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PMHNP Purple Book Review > Advanced Health Assess Pt 2 Prevention > Flashcards

Advanced Health Assess Pt 2 Prevention Flashcards

1
Q

True or False: All persons age 6 months or older should receive annual influenza vaccination

A

True

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2
Q

True or False: Live Attenuated Influenza Vaccine (LAIV) can be used in persons younger than 2 yrs and older than 49

A

False,
Immunocompromised pts should also not receive the live vaccine

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3
Q

How long should you observe a pt with an egg allergy after vaccination ?

A

At least 30 minutes post injection

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4
Q

When is HPV vaccination recommended for girls?

A

11 or 12 yrs, w/ catchup vacc at age 13-26 yrs

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5
Q

When should the HPV4 vaccine be administered to boys?

A

age 9-26 to prevent genital warts

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6
Q

Who should not receive the MMR vaccine?

A

Pregnant women, cancer pts, pts w/ weak immune system, pts w/ HIV or AIDS w/ T-cell counts below 200, pts treated w/ high-dose steroids (who have received a blood transfusion w/in previous 2 weeks)

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7
Q

When should Td and Tdap be given?

A

Td should be every 10 years, starting at age 11 with Tdap

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8
Q

True or False: DTaP should not be given to anyone 7 years of age or older

A

True

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9
Q

Who is shingles vaccination recommended for?

A

anyone over age 60 who has had chickenpox

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10
Q

Female (Breast Development) Tanner Stage 1

A

Prepubertal

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11
Q

Female (Breast Development) Tanner Stage 2

A

Breast bud stage w/ elevation of breast and papilla; enlargement of areola

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12
Q

Female (Breast Development) Tanner Stage 3

A

Further enlargement of breast and areola; no separation of their contour

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13
Q

Female (Breast Development) Tanner Stage 4

A

Areola and papilla form a secondary mound above level of breast

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14
Q

Female (Breast Development) Tanner Stage 5

A

Mature stage: projection of papilla only, related to recession of areola

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15
Q

Male (External Genitalia) Tanner Stage 1

A

Prepubertal

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16
Q

Male (External Genitalia) Tanner Stage 1

A

Prepubertal

17
Q

Male (External Genitalia) Tanner Stage 2

A

Enlargement of scrotum and testes; scrotum skin reddens and changes in texture

18
Q

Male (External Genitalia) Tanner Stage 3

A

Enlargement of penis (length at first); further growth of testes

19
Q

Male (External Genitalia) Tanner Stage 4

A

Increase in size of penis w/ growth in breadth and development of glans; testes and scrotum larger, scrotum skin darker

20
Q

Male (External Genitalia) Tanner Stage 5

A

Adult genitalia

21
Q

Male and Female (Pubic Hair) Tanner Stage 1

A

Prepubertal (can see vellus hair similar to abdominal wall)

22
Q

Male and Female (Pubic Hair) Tanner Stage 2

A

Sparse growth of long, slightly pigmented hair, straight or curled, at base of penis or along labia

23
Q

Male and Female (Pubic Hair) Tanner Stage 3

A

Darker, coarser, and curlier hair, spreading sparsely over junctions of pubes

24
Q

Male and Female (Pubic Hair) Tanner Stage 4

A

Adult-type hair, but covering smaller area than in adult, no spread to medial surface of thighs

25
Q

Male and Female (Pubic Hair) Tanner Stage 5

A

Adult-type and quantity, w/ horizontal distribution

26
Q

Exam for women age 18-39

A

Monthly: skin and oral self-exams
Yearly: BP, blood tests, U/A, physical, Pap smear (begin at age 21 or w/in 3 years of sexual activity), pelvic exam, STI detection

27
Q

Exam for women age 40-49

A

Monthly: skin and oral self-exams
Yearly: BP, blood tests, U/A, physical, Pap smear (q 2 or 3 yrs after 3 consecutive negative smears), pelvic exam, STI,
- ECG q 4 years

28
Q

Exam for women age 50+

A

Monthly: skin and oral self-exams
Yearly: BP, blood tests (CBC, CMP, TSH), U/A, physical, Pap smear (65+ not recommended if recent normal pap and not high risk), pelvic exam, STI, ECG q 4 years
-mammography q 2 yrs
-bone density screening at age 65 (or at 60 if increased risk)
-q5yrs through age 75: flexible sigmoidoscopy or double-contrast barium enema or CT colonography , or colonoscopy q 10 years

29
Q

Exam for men ages 18-39

A

Monthly: self-exams (testicles, skin and oral)
Yearly: BP, blood tests, U/A, physical
Screen at least once per yr for syphilis, chlamydia, and gonorrhea for sexual active gay and bi men up to age 64

30
Q

Exam for men ages 40-49

A

Monthly: self-exams (testicles, skin and oral)
Yearly: BP, blood tests, U/A, physical
Screen at least once per yr for syphilis, chlamydia, and gonorrhea for sexual active gay and bi men up to age 64
-ECG q 4 years

31
Q

Exam for men ages 50+

A

Monthly: self-exams (testicles, skin and oral)
Yearly: BP, blood tests, U/A, physical
Screen at least once per yr for syphilis, chlamydia, and gonorrhea for sexual active gay and bi men up to age 64
-ECG q 3 years
-q5yrs through age 75: flexible sigmoidoscopy or double-contrast barium enema or CT colonography , or colonoscopy q 10 years

32
Q

True or False: All persons age 13 to 64 should be tested at least once for HIV

A

True

33
Q

Target heart rate during exercise

A

60-90% of the maximum HR

34
Q

Formula to calculate target HR for exercise

A

220 (beats/min) minus age= maximum HR
Max HR multiplied by intensity level- target HR

35
Q

True or False: CDC recommends 150 minutes of moderate-intensity aerobic exercise activity each week and muscle-strengthening activities 2 or more days/week

A

True

36
Q

CDC recommends how many hours of physical activity per day for children and adolescents?

A

1 hr or more

37
Q

Primary Prevention

A

aimed at decreasing incidence (# of new cases)
-example: stress management classes for grad students, smoking prevention classes, DARE

38
Q

Secondary Prevention

A

aimed at decreasing prevalence (# of existing cases)
-example: telephone hotlines, crisis intervention, disaster responses

39
Q

Tertiary Prevention

A

aimed at decreasing disability and severity of a disorder/illness
-example: day treatment programs, case management for housing or vocational needs, social skills training

PMHNP Purple Book Review (17 decks)

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