Health Promotion Throughout the Life Span 8th Edition, Edelman Test Bank

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Health Promotion Throughout the Life Span 8th Edition, Edelman Test Bank


Test Bank Health Promotion Throughout Life Span 8th Edition, Edelman

Chapter 01: Health Defined: Objectives for Promotion and Prevention
1. Which model of health is most likely used by a person who does not believe in preventive health care?
a. Clinical model
b. Role performance model
c. Adaptive model
d. Eudaimonistic model
2. A person with chronic back pain is cared for by her primary care provider as well as receives acupuncture. Which model of health does this person likely favor?
a. Clinical model
b. Role performance model
c. Adaptive model
d. Eudaimonistic model
3. A state of physical, mental, spiritual, and social functioning that realizes a persons potential and is experienced within a developmental context is known as:
a. growth and development.
b. health.
c. functioning.
d. high-level wellness.
4. Which of the following best describes a client who has an illness?
a. Someone who has well-controlled diabetes
b. Someone with hypercholesterolemia
c. Someone with a headache
d. Someone with coronary artery disease without angina
5. Which US report is considered a landmark document in creating a global approach to health?
a. The 1990 Health Objectives for the Nation: A Midcourse Review
b. Healthy People 2020
c. Healthy People 2000
d. The U.S. Surgeon General Report
6. Which of the following represents a method of primary prevention?
a. Informational session about healthy lifestyles
b. Blood pressure screening
c. Interventional cardiac catheterization
d. Diagnostic cardiac catheterization
7. Which of the following represents a method of secondary prevention?
a. Selfbreast examination education
b. Yearly mammograms
c. Chemotherapy for advanced breast cancer
d. Complete mastectomy for breast cancer
8. Which of the following represents a method of tertiary prevention?
a. Drunk driving campaign
b. Road blocks for drunk driving
c. Emergency surgery for head trauma after a motor vehicle accident
d. Physical and occupational therapy after a motor vehicle accident with head trauma
9. In reviewing a persons medical claims, a nurse realizes that the individual with moderate persistent asthma has had several emergency department visits and is not on inhaled steroids as recommended by the NHLBI asthma management guidelines. The nurse discusses this with the persons primary care provider. In this scenario, the nurse is acting as a(n):
a. advocate.
b. care manager.
c. consultant.
d. educator.
10. During a home visit, a nurse assists an individual to complete an application for disability services. The nurse is acting as a(n):
a. advocate.
b. care manager.
c. consultant.
d. educator.
Chapter 02: Emerging Populations and Health
1. Which of the following statements about ethnic minorities in the United States is accurate?
a. It is estimated that the percentage of ethnic minorities will decrease during the next 30 years.
b. It is estimated that ethnic minorities will increase to one in two by 2050.
c. The increasing population of refugees has been a significant contributor to the increase in ethnic minorities.
d. The increasing population of ethnic minorities has helped decrease the health disparities faced by this population.
2. A person states, My grandmother is the decision maker in our family. Which of the following is being described by the person?
a. Culture
b. Race
c. Ethnicity
d. Values
3. The nurse recommended to a 50-year-old woman that she schedule a routine mammogram. Which of the following would be the most important factor in this womans decision to schedule this exam?
a. Race
b. Ethnicity
c. Cultural values
d. Value orientation
4. Which of the following actions demonstrates a health care professional providing culturally competent care?
a. Encouraging the person to take medications as prescribed
b. Asking the person to describe his folk healing methods
c. Demonstrating the proper way to administer an insulin injection
d. Assisting the person with discussing his health problems with the family
5. A person reports that she has been seeking care from an acupuncturist to help relieve the chronic pain that she has been experiencing. Which of the following statements would be the most appropriate response from the nurse?
a. You should have told me that the current treatments were helping your pain.
b. Tell me more about your treatments from the acupuncturist.
c. Tell me why you decided to not to continue with your treatment plan.
d. You should not be seeing an acupuncturist while receiving professional care.
6. When providing an educational session about the Arab American population, which of the following information would be included?
a. The largest group of Arab Americans was refugees in the 1960s.
b. The largest groups of Arab Americans are from Palestine and Iraq.
c. Members of the Arab American population are most likely to live in rural communities.
d. Members of the Arab American population are more likely to have college degrees than Americans at large.
7. A health care professional is caring for an Arab American individual. Which of the following cultural practices of this ethnic minority should be considered when planning care?
a. This ethnic culture tends to be future oriented.
b. Religion plays an important role in this culture.
c. Traditional cultural practices are infrequently used during a health crisis.
d. Members of this culture tend to have smaller families.
8. A health care professional is providing education to the parents of an Asian American child who has recently been diagnosed with Type I diabetes. Which of the following actions should be taken by the health care professional?
a. Provide instructions to the childs father.
b. Encourage the parents to bring other siblings into the clinic for screening.
c. Schedule multiple educational sessions for the child and family.
d. Watch for nonverbal gestures by the adults to indicate understanding.
9. An Asian American family has recently immigrated to the United States. Which of the following would provide an appropriate rationale when encouraging the family to send their child to school?
a. The child will get a good education.
b. According to law, all children must go to school.
c. The child can get health care at school.
d. Exposure to different cultures in school will enhance socialization.
