NP NP Patient Education & Health Promotion 3

Question 1

The NP counsels a breastfeeding mother. Which statement accurately reflects current AAP recommendations?

Accepted Answer

Exclusive breastfeeding for the first 6 months is recommended, with continuation for 2 years or beyond

Answer

Formula supplementation should begin at 3 months

Answer

Breastfeeding should stop when the infant starts solid foods at 4 months

Answer

Vitamin K is the only supplement needed for breastfed infants

Question 2

When counseling a patient with obesity, which behavior change framework is most effective for motivating sustainable lifestyle change?

Accepted Answer

Using motivational interviewing to explore ambivalence and build intrinsic motivation

Answer

Telling the patient they must lose weight immediately or face serious disease

Answer

Prescribing a strict diet with weekly weigh-ins and consequences for non-compliance

Answer

Recommending weight loss surgery as the only effective option

Question 3

A patient with newly diagnosed type 2 diabetes asks how often to check blood glucose at home. Which response reflects current ADA guidance for non-insulin-treated patients?

Accepted Answer

Home glucose monitoring frequency should be individualized; it adds less value without insulin but may help with diet/lifestyle awareness

Answer

Four times daily before every meal and at bedtime

Answer

Daily fasting glucose is mandatory for all diabetic patients

Answer

No home monitoring is needed if HbA1c is checked every 3 months

Question 4

Which cancer screening is specifically recommended by the USPSTF for adults aged 50–80 who have a 20 pack-year smoking history and currently smoke or quit within the past 15 years?

Accepted Answer

Annual low-dose CT scan of the chest

Answer

Annual chest X-ray

Answer

Sputum cytology every 6 months

Answer

Bronchoscopy every 2 years

Question 5

When teaching a patient how to recognize signs of stroke, the NP uses which mnemonic to help the patient act quickly?

Accepted Answer

FAST (Face drooping, Arm weakness, Speech difficulty, Time to call 911)

Answer

SAMPLE

Answer

OPQRST

Answer

AEIOU-TIPS

Question 6

A patient asks the NP about primary prevention of cardiovascular disease. Which lifestyle intervention has the strongest evidence for reducing cardiovascular mortality?

Accepted Answer

Regular aerobic exercise 150 minutes per week

Answer

Vitamin E supplementation

Answer

Low-fat diet alone

Answer

Daily low-dose aspirin for all adults over 40