Ch. 11:Health and Wellness Across the Lifespan (quiz 1)

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Questions and Answers

Which areas should be targeted by the community health nurse (CHN) who wishes to successfully establish a program to decrease childhood mortality rates?

  • Accidents and injuries (correct)
  • Acquired immune deficiency syndrome (AIDS)
  • Childhood obesity
  • Vaccine-preventable diseases

What is the most important action to be taken by the community health nurse (CHN) who wishes to decrease childhood obesity?

  • Involving the entire family in the management of obesity in a child (correct)
  • Lobbying legislators to enact stronger legislation regarding unhealthy lunches and food from snack machines in schools
  • Increasing availability of nutrition programs in which schoolchildren are taught to make healthy food choices
  • Providing after-school activities and summer camps that focus on diet and exercise

What constitutes tertiary prevention by a community health nurse (CHN) who wants to promote improved health in obese children?

  • Establishing lifestyle improvement programs through local youth organizations (correct)
  • Evaluating the food intake of a group of children for a 48-hour period
  • Providing educational programs to overweight prospective parents because they are at greater risk of having overweight children
  • Measuring body mass index in children during regularly scheduled well-child assessments

Which statement provides the best definition of women's health?

<p>Women's health includes health promotion, health protection, and health maintenance across a woman's lifespan. (B)</p> Signup and view all the answers

What constitutes secondary prevention by a community health nurse (CHN) who wants to promote improved health in obese women?

<p>Screening using a full glucose tolerance test (C)</p> Signup and view all the answers

What is the primary determining factor of poor health outcomes in women?

<p>Poverty (D)</p> Signup and view all the answers

What is the nursing specialty that focuses on holistic care of older clients?

<p>Gerontological nursing (A)</p> Signup and view all the answers

What would be the best community health nurse (CHN) referral for a physically and mentally challenged older person who wants to continue living with her family but whose family members are all working outside the home?

<p>Adult daycare services (A)</p> Signup and view all the answers

According to the Comprehensive School Health Framework of health promotion, what is the correct definition of primordial prevention?

<p>Preventing risk factors of health issues from ever occurring (A)</p> Signup and view all the answers

Which type of prevention is exemplified by the administration of vaccines to promote child and adolescent health?

<p>Primary prevention (D)</p> Signup and view all the answers

What would constitute tertiary prevention by a community health nurse (CHN) who wants to promote better health in women with diabetes?

<p>Monitoring blood glucose levels closely and recommending necessary diet modifications (A)</p> Signup and view all the answers

Which preventative measure would be included as primary prevention of osteoporosis in women?

<p>A diet rich in calcium and vitamin D (C)</p> Signup and view all the answers

The second leading cause of cancer deaths in Canadian women is colorectal cancer. What is key to improving long-term survival in women with colorectal cancer?

<p>Primary prevention and early detection (C)</p> Signup and view all the answers

Testicular cancer is a common solid-tumour malignancy affecting men aged 15 to 35. What is the most common symptom of testicular cancer?

<p>Painless, firm scrotal mass or swelling (B)</p> Signup and view all the answers

Community health nurses (CHNs) who work with older persons who have cognitive impairment and their caregivers should be aware of the difference between depression, delirium, and dementia, in order to identify the health concern accurately and intervene accordingly. What description relates specifically to dementia?

<p>Dementia is progressive intellectual impairment. (D)</p> Signup and view all the answers

What is the maximum recommended amount of screen time per day for 7-year-old children?

<p>2 hours (C)</p> Signup and view all the answers

Flashcards

What are the primary concerns for childhood mortality?

Injuries and accidents are the leading preventable cause of death and disability in children. Most accidents occur in the home.

Why is family involvement crucial in managing childhood obesity?

Involving the entire family in lifestyle changes is key to tackling childhood obesity. This includes modifying eating patterns, exercise levels, and daily activities.

How does establishing lifestyle improvement programs for obese children constitute tertiary prevention?

Tertiary prevention aims to reduce the complications of an existing condition. Establishing lifestyle improvement programs for already obese children falls under this category.

What is meant by 'women's health' as an all-encompassing concept?

Women's health encompasses all aspects of health throughout a woman's life, including health promotion, protection, and maintenance.

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How does screening for diabetes using a full glucose tolerance test represent secondary prevention?