10. Which of the following was the fastest-growing minority group in the United States between 2000 and 2010?
a. Asian American
b. Arab American
c. Hispanic American
d. Native American
Chapter 03: Health Policy and the Delivery System
1. Which addition to a community best demonstrates the concept of the Healthy People 2020 report?
a. New cardiothoracic intensive care unit at a major hospital
b. New rehabilitation center
c. New recreational health center
d. New childrens hospital
2. Which nurse is at risk of making a medical error?
a. Working overtime
b. Works in a hospital that advocates multidisciplinary care
c. Caring for four clients during the shift
d. Attends regular continuing education programs
3. What is the most effective policy a staff nurse can implement to help decrease medical errors on the unit?
a. Forgo opportunities for continuing education so the unit is never understaffed.
b. Foster a collaborative working environment on the unit.
c. Check all medications a minimum of three times before administering them.
d. Develop a policy that mandates the firing of any nurse who commits an error.
4. The person known as the father of British and American public health is:
a. Lillian Wald.
b. Edwin Chadwick.
c. Lemuel Shattuck.
d. Paul Ehrlich.
5. A community health nurse most effectively preserves the health of a person with tuberculosis (TB) and the community by:
a. administering and reading the purified protein derivative (PPD) of all close contacts
b. providing direct observed therapy (DOT) for the individual with TB
c. isolating the person because it is likely drug resistant
d. telling the person to wear a mask when leaving the home
6. A community planning committee is working on the development of a community nursing center. Which of the following essential components should be included in this center?
a. Physician as medical director
b. Interdisciplinary staff
c. Nurse as chief manager
d. Partnership with an academic institution
7. Considering the provider and client perspective, which of the following is the most autonomous form of insurance?
a. Fee-for-service plan
b. Health maintenance organization (HMO)
c. Preferred provider organization (PPO)
d. Independent practice association (IPA)
8. Which could result in a change in a nurse practitioners practice?
a. Holding a masters degree or higher
b. Moving to another state when she gets married
c. Caring for Medicare clients
d. Changing to another office within the same practice
9. Which health care provider represents a primary care provider?
a. Psychiatric advanced practice nurse
b. Clinical nurse specialist
c. Pediatric nurse practitioner
d. Acute care nurse practitioner
10. Which form of managed care restricts providers to caring for individuals who are members of their organization?
a. Fee-for-service plan
b. Health maintenance organization (HMO)
c. Preferred provider organization (PPO)
d. Independent practice association (IPA)
Chapter 04: The Therapeutic Relationship
1. Which of the following statements about values is true?
a. It is impossible for someone to understand his or her values.
b. Values evolve over time; they are not static.
c. Values assimilated in childhood are those held for a lifetime.
d. Values clarification tells a person how to act.
2. A nurse is providing education about improving self-awareness to a small group of women who have been victims of domestic violence. Which of the following should the nurse recommend the clients do first to improve their self-awareness?
a. Use self-disclosure to share aspects of self.
b. Listen to and learn from others.
c. Listen to oneself and pay attention to emotions, thoughts, and reactions.
d. Use others to bounce back your own thoughts and recollections.
3. The nurse shares with her client the news that she, the nurse, is going to be married soon and tells the client about her wedding plans. Which of the following best describes the nurses actions?
a. The nurse is sharing inappropriate personal information with her client.
b. The nurse is exhibiting a communication technique called self-disclosure.
c. The nurse is attempting to show empathy with her client.
d. The nurse is violating client confidentiality rights of the Health Insurance Portability and Accountability Act (HIPAA).
4. A nurse has started admitting a new person on home care and is beginning to establish a relationship. Which of the following would be the most important thing for the nurse to do?
a. Complete the paperwork in a timely fashion
b. Establish open communication
c. Conduct a complete physical health assessment
d. Provide feedback to the persons questions
5. Which of the following best describes person-centered communication?
a. The nurse says to the person seeking care, Why do you continue to drink when you know it is not good for you?
b. The nurse responds to person seeking cares request for pain medicine by saying, It is not time for your pain medicine. You had it hours ago.
c. The client says to the nurse, I think my husband is cheating on me. The nurse responds by saying, You think your husband is cheating on you?
d. The client says to the nurse, I cant believe I have cancer. The nurse responds by saying, One of my closest friends had cancer and had to have chemotherapy.
6. A nurse is counseling someone who has recently been diagnosed with diabetes. The nurse says, Tell me more about how this diagnosis has affected your daily activities. Which of the following best describes the type of communication the nurse is using?
a. Verbal communication
b. Nonverbal communication
c. Metacommunication
d. Functional communication
7. Which of the following statements about nonverbal communication is true?
a. Nonverbal behavior is not usually contextual.
b. Nonverbal behavior is culturally and situationally bound.
c. Nonverbal communication is the most important type of communication.
d. Nonverbal communication is easy to interpret.
8. Which of the following scenarios best describes a nurse using metacommunication?
a. Using both touch and silence when counseling an individual
b. Practicing reflection when interaction with an individual
c. Discussing with an individual how to solve a problem
d. Understanding that an individual needs a break before proceeding
9. Which of the following statements can be identified as a method for clarifying a message?
a. I get very upset when you talk to me in that tone.
b. You make me very angry when you drink alcohol.
c. I can make you happy. I know I can.
d. What I want from you is to be left alone!
10. A nurse and a man are involved in a conversation. When the person folds his arms across his chest, the nurse almost simultaneously folds her arms across her chest. This behavior is recognized as:
a. empathy.
b. reciprocity.
c. flexibility.
d. spacing.
