early identification
requires recognition of risk factors and recognition of abnormal findings with screening measures
- The earlier the intervention, the better the outcomes"
"Developmental Risks: - CORRECT ANSWER 1. Prenatal
- Birth
- Individual
- Toxic stress
- Situational
- Family
- Health status
- Social determinants of health"
"Family Assessment: Function - CORRECT ANSWER 1. Is what a family does
- Includes the way a family reproduces, interacts to socialize its young, cooperates to meet economic needs and relates to the larger society"
"Measuring Learning Objective - CORRECT ANSWER TBD"
"Evaluation of Learning - CORRECT ANSWER 1. See through the patient's eyes.
a. Have the patient's learning needs been met? B. Reinforces correct behavior, changing incorrect behavior, helps educator determine adequacy of teaching.
- Patient outcomes: a. Legal responsibility b. Documentation
- Teach back- teach, demonstrate, identify"
"Types of Stress - CORRECT ANSWER 1. Chronic: chronic stress that occurs in stable conditions and
result in stressful roles
- Acute: Time limited events that threaten a person for a relatively brief period provoke acute stress
- PTSD: an acute stress disorder that begins with personal experiences, witnesses or controlled by traumatic event"
"Sources & absorption of nutrients: Macronutrients - CORRECT ANSWER 1. Proteins
- Carbs
- Fats
- Glucose
- Polymers
- Lipids"
"Sources & absorption of nutrients: Micronutrients - CORRECT ANSWER 1. Electrolytes
- Sodium
- Potassium
- Calcium
- Magnesium
- Phosphorus"
"Genomics is - CORRECT ANSWER the study of all genes in a person"
"Adult BMI - CORRECT ANSWER 18.5-24.9"
"Illness - CORRECT ANSWER physical manifestations and the subjective experiences of an individual"
"Disease - CORRECT ANSWER a functional or structual disturbance that results when a persons
adaptive mechanisms to counteract stimuli and stresses fail"
"Infected Agent - CORRECT ANSWER bacteria, virus, fungi, protozoa"
"Reservoir - CORRECT ANSWER place where they survive and multiply (food,water, tempt, oxygen
level, ph levels, light )"
"Portal Exit - CORRECT ANSWER exit to transport to another host ( the skin, GI tract, Urinary tract,
blood, reproductive system"
"Mode of Transmission - CORRECT ANSWER the route the infected agent took ( droplets, direct,
indirect, vectors)"
"Portal of Entry - CORRECT ANSWER how the infected agent enters new host ( skin, oral, vaginal )"
"Host - CORRECT ANSWER susceptibilty and thriving of the infected agent in the new host"
"The mother of a 2 year old asks the nurse about her child's cognitive development. The best response of the nurse is that her child:
- is beginning to think intuitively.
- is using magical thinking.
- can solve concrete problems.
4. is using abstract thinking. - CORRECT ANSWER 2."
"The nurse is assessing a patient's ability to perform basic activities of daily living (BADLs). Which of the following activities are considered in the BADLs assessment? (Select all that apply.) A. Brushing teeth or dentures B. Dressing oneself in the mornings C. Washing, drying, and folding laundry D. Counting own pulse and taking heart pill E. Taking the bus to the park
F. Calling family members - CORRECT ANSWER A, B"
"Which of the following interventions are priorities in a plan of care for a patient who had a stroke 30 days ago and is now in home care rehabilitation? (Select all that apply.) A. Promoting rest and sleep B. Promoting a diet rich in protein C. Promoting exercise and ambulation D. Assisting the patient with ADLs
E. Limiting visitors and social contacts - CORRECT ANSWER A, C"
"The nurse planning to assess the function of a family would ask: A. Who lives with you? B. Who does the grocery shopping? C. Who are the members of your family?
D. How old are the members of your family? - CORRECT ANSWER B."
"Maturation - CORRECT ANSWER Maturation- is the emergence of personal behavioral, or adult-like
physical characteristics or a "ripening." Maturation enabled an individual to function in a fully developed and optimal way. It increases the adaptability and competence in new situations."
"HEADSS - CORRECT ANSWER Home, Education, Activities, Drugs, Sex, Suicide - teens"
"ASQ - CORRECT ANSWER Ages and Stages Questionnaire- screening test, communication, gross,
fine motor, problem solving (cogitative), personal- social"
"Recent Life Changes - CORRECT ANSWER Depression and what not-adults"
"Disparities among women in Bexar county - CORRECT ANSWER 1. High rates of chlamydia
- Premature Delivery
- Premature Death"
"Hyperemesis - CORRECT ANSWER Excessive throwing up"
"Women cannot receive these vaccines: - CORRECT ANSWER MMR, Polio"
"Home care is a more ideal environment than multiple ER visits. True of false? - CORRECT ANSWER
True"
"Pregnancy Calorie intake needed - CORRECT ANSWER 300 Calories"
"3. A nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency? A. Iron deficiency anemia B. Poor bone formation C. Macrosomic fetus
