Adult-Gerontology Primary Care Nurse Practitioner Exam Health Promotion & Disease Prevention 3

Question 1

A 70-year-old patient who smokes 1 pack per day wants to quit. Which approach has the highest evidence for successful tobacco cessation?

Accepted Answer

Combination of behavioral counseling plus pharmacotherapy (varenicline or combination NRT)

Answer

Combining behavioral counseling with pharmacotherapy (especially varenicline or combination NRT) yields the highest quit rates and is the evidence-based gold standard for tobacco cessation.

Question 2

According to the Physical Activity Guidelines for Americans (2nd edition), older adults should aim for how many minutes of moderate-intensity aerobic activity per week to achieve substantial health benefits?

Accepted Answer

150 minutes per week

Answer

The Physical Activity Guidelines for Americans recommend at least 150 minutes of moderate-intensity or 75 minutes of vigorous-intensity aerobic activity per week for older adults.

Question 3

Which dietary pattern has the strongest evidence supporting cardiovascular risk reduction and cognitive health benefits in older adults?

Accepted Answer

Mediterranean diet emphasizing fruits, vegetables, whole grains, olive oil, and fish

Answer

The Mediterranean diet has the most robust evidence for reducing cardiovascular events and has also been associated with reduced cognitive decline and improved metabolic outcomes in older adults.

Question 4

A 68-year-old male with a BMI of 32 presents for a wellness visit with no current weight-related conditions. Per USPSTF recommendations, what is the most appropriate action?

Accepted Answer

Referral to or provision of intensive multicomponent behavioral counseling interventions

Answer

USPSTF (Grade B) recommends referring or providing intensive multicomponent behavioral counseling interventions for adults with a BMI ≥30 to promote sustained weight loss.

Question 5

When counseling older adults with low health literacy about chronic disease self-management, which communication technique is most effective for confirming understanding?

Accepted Answer

Employing the 'teach-back' method by asking the patient to explain the information back

Answer

The teach-back method — asking patients to explain instructions in their own words — is the most evidence-based technique to confirm understanding and identify gaps in health literacy.

Adult-Gerontology Primary Care Nurse Practitioner Exam Practice Test

Adult-Gerontology Primary Care Nurse Practitioner Exam Practice Test

Adult-Gerontology Primary Care Nurse Practitioner Exam Health Promotion & Disease Prevention 3