Chapter 05: Ethical Issues Related to Health Promotion
1. Which of the following statements is true with regard to health promotion?
a. Health promotion efforts are not concerned with addressing environmental obstacles to health.
b. Advocates of health promotion are not involved in political campaigns against harmful products.
c. The business of eliminating health disparities is a unique function of Healthy People 2010 goals.
d. Health promotion involves collaboration of many professional groups.
2. Which of the following types of ethical theories tells us how people act toward each other and their environments and what they believe are good or moral actions?
a. Descriptive value theories
b. Normative theories
c. Consequentialism theory
d. Duty-based theories
3. A nurse includes the statement, Treat others the way you would like to be treated. when teaching a group of adolescents about bullying. Which type of ethical theory is being used in this example?
a. Descriptive value theory
b. Normative theory
c. Consequentialism theory
d. Duty-based theory
4. A nurse believes that it is his responsibility to ensure the safety of the public by administering flu shots to everyone in the community. Which ethical theory is being used by the nurse?
a. Descriptive value theory
b. Normative theory
c. Consequentialism theory
d. Duty-based theory
5. Which of the following statements best describes the application of moral or ethical theory to the practices involved in health promotion?
a. One can be assured of morally correct action in a given situation if one adheres to a theory of moral principles.
b. There are no identifiable criteria that can be used effectively to determine correct actions in a given situation.
c. The good of the larger population always takes precedence over the good of one individual.
d. Making ethical decisions regarding human health involves the consideration of multiple factors.
6. An emergency department provides care for all individuals regardless of circumstances and ability to pay. This is an example of:
a. ethic of justice.
b. ethic of care.
c. applied ethics.
d. metaethics.
7. A nurse uses ethical reasoning to solve an ethical dilemma. Why would the nurse use this process?
a. Assists in predicting all of the possible consequences of future actions
b. Facilitates gathering of the most important information to solve the problem
c. Considers the importance of caring when solving the problem
d. Highlights salient aspects of future actions
8. A nurse whose religious beliefs prohibit abortion has been asked to participate in a termination of the pregnancy of a 16-year-old victim of date rape. According to the revised American Nurses Associations (ANAs) Code of Ethics for Nurses, which of the following actions should the nurse take next?
a. Suspend her religious beliefs and provide comfort and support for the client.
b. Quit her job and find another source of employment.
c. Notify her supervisor about her beliefs and request a change in assignment.
d. Refuse to participate in the abortion.
9. A liver for which two people are tissue-typed has become available after the death of a donor in a car accident. Client A is a 45-year-old substance abuser whose liver is damaged as a result of his use of alcohol. Client B is a 16-year-old adolescent in need of a liver transplant because of a birth abnormality. Which of the following would be useful for a nurse in giving input as to which of the two should receive the liver?
a. Advocate for Client B because he is the younger of the two and will live longer.
b. Use feminist moral theory to advocate for Client A in spite of his alcohol use.
c. Use a guided set of moral principles in decision-making before advocating for either.
d. Advocate for Client A because he has 15 to 20 years of productive life left.
10. Which concept is aimed at interrupting potential ethical problems before they develop?
a. Feminist ethics
b. Preventive ethics
c. Metaethics
d. Normative ethics
Chapter 06: Health Promotion and the Individual
1. Healthy People 2020 objectives provide a framework for:
a. assessment.
b. diagnosis.
c. prevention.
d. treatment.
2. Which of the following best describes a primary prevention method for colon cancer?
a. Hemoccult testing
b. High fiber diet
c. Colonoscopy
d. Laparoscopy
3. Who authored the framework which provides the foundation for nursing assessment and diagnosis using the functional health patterns?
a. Erikson
b. Gordon
c. Newman
d. Nightingale
4. Over the last week, a person has had finger stick glucose levels of 127, 132, 140, 138, 143, 145, and 140. This information allows the nurse to characterize the persons function pattern by utilizing which area of focus?
a. Age-developmental
b. Functional
c. Individual-environmental
d. Pattern
5. A nurse is using a functional focus to assess a person. Which of the following the nurse be evaluating?
a. Visual acuity
b. Pupil reactivity
c. Ability to drive
d. The red reflex
6. A nurse working with a Hispanic family is explaining the plan for managing a childs asthma to the childs mother, father, and grandmother. To whom should the nurse direct the education?
a. Mother
b. Father
c. Grandmother
d. Parents and grandmother
7. A 27-year-old woman has not received a Pap test in years. This assessment finding identifies an alteration in which functional pattern?
a. Health-perceptionhealth-management pattern
b. Elimination pattern
c. Activity-rest pattern
d. Self-perceptionself-concept pattern
8. A client is experiencing an alteration in the health-perceptionhealth-management pattern and an alteration in the values-beliefs pattern. Which of the following best describes the behavior of this person?
a. Never sees a physician
b. Only sees a physician if not feeling well
c. Sees a physician for screenings only
d. Sees a physician for follow-up care of a chronic disease
9. When assessing a persons nutritional-metabolic pattern, which objective finding would have implications for nursing intervention?
a. The persons 24-hour diet diary
b. The persons dentition
c. The persons food preferences
d. The persons financial status
10. When assessing a clients activity-exercise pattern, which subjective finding has implications for nursing practice?
a. A persons decreased muscle tone
b. A persons amount of leisure time
c. A persons decreased range of motion
Chapter 07: Health Promotion and the Family
1. A nurse is determining which family assessment tool would be best to implement with a family when planning home visits for health promotion. Which of the following criteria should the nurse use to evaluate these tools?