D. Neural tube defects - CORRECT ANSWER D."
"5. A nurse is reviewing postpartum nutrition needs with a group of new mothers who are breastfeeding their newborns. Which of the following statements by a member of the group indicates an understanding of the teaching? A. "I am glad I can have my morning coffee" B. "I should take folic acid to increase my milk supply" C. "I will continue adding 330 calories per day to my diet"
D. "I will continue my calcium supplements because I don't like milk" - CORRECT ANSWER D"
"2. A nurse is completing a newborn assessment and observes small white nodules on the roof of the newborn's mouth. this finding is a characteristic of which of the following conditions? A. Mongolian spots B. Milia spots
C. Erythema toxicumD. Epstein's pearls - CORRECT ANSWER D"
"3. A nurse is assessing the reflexes of a newborn. In checking for the moro reflex, the nurse should perform which of the following? A. Hold the newborn vertically under arms and allow one foot to touch table. B. Stimulate the pads of the newborn's hands with stroking or massage. C. Stimulate the soles of the newborn's feet on the outer lateral surface of each foot. D. Hold the newborn in a semi sitting position, then allow the newborn's head and trunk to fall backward.‐
CORRECT ANSWER D"
"5. A nurse is teaching a newly licensed nurse how to bathe a newborn and observes a bluish marking across the newborn's lower back. The nurse should include which of the following information in the teaching? A. "This is frequently seen in newborns who have dark skin." B. "This is a finding indicating hyperbilirubinemia." C."This is a forceps mark from an operative delivery."
D."This is related to prolonged birth or trauma during delivery." - CORRECT ANSWER A"
"3. A nurse is caring for a newborn immediately following birth. Which of the following nursing interventions is the highest priority? A. Initiating breastfeeding B. Performing the initial bath C. Giving a vitamin K injection
D. Covering the newborn's head with a cap - CORRECT ANSWER D"
"4. A nurse is preparing to administer a vitamin K (phytonadione) injection to a newborn. Which of the following responses should the nurse make to the newborn's mother regarding why this medication is given? A. "It assists with blood clotting." B. "It promotes maturation of the bowel." C."It is a preventative vaccine."
D. "It provides immunity." - CORRECT ANSWER A"
"A nurse is caring for a newborn. which of the following actions by the newborn indicates readiness to feed? A. Spits up clear mucus B. Attempts to place his hand in his mouth C. Turns his head toward sounds
D. Lies quietly with his eyes open - CORRECT ANSWER B"
"•2. The Human Genome Project 1.was designed to identify the hereditary causes of health and illness. 2.is an ongoing effort of the U.S. Department of Health and Human Services. 3.focused solely on the science of genetics.
4.successfully mapped the entire complement of genes in humans. - CORRECT ANSWER 4"
"•5. Illnesses that have a genetic component are limited to A.those syndromes identified by newborn screening. B.certain forms of cancer, including breast cancer. C.hereditary conditions.
D.essentially all issues affecting health and illness. - CORRECT ANSWER D."
"•7. Which statement is true? 1.There are significant genetic differences between races. 2.There is more genetic variation within racial groups than between racial groups. 3.Some races are genetically inferior to other races.
4.Mental retardation has a large racial component that is genetically determined. - CORRECT
ANSWER 2."
"4. A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of maternal hypotension. The client asks the nurse what causes these episodes. Which of the following responses should the nurse make? A. "This is due to an increase in blood volume"
"Water soluble you can pee out - CORRECT ANSWER "
"5 Reals of Family - CORRECT ANSWER interactive
developmental coping integrity health CHID"
" - CORRECT ANSWER 1. Improve and optimize care
- Promote health and independence
- Minimize unnecessary"
“Overarching Goals Healthy People 2020 - CORRECT ANSWER 1. Attain high-quality, longer lives free
of preventable disease, disability, injury, and premature death.
- Achieve health equity, eliminate disparities, and improve the health of all groups.
- Create social and physical environments that promote good health for all.
- Promote quality of life, healthy development, and healthy behaviors across all life stages."
"Oral Health 2020 LHI Healthy People - CORRECT ANSWER 1. Children, adolescents and adults who
visited the dentist in the past year"
"Leavell and Clark Model - CORRECT ANSWER 1. She stated in the review that
primary(prepathogentic) would be like exercising, hand hygiene(hand hygiene could follow under every prevention)
- If you are already diagnosed with a disease then you are in secondary(pathogentic)
- Focus on primary and secondary
- For a baby who is not pathogenetic but is given medicine bc mom is, it would be primary specific protection(like when they give the medicine in the eyes for newborn)"
"Major Goals for IHI Triple Aim for Populations - CORRECT ANSWER 1. Improving the patient
experience of care (including quality and satisfaction);st
- Improving the health of populations; and
- Reducing the per capita cost of health care."
"San Antonio Community Assessment: 3 top causes for premature death - CORRECT ANSWER 1.
