Chapter 2: Health Promotion Flashcards
The leading cause of death in elderly travelers worldwide is
Accidents
Which of the following should be avoided in countries where food and water precautions are to be observed?
Salad buffet
What insect precautions are not necessary to prevent insect-borne diseases in the tropics?
Using 100% DEET on skin to prevent bites
An example of secondary prevention you could recommend/order for older adults would be to:
Check for fecal occult blood
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?
Vaccination history is irrelevant; read as usual.
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?
Pulmonary embolism
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?
Tdap, pneumococcal, influenza, Zostavax
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:
Secondary prevention
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 recognized element of high risk within this group
Performing range of motion exercises on a client who has had a stroke is an example of which level of prevention?
Tertiary prevention
Which organism that can be prevented by immunization is most often responsible for an infectious “outbreak” in the nursing home setting?
Influenza A
What is the appropriate method for tuberculosis screening of an older adult entering a nursing home?
5 tuberculin units intradermal PPD injection and if negative repeat with same dose one week later