a. The number of questions asked on the assessment tool
b. The linkages of the assessment to Healthy People 2020
c. The amount of involvement that the family has in completing the tool
d. The capability of the tool to assess goals and outcomes
2. Which of the following best describes the nurses role in health promotion and disease prevention?
a. Educating about home safety measures
b. Identifying areas for family improvement
c. Implementing the nursing process using a systems perspective
d. Acting as a role model for the family
3. Which of the following theories is an attempt to explain families as a set of interacting individuals with patterns of living that influence health decisions?
a. Feminist theory
b. Systems theory
c. Developmental theory
d. Resiliency theory
4. A nurse is assessing how a family will transition and adapt after their youngest child leaves for college. By using this framework, which of the following perspectives is the nurse implementing?
a. Risk-factor
b. Structural-functional
c. Open systems
d. Developmental
5. Which of the following would be described as a family structural component?
a. Income earner of the house
b. Socialization for the family
c. Immunization of infants
d. Launching of children
6. A nurse is collecting data for a family assessment using Gordons functional health patterns. The nurse learns that the family has no books in the home to read to the preschool-age children. To which of the following functional health patterns does this information pertain?
a. Roles-relationship
b. Cognitive-perceptual
c. Health-perceptionhealth-management
d. Self-perceptionself-concept
7. A nurse who is using Gordons functional health patterns is planning to assess its roles-relationships pattern. Which of the following questions would be most appropriate for the nurse to ask?
a. What is the familys philosophy of health?
b. What does the family do to have fun?
c. How are problems in the family resolved?
d. Who decides when and how children go to sleep?
8. A nurse is using a genogram to represent a family. Which of the following statements is accurate?
a. A genogram identifies the genetic disorders of the family.
b. A genogram includes information about the past two generations.
c. A genogram can be used to make connections about family health patterns.
d. A genogram begins with a circle in the center of the page.
9. The ecomap of a clients family has slashed lines drawn from the son to the family church. Based on this information, what conclusion can the nurse make?
a. The son is deceased.
b. The son is actively involved with the family church.
c. The son has a stressful relationship with the church.
d. The son has no relationship with the church.
10. A client reports that her family will be moving because her husband is taking a new job in another state. She is very unhappy about the decision and doesnt want to move. What action should the nurse take next?
a. Assess the clients and familys coping mechanisms in handling stress.
b. Encourage the client to act excited about the move.
c. Talk to the husband to get his perspective on the move.
d. Tell her that all families must cope with new situations from time to time.
Chapter 08: Health Promotion and the Community
1. A nurse is employed by a local health department. Which of the following would be one of her primary responsibilities?
a. Providing appropriate treatment for the flu to an elderly man
b. Providing education to the community about prevention of the flu
c. Ensuring that the family members of the man with the flu get tested for the flu
d. Ensuring that the family members of the man with the flu receive the flu vaccine
2. A parish nurse is concerned about the number of parishioners who smoke. How would the parish nurse best address this issue?
a. Ban smoking on parish property.
b. Invite local experts to participate in a health fair at the parish.
c. Find literature about smoking cessation.
d. Hand out free nicotine-replacement systems.
3. Partnering with school-based clinics and local pediatric dentists so that children can have access to preventive dental care is an example of a(n):
a. codependent function.
b. independent function.
c. interdependent function.
d. dependent function.
4. Which of the following health concerns should the nurse have as a priority when planning care for a community?
a. The limited recreational areas identified through a windshield survey
b. The high crime rate reported in the town records
c. The absence of health clinics on the local bus route
d. The lack of grocery stores within walking distance identified by the community
5. A nurse who is new to the area wants to get a feel for the community she will be working with. Which of the following would be the best way for the nurse to start learning about the community?
a. Driving around the neighborhood
b. Going door to door asking people about the community
c. Searching online to obtain population statistics
d. Talking to the police captain at the local police department
6. A community believes many people in that community lead sedentary lives because they lack safe areas in which to exercise. What action should the nurse take in order to confirm or reject these beliefs?
a. Walk around the neighborhood.
b. Interview members of the community.
c. Obtain town morbidity and mortality rates.
d. Go to the town hall to obtain the number of parks in the community.
7. A nurse is interviewing members of a substance abuse unit at a local Veterans Administration (VA) hospital. Which of the following parts of a community is the nurse assessing?
a. Structure of a community
b. Subsystem of a community
c. Supra system of a community
d. Interaction of a community
8. The study of a population is referred to as (a):
a. community pattern.
b. windshield survey.
c. demography.
d. community diagnosis.
9. The process of dynamic change with adaptation in the systems parts, and how community systems and subsystems interact is known as:
a. structure of a community.
b. community health promotion.
c. community diagnosis.
d. function of a community.
