An older adult patient is being assessed for possible alcohol abuse. To best assess the patient's risk potential, the nurse asks:

Would you drink to relax after a particularly stressful day?

Have you ever experienced a memory loss as a result of consuming alcohol?

Do you ever drink when you are alone?

How many alcoholic drinks do you consume each week?

Answer and Explanation

The Correct Answer is D

A.   While this question may provide some insight into the patient's drinking habits, it is not as direct and informative as asking about the quantity of alcohol consumed.
B.   This question may reveal a history of alcohol-related problems, but it does not provide information about the patient's current drinking habits.
C.   While this question may be relevant in some cases, it is not a universal indicator of alcohol abuse. Many people may drink alone without having a problem with alcohol.
D.   To assess an older adult's risk potential for alcohol abuse, it is important to get a sense of their drinking habits. Asking about the number of alcoholic drinks consumed each week is a direct and informative way to assess their drinking patterns.

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Correct Answer is D

Explanation

A. While lack of energy can be a barrier to exercise, it is not as specific to the fear of falling.
B. This is a common barrier to exercise for many people, but it does not specifically address the fear of falling.

C. If the patient is experiencing pain with movement, it is important to address this before starting an exercise program. However, fear of falling is a more specific concern related to osteoporosis.
D. Osteoporosis is a condition characterized by decreased bone density, which can increase the risk of fractures. A walking program can help improve bone health and reduce the risk of falls. However, many people with osteoporosis may be reluctant to start a walking program due to fear of falling.

A. Administering blood pressure screening at a mall B. Fitting impoverished older adults with glasses C. Dispensing free flu vaccinations at a clinic D. Teaching about the risks of sun exposure

Correct Answer is A

Explanation

A. This activity involves assessing individuals for high blood pressure, which is a common risk factor for cardiovascular diseases. Blood pressure screening is a classic example of secondary prevention because it aims to detect hypertension early so that it can be managed before complications, such as heart disease or stroke, develop. This activity is appropriate for secondary prevention as it helps identify those with undiagnosed hypertension and provides an opportunity for early intervention.
B. Fitting glasses addresses a specific need related to vision but does not primarily focus on early detection or intervention for diseases. It falls more under the category of tertiary prevention, which aims to manage existing conditions and prevent further complications or disabilities. While improving vision is beneficial, this activity does not primarily fit the secondary prevention model of detecting disease early in asymptomatic individuals.
C. This activity is an example of primary prevention, not secondary prevention. Primary prevention aims to prevent diseases before they occur, such as through vaccination to prevent influenza. Although flu vaccines are important for public health, they do not fit the secondary prevention model, which is concerned with early detection and intervention for existing or developing health issues.
D. This activity is also an example of primary prevention. Teaching about sun exposure risks aims to prevent skin cancer by promoting behaviors that reduce the risk of developing the disease. It focuses on educating people to avoid sunburns and protect their skin to prevent skin cancer from developing in the first place. Thus, it does not fit the secondary prevention model.

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An older adult patient is being assessed for possible alcohol abuse. To best assess the patient's risk potential, the nurse asks:

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Naxlex Comprehensive Predictor Exams

A nurse is working with a woman who has been reluctant to start a walking program for her osteoporosis. What assessment by the nurse is most important?

Correct Answer is D

Explanation

The nurse wishes to participate in a community secondary prevention activity. Which activity does the nurse choose?

Correct Answer is A

Explanation

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The nurse most effectively implements guided reminiscence during a patient interview by

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