Cardiovascular
- Cancer
- Liver Disease"
"3 top causes for death in general - CORRECT ANSWER 1. Cancer
- Heart Disease
- COPD"
"Family Assessment: Structure - CORRECT ANSWER 1. Structure: based on the ongoing membership
of the family and the pattern of relationships, which are often numerous and complex
- Members of the family, Relationships among family members, Other individuals that influence the family, Use of a genogram or ecomap helps to illustrate family members and social relationships"
"Learning Styles - CORRECT ANSWER 1. Seeing and hearing
- Reflecting and acting
- Reasoning logically and intuitively
- Analyzing and visualizing"
"Domains of Learning - CORRECT ANSWER 1. Cognitive: intellectual behave
- Affective: Deals with expressing
- Psychomotor: Skills that require coordination and mental & physical movements"
"Barriers to Learning - CORRECT ANSWER 1. Lack of support system
- Cultural differences
- Lack of financial resources or time
- Frequent interruptions"
"Evaluating risk for interpersonal violence - CORRECT ANSWER 1. Substance use-drunk people are
not in correct mindset and can get angry easily
- Mental health conditions- depression, personality disorders, and low academic achievement
- Exposure to violence in childhood
- Migration(minorities)
- Unemployment (always working is NOT a risk factor)
- Stress"
"Infants should not eat: - CORRECT ANSWER 1. Milk (after a year and should be whole milk), eggs,
peanut butter, wheat and citrus
- No Honey
- Induce foods slowly
- First foods should be iron fortified rice cereal"
"Vegans should consume: - CORRECT ANSWER 1. B12 since they dont receive adequate amount in
their diet
- For proteins they can combine foods like beans and rice for protein needed"
"Healthy Childbearing: Environmental and workplace hazards - CORRECT ANSWER 1. Assess the
home environment for:
- Pests, dust mites, pesticides
- Mold
- Lead
- Radon
- Tobacco
- Drinking water
- developmental assessment.
- functional assessment.
- life experiences survey.
4. recent life changes questionnaire. - CORRECT ANSWER 2."
"A child uses two- to four-word sentences. The nurse interprets this data as expected development for a child the age:
- 2 months.
- 1 year.
- 2 years.
4. 3 years. - CORRECT ANSWER 3."
"Function of family - CORRECT ANSWER 1. Instrumental: family activities of day-to-day living
- Expressive: communication, problem solving, power, values, beliefs- emotional"
"Development - CORRECT ANSWER sequence of physical, psychosocial, and cognitive
developmental changes that take place over the human lifespan. Encompasses growth differentiation and maturation. Imcudes all aspects of the individual"
"Differentiation - CORRECT ANSWER is the process by which initially formed cells and structures
become specialize. This is both quantitative and qualitative change from simple to complex in which broad global function becomes refined and specific" "A nurse is teaching a group of women who are pregnant about measures to relieve backache during pregnancy. Which of the following measures should the nurse include in the teaching? (Select all that apply) A. Avoid any lifting B. Perform Kegel exercises twice a day C. Perform the pelvic rock exercises every day D. Use proper body mechanics
E. Avoid constrictive clothing - CORRECT ANSWER C,D"
"A nurse is caring for a client who is pregnant and reviewing signs of complications the client should promptly report to the provider. Which of the following complications should the nurse include in the teaching? A. Vaginal bleeding B. Swelling of the ankles C. Heartburn after eating
D. Lightheadedness when lying on back - CORRECT ANSWER A"
"2. A newborn was not dried completely after birth. Which of the following mechanisms should the nurse understand causes heat loss? A. Conduction B. Convection C. Evaporation
D. Radiation - CORRECT ANSWER C"
"1. A nurse is giving instructions to a mother about how to breastfeed her newborn. Which of the following actions by the mother indicates understanding of the teaching? A. The mother places a few drops of water on her nipple before feeding. B. The mother gently removes her nipple from the infant's mouth to break the suction. C. When she is ready to breastfeed, the mother gently strokes the newborn's neck with her finger.
D. When latched on, the infant's nose, cheek, and chin are touching the breast. - CORRECT ANSWER
D"
"2. A nurse is teaching a group of new parents about proper techniques for bottle feeding. Which of the following instructions should the nurse provide? A. Burp the newborn at the end of the feeding. B. Hold the newborn close in a supine position. C. Keep the nipple full of formula throughout the feeding.
D. Refrigerate any unused formula. - CORRECT ANSWER C"
"•10. The most valuable information to determine an individual's risk for a condition with a genetic component is A.the sequencing of the breast cancer gene. B.the test for cystic fibrosis carriers. C.maternal serum screening for alpha fetoprotein.
D.the family history. - CORRECT ANSWER D"
"3. A nurse is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following findings should the nurse expect? (Select all that apply) A. Montgomery's glands B. Goodell's sign C. Ballottement
D. Chadwick's signE. Quickening - CORRECT ANSWER B,C,D"
"1. A nurse is preparing to administer prophylactic eye ointment to a newborn to prevent ophthalmia neonatorum. Which of the following medications should the nurse anticipate administering? A. Ofloxacin B. Nystatin C. Erythromycin
D. Ceftriaxone - CORRECT ANSWER C."
"5. A nurse is reviewing breastfeeding positions with the mother of a newborn. Which of the following positions should the nurse discuss? A. Over the shoulder B. Supine‐ ‐
C. Chin supportedD. Cradle‐ - CORRECT ANSWER D."
"•9. The Human Genome Project A.was conducted solely by the U.S. Government.