10. A nurse is assessing a community from both a developmental and risk perspective. Which of the following characteristics would be of most interest to the nurse?
a. Gender
b. Age
c. Race
d. Socioeconomic level
Chapter 09: Screening
1. Which is an example of asymptomatic pathogenesis?
a. Blood pressure of 170/98 experiencing headaches
b. Positive finding on colonoscopy and blood in his or her stool
c. Elevated prostate-specific antigen (PSA)
d. Elevated TSH who is always tired
2. An occupational health nurse is planning a cholesterol screening with the employees at the factory. Which of the following would be an advantage of conducting this screening?
a. Allows for the beginning of a multiple test screening process
b. Provides an opportunity for health education
c. Allows for preliminary diagnosis of coronary artery disease
d. Provides the opportunity for a referral to a physician
3. Influenza occurs among Americans at a rate of 36 per 100 people annually. Which type of rate is this statement describing?
a. Prevalence rate
b. Incidence rate
c. Morbidity rate
d. Mortality rate
4. A nurse is examining the incidence, prevalence, and mortality rates of colon cancer in the community. Which of the following measures of life is being investigated?
a. Quality adjusted life year (QALY)
b. Quantity of life
c. Disability adjusted life year (DALY)
d. Satisfaction of life
5. Which represents a disadvantage of screening?
a. Utilization of group screening methods
b. Utilization of multiple test screening
c. Utilization of a test with high specificity
d. Utilization of a test with low sensitivity
6. The nurse is examining the ability of a phenylketonuria (PKU) screening test to distinguish correctly between newborns who have and who do not have the disease. Which of the following measures of accuracy of the instrument is being evaluated?
a. Sensitivity
b. Specificity
c. Validity
d. Efficacy
7. The proportion of people with a condition who correctly test positive when screened is known as:
a. sensitivity.
b. specificity.
c. validity.
d. efficacy.
8. The Denver Developmental Screening Test (DDST) has been said to have excellent test specificity. What does this statement mean?
a. Rarely identifies children who have developmental delays
b. Rarely identifies children who do not actually have developmental delays
c. Has a large number of false positive results
d. Has a large number of false negative results
9. A nurse determined the interobserver reliability of a blood pressure reading. Which of the following describes the method that was used by the nurse?
a. Blood pressure readings of 124/82 were obtained two days in a row by two different nurses.
b. Three consecutive blood pressure readings of 124/82 were obtained by the same nurse.
c. Blood pressure readings of 124/82 in the right arm and 124/82 in the left arm were obtained.
d. A blood pressure reading of 124/82 was obtained immediately followed by another blood pressure reading of 147/92.
10. A nurse is using a sweat test to screen people for cystic fibrosis. Which of the following results demonstrates poor sensitivity?
a. When 6 out of every 10 sweat tests performed are negative, but the six individuals actually have cystic fibrosis
b. When 6 out of every 10 sweat tests performed are positive, but the six individuals do not actually have cystic fibrosis
c. When 6 out of every 10 sweat tests performed are negative, and the six individuals really do not have cystic fibrosis
d. When 6 out of every 10 sweat tests performed are positive, and the six individuals really do have cystic fibrosis
Chapter 10: Health Education
1. A nurse would like to assist Americans in improving their health. Which strategy would be most beneficial to improve the health of the American public?
a. Encourage Americans to stop smoking.
b. Lobby for state-of-the-art magnetic resonance imaging machines in all hospitals.
c. Provide free medications for Americans.
d. Offer free condoms to teenagers.
2. A nurse is using a health education component when teaching about smoking cessation. Which of the following actions is the nurse implementing?
a. Setting a quit date for people in a smoking cessation class
b. Providing education regarding the benefits of smoking cessation
c. Allowing smokers to participate in a smoking cessation program only if they use the patch nicotine replacement system
d. Encouraging attendees of a smoking cessation program to participate in a research study
3. Any combination of planned experiences based on sound theories that provide individuals, groups, and communities the opportunity to acquire the information and skills needed to make quality health decisions is known as health:
a. promotion.
b. counseling.
c. education.
d. knowledge.
4. An overweight woman joins a support group to help her lose weight. During her first session, the nurse explains the components of a healthy diet and discusses with the woman how she can eat out and still maintain a healthy diet. She asks the woman what her goal is and emphasizes that she herself is the key to success. What is the nurse promoting through the use of this strategy?
a. Communication
b. Values
c. Advanced planning
d. Empowerment
5. Which of the following illustrates that the objectives of health education and counseling are being met?
a. Diabetic who attends a diabetes education program
b. Diabetic who watches a video about self-administration of insulin
c. Diabetic who starts taking his medications regularly
d. Diabetic who is admitted in diabetic ketoacidosis
6. Which of the following illustrates that the objectives of health education and counseling have been met?
a. Asthmatic who has a decrease in emergency department visits
b. Asthmatic who has been prescribed an albuterol inhaler
c. Asthmatic who attends an asthma education program
d. Asthmatic who visits the emergency department with an exacerbation
7. A teenager, who lives at home with her parents and school-aged brother, has been diagnosed with anorexia nervosa. Which of the following would be the most appropriate teaching goal for this family?
a. Increased energy level
b. Improved coping
c. Enhanced self-esteem
d. Facilitated family conversation
8. A teenager, who lives at home with her parents and school-aged brother, has been diagnosed with anorexia nervosa. Which of the following would be the most appropriate teaching goal for this teenager?
a. Increased energy level
b. Improved coping
c. Enhanced self-esteem
d. Accomplished activities of daily living
9. A nurse is using the health belief model as a framework when developing a community action campaign to increase the percentage of the population who receives the influenza vaccine. Which of the following considerations will need to be made?
a. How empowerment can be used to motivate community members
b. How modeling can be used in the community to increase public awareness
c. Perceived susceptibility in the community about getting influenza
d. Perceived stage of behavior change that exists in the community
10. Which of the following emphasizes that an individuals belief in being personally capable of performing the behavior is required to influence ones own health?
a. Social cognitive theory
b. Self-efficacy theory
c. Health belief model
d. Transtheoretical model
Chapter 11: Nutrition Counseling for Health Promotion
1. Which of the following statements about the current prevalence of obesity is accurate?
a. The current generation of children may be less healthy and have a shorter life expectancy than their parents.
b. The current incidence of obesity among American adults has stabilized.
c. The current statistics show that greater than 75% of American adults are either overweight or obese.
d. The current statistics report that about 50% of American children are either overweight or obese.