Secondary prevention involves screening activities. Screening for diabetes through a full glucose tolerance test falls under this category.

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What is the most significant factor contributing to poor health outcomes in women?

Poverty is the primary factor influencing poor health outcomes in women. It significantly impacts access to healthcare and resources.

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What is gerontological nursing?

Geriatric nursing is a specialty that focuses on the holistic care of older adults. It encompasses assessment, planning, implementation, and evaluation of their health needs.

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Why are adult daycare services suitable for an older person with physical and mental challenges who lives with a working family?

Adult daycare services provide a safe and supervised environment for individuals with mental or physical limitations, allowing them to participate in activities and receive support.

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What does the term 'primordial prevention' mean within the Comprehensive School Health Framework?

Primordial prevention focuses on preventing the development of risk factors for health issues in the first place.

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How do vaccination programs for children and adolescents represent primary prevention?

Primary prevention aims to prevent a disease or condition from occurring. Vaccination programs exemplify primary prevention.

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How does intensive blood glucose monitoring and dietary modification for women with diabetes demonstrate tertiary prevention?

Tertiary prevention focuses on reducing complications of an existing disease. Intensive blood glucose monitoring and dietary adjustments for women with diabetes are examples of tertiary prevention.

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What constitutes primary prevention of osteoporosis in women?

A diet rich in calcium and vitamin D is crucial for primary prevention of osteoporosis, alongside weight-bearing exercise, avoiding smoking, and limiting caffeine and alcohol intake.

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What is key to improving long-term survival in women diagnosed with colorectal cancer?

Primary prevention and early detection are critical factors for improving survival rates in women with colorectal cancer. Community health nurses educate women about risks, symptoms, and screening options.

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What is the most common symptom of testicular cancer, often detected by chance?

A painless, firm scrotal mass or swelling is the most common presenting symptom of testicular cancer. Other symptoms may include low back pain due to lymph node involvement.

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What distinguishes dementia from depression and delirium in terms of cognitive impairment?

Dementia is a progressive decline in cognitive function, leading to intellectual impairment. It differs from depression (mood disorder) and delirium (acute confusion).

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What is the maximum recommended screen time per day for 7-year-old children according to the Canadian 24-Hour Movement Guidelines?

The Canadian Society for Exercise Physiology recommends a maximum of 2 hours of screen time per day for children aged 5 to 12, combined with at least 60 minutes of moderate to vigorous physical activity and adequate sleep.

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What are the leading causes of death from unintentional injuries and accidents in children aged 1 to 14 in Canada?

The leading causes of death from unintentional injuries and accidents in children aged 1 to 14 in Canada are due to accidents, often in the home. Promoting home safety is vital.

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Why is childhood obesity not a primary concern when focusing on childhood mortality?

Obesity is a significant health problem in children but not a common cause of death. The focus should be on reducing accidental injuries, which are a leading cause of mortality.

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How does closely monitoring blood glucose levels and adjusting medications for women with diabetes represent tertiary prevention?

Tertiary prevention in diabetes includes activities to reduce long-term complications. This includes monitoring blood sugar levels, adjusting medication, and preventing complications like diabetic retinopathy or neuropathy.

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How does educating women about the risks of obesity and promoting healthy lifestyle choices represent primary prevention?

Primary prevention in diabetes involves taking steps to prevent the disease from developing. Examples include educating individuals about lifestyle factors that contribute to diabetes and promoting healthy habits.

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How does conducting regular blood glucose screenings for women at risk for diabetes represent secondary prevention?

Secondary prevention in diabetes focuses on early detection and identifying individuals at risk. This includes screening individuals for diabetes using blood glucose tests.

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How does providing ongoing education and support to women with diabetes to manage their condition constitute tertiary prevention?

Tertiary prevention in women with diabetes aims to reduce the negative effects of the disease. Examples include providing education on managing blood sugar levels through diet and medication, as well as preventing long-term complications.

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How does consuming calcium and vitamin D through diet, engaging in weight-bearing exercise, and avoiding smoking constitute primary prevention of osteoporosis?

Primary prevention of osteoporosis involves taking steps to strengthen bones and reduce risk factors. This includes consuming calcium and vitamin D through diet, engaging in weight-bearing exercise, and avoiding smoking and excessive alcohol intake.

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How does engaging in weight-bearing exercise, consuming calcium and vitamin D through diet, and avoiding smoking constitute primary prevention of osteoporosis?

