MSNCB Health Promotion & Disease Prevention 5

Question 1

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?

Accepted Answer

Binge drinking

Answer

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.

Question 2

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?

Accepted Answer

Trans fats raise LDL and lower HDL, increasing cardiovascular risk

Answer

Artificial trans fats raise LDL (bad cholesterol) and lower HDL (good cholesterol), significantly increasing the risk of cardiovascular disease.

Question 3

A nurse is teaching a patient about osteoporosis prevention. Which combination of measures provides the strongest evidence-based primary prevention?

Accepted Answer

Adequate calcium and vitamin D intake combined with weight-bearing exercise

Answer

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.

Question 4

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?

Accepted Answer

Asking open-ended questions and reflecting the patient's own reasons for change

Answer

Motivational interviewing uses open-ended questions, affirmations, reflective listening, and summarizing to explore the patient's intrinsic motivation for change.

Question 5

A patient asks whether taking aspirin daily will prevent a first heart attack. Based on current USPSTF guidance, which response is most appropriate?

Accepted Answer

Low-dose aspirin for primary prevention is not recommended for adults 60 and older due to bleeding risk outweighing benefit

Answer

The 2022 USPSTF guideline recommends against initiating low-dose aspirin for primary CVD prevention in adults 60 and older due to increased bleeding risk.

(MSNCB) Medical-Surgical Nursing Certification Board Practice Test

(MSNCB) Medical-Surgical Nursing Certification Board Practice Test

MSNCB Health Promotion & Disease Prevention 5