2. A nurse is working with a family that is experiencing food insecurity. Which of the following statements best describes this family?
a. Members of this family are susceptible to food-borne illness.
b. This familys access to adequate food is limited by lack of money.
c. This family is unable to purchase fresh fruits and vegetables.
d. Members of this family are obese.
3. Which of the following statements about the Dietary Reference Intakes (DRI) is correct?
a. The DRI is used to monitor deficiencies in nutritional intakes of obese populations.
b. The DRI is used to establish minimal amounts of nutrients needed to protect against nutrient deficiency.
c. The DRI is used to plan and assess diets of healthy people.
d. The DRI is used to set minimal guidelines to reduce risk of adverse outcomes from inadequate consumption of nutrients.
4. A community health nurse is using the Dietary Reference Intakes (DRIs) as a guide while developing an education presentation about nutrition for a community group. How will the use of the DRIs be helpful in developing this presentation?
a. It considers the unique differences among children, pregnant women, and elderly people.
b. It contains well-researched data that are reviewed on an annual basis.
c. It is prescriptive in the amount of nutrients that are needed on a daily basis.
d. It serves as an overall guideline for the population.
5. After the 2010 Dietary Guidelines were released, a community health nurse updated a nutrition presentation that was being used to educate various community groups about healthy eating habits. Which of the following information would have been added to the presentation?
a. Consumption of increased amounts of carbohydrates
b. Impact of the environment on the publics food, drink, and activity choices
c. Revised guidelines for the use of MyPyramid
d. Inclusion of physical activity standards
6. A community health nurse is educating a community group about the 2010 Dietary Guidelines for Americans. Which of the following information would be included in this presentation?
a. Limit consumption of dairy products.
b. Purchase organic fruits and vegetables.
c. Make at least half of your grains whole grains.
d. Consume fish on a daily basis.
7. A person states to the nurse, The guidelines for what we should eat as Americans is constantly changing, just when I got used to using MyPyramid they changed it to MyPlate. I wonder what will be next and if they really know what they are doing with all of this change. Which of the following would be the best response from the nurse?
a. The USDA is constantly making changes in order to decrease the alarming rates of obesity in our country.
b. MyPyramid was developed in 2005, so it was time for this graphic to be revised.
c. The creation of MyPlate has decreased the need for additional teaching resources for nutrition.
d. MyPlate serves as a better visual aid, reminding Americans what a healthy plate looks like.
8. A person asks the nurse if it is safe to use dietary supplements. Which of the following would be the best reply from the nurse?
a. It is important to be cautious when using any supplements.
b. All dietary supplements must be approved by the FDA before they can be sold and are safe.
c. No, dietary supplements have very limited regulations and should not be used.
d. Be sure to read the product label before using the supplement to see what health claims have been made by the product.
9. A woman has asked the nurse about the benefits and risks of using ginseng to control her hot flashes associated with menopause. Which of the following governmental offices would most likely serve as a resource to answer the womans question?
a. American Dietetic Association (ADA)
b. National Center for Complementary and Alternative Medicine (NCCAM)
c. Food and Drug Administration (FDA)
d. United States Department of Agriculture (USDA)
10. A 37-year-old woman asks the nurse if she should take a daily nutritional supplement. Which of the following would be the best reply by the nurse?
a. Postmenopausal women should take a calcium supplement to prevent osteoporosis.
b. Many people use supplements as drugs instead of as supplements.
c. Supplements can enhance the medications that you take.
d. The best way to obtain nutrients is by eating a variety of foods.
Chapter 12: Exercise
1. Activity that uses large muscle groups in a repetitive, rhythmic fashion over an extended period to improve the efficiency of the oxidative energy producing system and improve cardiorespiratory endurance is known as:
a. aerobic activity.
b. anaerobic activity.
c. flexibility.
d. muscular fitness.
2. A nurse is working with a group of individuals to start an exercise program. Which of the following would require the most attention and assistance?
a. White man who works 50 to 60 hours a week as a business executive
b. Unemployed, obese Hispanic woman
c. Employed White woman with hypertension
d. White man with a high school diploma
3. According to the physical activity and fitness section of the Healthy People 2020 report, what percentage of adults 18 years of age or older report no leisure-time physical activity?
a. 16%
b. 26%
c. 36%
d. 46%
4. A nurse is developing a primary prevention strategy to address the problem of obesity. Which of the following interventions is being created?
a. Encouraging an active lifestyle during childhood years
b. Prescribing orlistat (Alli)
c. Recommending the Jenny Craig program
d. Recommending gastric banding surgery
5. A nurse is providing care for a 10-year-old child with a BMI at the 80th percentile. Which of the following best describes this child?
a. Normal weight
b. Overweight
c. Obese
d. Morbidly obese
6. According to the 2009-2010 National Health and Nutrition Examination Survey, what percentage of 6- to 11-year-old children are overweight?
a. 14%
b. 18%
c. 24%
d. 28%
7. A nurse is providing care for a 40-year-old adult with a BMI of 32. Which of the following best describes this person?
a. Normal weight
b. Overweight
c. Obese
d. Morbidly obese
8. During an office visit, a nurse meets with a woman who states she does not have time to exercise. Which of the following actions should the nurse take next?
a. Do nothing because she has already made the decision to not exercise.
b. Provide her with information on the benefits of exercising.
c. Develop an exercise prescription with her.
d. Schedule a follow-up in 2 months to see if she still feels the same way.