Primary prevention of osteoporosis involves taking steps to strengthen bones and reduce risk factors. This includes engaging in weight-bearing exercise, consuming calcium and vitamin D through diet, and avoiding smoking.

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How does consuming calcium and vitamin D through diet, avoiding smoking, and engaging in weight-bearing exercise constitute primary prevention of osteoporosis?

Primary prevention of osteoporosis involves taking steps to strengthen bones and reduce risk factors. This includes consuming calcium and vitamin D through diet, avoiding smoking, and engaging in weight-bearing exercise.

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How does engaging in weight-bearing exercise, avoiding smoking, and consuming calcium and vitamin D through diet constitute primary prevention of osteoporosis?

Primary prevention of osteoporosis involves taking steps to strengthen bones and reduce risk factors. This includes engaging in weight-bearing exercise, avoiding smoking, and consuming calcium and vitamin D through diet.

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How does avoiding smoking, consuming calcium and vitamin D through diet, and engaging in weight-bearing exercise constitute primary prevention of osteoporosis?

Primary prevention of osteoporosis involves taking steps to strengthen bones and reduce risk factors. This includes avoiding smoking, consuming calcium and vitamin D through diet, and engaging in weight-bearing exercise.

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How does consuming calcium and vitamin D through diet, engaging in weight-bearing exercise, and limiting caffeine and alcohol intake constitute primary prevention of osteoporosis?

Primary prevention of osteoporosis involves taking steps to strengthen bones and reduce risk factors. This includes consuming calcium and vitamin D through diet, engaging in weight-bearing exercise, and limiting caffeine and alcohol intake.

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How does avoiding smoking, consuming calcium and vitamin D through diet, and engaging in weight-bearing exercise constitute primary prevention of osteoporosis?

Primary prevention of osteoporosis involves taking steps to strengthen bones and reduce risk factors. This includes avoiding smoking, consuming calcium and vitamin D through diet, and engaging in weight-bearing exercise.

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What is the role of community health nurses in promoting health outcomes for women with colorectal cancer?

Community health nurses play a role in providing education about colorectal cancer risks, symptoms, and screening opportunities, which are crucial for early detection and improved long-term survival.

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Study Notes

Chapter 11: Working with the Individual as Client: Health and Wellness Across the Lifespan

  • Childhood Mortality Rates: Areas to target for programs include accidents and injuries, as they are common causes of preventable childhood death and disability.

  • Childhood Obesity: Interventions should focus on lifestyle changes for the entire family to effectively address obesity, as it's less effective to just focus on a child alone.

  • Tertiary Prevention for Obese Children: Community health nurses should establish programs to support lifestyle improvement, evaluate food intake in groups, and provide educational programs to overweight parents, who are at increased risk of having overweight children.

  • Women's Health: A comprehensive definition includes health promotion, health protection, disease prevention, and health maintenance throughout a woman's lifespan, not just reproductive health or maternal role.

  • Secondary Prevention for Obese Women: Screening activities like a glucose tolerance test.

  • Poor Health Outcomes for Women: Poverty is a primary driver of poorer health outcomes in women.

  • Holistic Care for Older Adults: Gerontological nursing is the nursing specialty focused on providing holistic care for older clients and assessing their health and functional status to meet their needs.

  • Referral for Mentally/Physically Challenged Seniors: Adult daycare services are the best referral for a physically and mentally challenged older adult who wants to stay with their family, but whose family members work.

  • Primordial Prevention: Preventing risk factors for health issues from ever occurring, for example, through various health education methods.

  • Child Health Promotion: The administration of vaccines.

  • Tertiary Prevention for Diabetes: Monitoring blood glucose, dietary modifications, and managing complications from diabetes.

  • Primary Prevention for Osteoporosis: A diet rich in calcium and vitamin D.

  • Primary Prevention for Osteoporosis: Exposure to sunlight for 40 minutes a day, exercise, and weight control.

  • Colorectal Cancer: Improving long-term survival rates requires primary prevention and early detection of colorectal cancer.

  • Testicular Cancer: Painless, firm scrotal mass or swelling is the most common symptom.

  • Dementia: A progressive, intellectual impairment. It differs from depression and delirium.

  • Screen Time for Children: The maximum recommended screen time for 7-year-olds is 2 hours per day.

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