Health Promotion & Disease Prevention Flashcards
7 cards from real MSNCB practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Health Promotion & Disease Prevention flashcards as text
A nurse is assessing a patient's alcohol consumption. The patient reports drinking 5 or more standard drinks on a single occasion at least once per week. How should the nurse classify this behavior?
Answer: Binge drinking
Binge drinking is defined by NIAAA as consuming 4+ drinks (women) or 5+ drinks (men) on a single occasion, bringing blood alcohol to ≥0.08 g/dL.
A nurse is reviewing a patient's dietary recall and notes high intake of trans fats. Which patient education point about trans fats is most accurate?
Answer: Trans fats raise LDL and lower HDL, increasing cardiovascular risk
Artificial trans fats raise LDL (bad cholesterol) and lower HDL (good cholesterol), significantly increasing the risk of cardiovascular disease.
A nurse is teaching a patient about osteoporosis prevention. Which combination of measures provides the strongest evidence-based primary prevention?
Answer: Adequate calcium and vitamin D intake combined with weight-bearing exercise
Weight-bearing exercise and adequate calcium (1000–1200 mg/day) with vitamin D (600–800 IU/day) are the cornerstone of evidence-based osteoporosis primary prevention.
A med-surg nurse is using motivational interviewing (MI) with a patient reluctant to change their diet. Which technique is most consistent with MI principles?
Answer: Asking open-ended questions and reflecting the patient's own reasons for change
Motivational interviewing uses open-ended questions, affirmations, reflective listening, and summarizing to explore the patient's intrinsic motivation for change.
A patient asks whether taking aspirin daily will prevent a first heart attack. Based on current USPSTF guidance, which response is most appropriate?
Answer: Low-dose aspirin for primary prevention is not recommended for adults 60 and older due to bleeding risk outweighing benefit
The 2022 USPSTF guideline recommends against initiating low-dose aspirin for primary CVD prevention in adults 60 and older due to increased bleeding risk.
A nurse is providing discharge teaching to a patient recovering from pneumonia. Which pneumococcal vaccination schedule is recommended for an immunocompetent adult aged 67 with no prior pneumococcal vaccine?
Answer: PCV15 followed by PPSV23 at least 1 year later, or PCV20 alone
Current ACIP guidelines recommend either PCV15 followed by PPSV23 ≥1 year later, or a single dose of PCV20 for pneumococcal-naive adults aged ≥65.
A nurse is screening a 45-year-old female patient for depression in the outpatient med-surg setting. Which tool is the most widely validated and recommended for adult depression screening?
Answer: Patient Health Questionnaire-9 (PHQ-9)
The PHQ-9 is the most widely validated, brief, and recommended screening tool for depression in adult primary and outpatient care settings.