9. During an office visit, a nurse provides counseling to a 70-year-old woman with osteoporosis who is otherwise very healthy. Which of the following information should the nurse provide to the woman?
a. Avoid all forms of exercise because of the risk of fractures.
b. Walk with a partner at least 30 minutes a day 5 days a week.
c. Use a wheelchair to get around so that she can prevent falls.
d. Take a step aerobics class 5 days a week.
10. A nurse is providing health education for a group of older adults about the risks of developing coronary heart disease. Which of the following group members is at highest risk?
a. Takes a beta-blocker for hypertension
b. Has a total cholesterol level of 201
c. Doesnt participate in any form of regular physical activity
d. Has a family history of Type 2 diabetes mellitus
Chapter 13: Stress Management
1. A nurse is defining stress to a person. Which of the following statements should the nurse should make?
a. Happy events, such as the birth of a child, are rarely as stressful as unhappy events.
b. An event that requires any change in behavior in stressful.
c. All stressors create a challenge to health.
d. Once stressors are identified, they can be controlled.
2. The nurse is conducting community education about stress. Which of the following statements should be made by the nurse?
a. Stress always has a negative effect on the body.
b. A moderate amount of short-term stress can make a person more efficient and goal-focused.
c. Long-term stress is useful in helping one to meet goals.
d. Stress always has a positive effect on the body.
3. A nurse is discussing the various types of stress to a group of adults. Which of the following would be used as an example of eustress?
a. Increasing alcohol intake to deal with loss of a job
b. Avoidance of social activities because of anxiety
c. Severely limiting food intake as a way to control stress
d. Joining a cardiac rehabilitation exercise program after a myocardial infarction
4. A nurse is caring for a person who has experienced a minor injury following a fall. Which of the following physiological responses to stress would the nurse anticipate?
a. Lowered blood pressure
b. Elevated heart rate
c. Lowered respiratory rate
d. Elevated blood supply to the gut
5. Which of the following statements concerning spirituality is correct?
a. Spirituality is a search for the meaning of existence.
b. To fully experience spirituality, one needs a religious affiliation.
c. Stress always strengthens the quest for spirituality.
d. Spirituality always prevents depression, which is common following a stressful event.
6. A nurse has stated that the person she is working with demonstrates stress hardiness. Which of the following individuals is most likely being described?
a. Refuses to see family members after the nurse practitioner tells him or her about test results
b. Conducts Internet research to learn about the latest treatment options for a health deviation
c. Calls in sick when faced with a personal relationship problem
d. Views stressors as negative life events
7. A nurse is describing adults who are in the sandwich generation. Which of the following provides the best description of this term?
a. Middle-aged adults who are starting a family at an older age
b. Young adults who are beginning to find jobs, marry, and start a family
c. Middle-aged adults who are caring for children and aging parents
d. Young adults who have several small children
8. A nurse is collecting health assessment data about a persons coping mechanisms in relation to stressors. Who would provide the best source of this information?
a. Persons primary care physician
b. Persons spouse/significant other
c. The person
d. Expert objective analysis skills of the nurse
9. A nurse is assisting a person to cope with stress. Which statement by the nurse would be the most helpful?
a. Most people in this situation feel the way you feel.
b. Tell me what this event means to you.
c. There are many support groups available for you to use.
d. Your family wants to help you through this stressful event. May I call them?
10. A nurse is counseling a person on how to effectively deal with stress. Which of the following actions would the nurse recommend the person take first?
a. Recognize signs of stress.
b. Take action to reduce stress.
c. Connect warning signs with stressors.
d. Develop effective coping skills.
Chapter 14: Complementary and Alternative Strategies
1. Which of the following statements best defines the concept of holistic nursing care?
a. Holistic nursing care is a family-centered approach to care.
b. Holistic nursing care relies primarily on alternative medicine.
c. Holistic nursing care takes into consideration all aspects of a persons life.
d. Holistic nursing care focuses on wellness rather than illness.
2. In contrast to holistic health care, Western or allopathic medicine focuses on the:
a. mind-body connection.
b. impact of family relationships on health-seeking behaviors.
c. physical aspects of health deviations.
d. environmental impact on health.
3. A nurse is discussing holistic health care with an individual. Which of the following explanations should the nurse include in this discussion?
a. Empirical research has consistently demonstrated the value of alternative/complementary therapy.
b. Self-reports of stress relief related to alternative/complementary therapy are numerous.
c. The majority of research related to alternative/complementary therapy has utilized the scientific method.
d. Research has, to date, been unable to verify the effectiveness of alternative/complementary therapy on health and well-being.
4. The nurse is conducting a community health education program concerning alternative/complementary therapies. Which of the following should be included in the presentation?
a. Alternative/complementary therapy is primarily used when conventional medicine has failed to achieve desired results.
b. Alternative/complementary therapy is used in both hospital and outpatient settings.
c. Alternative/complementary therapy was popular in the late 1980s but is rarely used today.
d. Alternative/complementary therapy primarily focuses on herbal remedies for common health deviations.
