You are working with an older male adult with a long history of alcohol abuse and a 30-year history ...

You are working with an older male adult with a long history of alcohol abuse and a 30-year history of smoking. In recommending an intervention for this client, your responsibility is to
 
  A. Make the individual abandon his own health practices and follow your recommendations
  B. Register the patient for a local intervention program and secure payments
  C. Promote positive change in lifestyle choices
  D. Identify the barriers that the client will encounter

Question 2

A local chapter of a nurse practitioner organization has begun planning a community-based screening for hypertension at a local congregate living facility. This population was selected on the basis of
 
  A. A predicted decreased incidence of high blood pressure in this population
  B. A recognized element of high risk within this group
  C. Readily available treatment measures
  D. Achieving an administrative goal for the congregate living facility

Question 3

Performing range of motion exercises on a client who has had a stroke is an example of which level of prevention?
 
  A. Primary prevention
  B. Tertiary prevention
  C. Secondary prevention
  D. Rehabilitation prevention

Question 4

Leo L. is a 62-year-old African American male who comes for an initial visit to your practice. Personal health history includes smoking 1 pack/day since age 11, consuming a case of beer (24 bottles) every weekend
 
  , and working as an assembler (sedentary job) for the past 10 years. Family history in first-degree relatives includes hypertension, high cholesterol, heart attack, and type 2 diabetes mellitus. Leo's BMI is 32; BP today is 130/86. You order a fasting glucose, lipid profile, and return visit for BP check. This is an example of:
  A. Primary prevention
  B. Secondary prevention
  C. Tertiary prevention
  D. Health profiling

Question 5

Ali is a 72-year-old man who recently came to the U.S. from Nigeria. He reports having BCG (bacille Calmette-Guerin) vaccination as a child. Which of the following is correct regarding a tuberculin skin test?
 
  A. It should not be done at all.
  B. It should be read as smaller than it really is.
  C. Vaccination history is irrelevant; read as usual.
  D. It should be read as larger than it really is.

Question 6

Ivan W. is a 65-year-old man who is new to your practice. He has a history of COPD, CAD, hypertension, and type 2 diabetes mellitus. He has had no immunizations since his discharge from the military at age 25.
 
  Childhood diseases included chickenpox, measles, mumps, and German measles. He presents for a disease management visit. Which of the following immunizations would you recommend for Ivan?
  A. MMR, influenza, pneumococcal, Zostavax
  B. Influenza, pneumococcal, PPD, Hepatitis B
  C. Tdap, pneumococcal, influenza, Zostavax
  D. Hepatitis B, influenza, pneumococcal, Hepatitis A

Question 7

A 72-year-old woman and her husband are on a cross-country driving vacation. After a long day of driving, they stop for dinner. Midway through the meal, the woman becomes very short of breath, with chest pain and a feeling of panic.
 
  Which of the following problems is most likely?
  A. Pulmonary edema
  B. Heart failure
  C. Pulmonary embolism
  D. Pneumonia