Health Promotion and Maintenance 3

Question 1

A nurse is screening a 68-year-old male client for depression. Which validated screening tool is most appropriate?

Accepted Answer

Patient Health Questionnaire-9 (PHQ-9)

Answer

The PHQ-9 (Patient Health Questionnaire-9) is a validated, widely used screening tool for depression in adults. It assesses nine symptoms of depression and their frequency over the past two weeks.

Question 2

A nurse is teaching a client about testicular self-examination (TSE). Which instruction is most important to include?

Accepted Answer

Examine each testicle after a warm bath or shower when the scrotum is relaxed

Answer

Testicular self-examination should be performed after a warm bath or shower when the scrotal skin is relaxed and the testes are easier to palpate. Warmth causes scrotal relaxation, making it easier to identify abnormal lumps or masses.

Question 3

A nurse is teaching a new mother about breastfeeding. Which indicator best demonstrates that the newborn is receiving adequate nutrition?

Accepted Answer

The infant produces 6-8 wet diapers per day by day 5

Answer

Six to eight wet diapers per day by the fourth or fifth day of life is the best indicator that the breastfed newborn is receiving adequate hydration and nutrition. Diaper output directly reflects fluid intake.

Question 4

A nurse is performing a health history on a 55-year-old client with a 30 pack-year smoking history who quit 5 years ago. According to the USPSTF, which screening is recommended for this client?

Accepted Answer

Annual low-dose CT scan of the chest

Answer

The USPSTF recommends annual low-dose CT (LDCT) lung cancer screening for adults aged 50-80 who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years. This client meets all three criteria.

Question 5

A nurse is teaching a group of adults about preventing osteoporosis. Which recommendation is most important for primary prevention?

Accepted Answer

Beginning weight-bearing exercise and adequate calcium/vitamin D intake throughout life

Answer

Primary prevention of osteoporosis requires lifelong bone-building habits: regular weight-bearing exercise and adequate calcium and vitamin D intake throughout childhood, adolescence, and adulthood to maximize peak bone mass.

NCLEX Practice Test

NCLEX Practice Test

Health Promotion and Maintenance 3