5. Which of the following complementary/alternative therapies involves emphasizing healthy lifestyle, strengthening and cleansing the body, and noninvasive treatments?
a. Homeopathy
b. Naturopathy
c. Traditional Chinese medicine (TCM)
d. Ayurvedic medicine
6. A nurse discussing aromatherapy at a community health fair. Which of the following aspects of this technique should be stressed?
a. Aromatherapy can be used by individuals without special training.
b. Aromatherapy is a recently developed therapy based on the work of contemporary natural healers.
c. Aromatherapy uses herbal scents in candles or incense as the primary method of delivery.
d. Aromatherapy can cause an allergic reaction in some people.
7. A nurse is instructing a person on the use of breath meditation. Which of the following instructions would the nurse give the person?
a. You may use this form of meditation when walking down the street.
b. The best time of day to engage in this form of meditation is while you are eating.
c. Watching the sunset and reflecting on its beauty is a great way to use breath meditation.
d. It is important to observe your breathing when using this technique.
8. A nurse is teaching a person about the technique of breath meditation. Which of the following aspects of this technique should the nurse stress to the person?
a. Hold your breath for short amounts of time in order to regulate your breathing pattern.
b. Focus on calming thoughts that come to mind during the meditation.
c. Practice this technique when sitting or walking.
d. Concentrate on the sensations associated with breathing.
9. The nurse is teaching imagery as a method to reduce anxiety in preoperative individuals. Which of the following aspects should the nurse stress when teaching this technique?
a. The benefits of guided imagery are primarily psychological.
b. This technique promotes a sense of well-being.
c. A prayer circle is needed for imagery to be most effective.
d. Imagery produces only beneficial, calming results.
10. An individual asks the nurse to explain yoga. Which of the following statements would be made by the nurse?
a. Yoga requires the ability to assume and maintain certain poses.
b. There are many different types of yoga.
c. Yoga is the most strenuous of the movement therapies.
d. The major benefit of yoga is an increase in physical exercise and flexibility.
Chapter 15: Overview of Growth and Development Framework
1. The nurse is explaining the concept of growth to a parent. Which of the following statements should be made by the nurse?
a. Growth means adding height and weight to your body.
b. We continue to grow in various ways throughout life.
c. How much we grow is based on gender.
d. Growth stops when we are young adults.
2. Which of the following statements is correct related to the concept of growth
a. Growth occurs mainly during early childhood.
b. Older adults do not experience growth-related changes..
c. Growth refers only to the increase in the size of specific organs and systems.
d. Growth occurs throughout the life cycle.
3. The nurse at a well-baby clinic is assessing a 12-month-old child. At birth, the child weighed 7 lb. 3 oz. During this visit, the child weighs 21 lb. 10 oz. Which of the following conclusions would the nurse make about the childs weight?
a. The infant is gaining weight faster than anticipated.
b. The infant is malnourished.
c. The infant is at the expected weight for his or her age.
d. The infant is having a growth spurt.
4. The school nurse has been asked to order growth charts. Which of the following growth charts should be selected to assessing children in first through fifth grades?
a. Generic body mass index chart
b. Height and weight chart
c. Revised CDC growth chart
d. WHO international growth chart
5. A school nurse is obtaining the height and weight of a 9-year-old child. Which of the following is the best method to assess the childs growth?
a. Use serial measurements over time.
b. Use this measurement.
c. Use this measurement and compare it with the childs peers.
d. Use the WHO growth chart to assess this childs measurements.
6. A mother comes to the pediatric clinic and says to the nurse, I am worried about my 11-month-old baby because he is not crawling yet and his brother crawled when he was 11 months old. Is something wrong? Which of the following statements should the nurse make?
a. It is highly unusual for siblings not to reach developmental milestones at the same time. Ill ask the doctor to assess him.
b. All babies reach developmental milestones at different rates.
c. This may be something to worry about. Ill have the doctor examine him.
d. Dont worry; hell crawl soon enough.
7. Which of the following statements describes Eriksons theory of development?
a. A healthy personality is defined by the lack of pathology.
b. Stages of development advance based on psychosocial factors.
c. The main premise of the theory is that individuals are interdependent beings and rely on each other in order to develop successfully.
d. An individual must successfully accomplish the developmental stage before proceeding to the next stage.
8. According to Piagets theory of cognitive development, which of the following statements is correct?
a. Cognitive function continues to become refined throughout life.
b. A childs greatest task is to make sense of the world around him or her.
c. Culture plays a major role in cognitive development.
d. Learning precedes development.
9. Which of the following statements summarizes Vygotskys theory of development?
a. All children develop cognitively at the same rate.
b. Social and cultural influences are not major factors in cognitive development.
c. Learning is an individual activity.
d. Experience creates learning.
10. Kohlbergs theory of moral development is based on:
a. Eriksons theory of psychosocial development
b. Piagets theory of cognitive development
c. Vygotskys theory of cognitive development
d. Gilligans theory of moral development
Chapter 16: The Prenatal Period
1. A pregnant woman reports to the nurse that the first day of her last menstrual period was January 22. Using Ngeles rule, which of the following dates would be the most accurate estimated date of delivery?
a. September 16
b. September 22
c. October 29
d. October 17
2. Which of the following best describes an abnormality in structure or function that occurs during fetal development?
a. Congenital defect
b. Genetic defect
c. Embryonic defect
d. Chromosomal defect
3. During which week would pregnancy begin to pose health concerns for the fetus?
a. 36 weeks
b. 38 weeks
c. 40 weeks
d. 42 weeks
4. Which of the following changes is experienced by the urinary system during pregnancy?
a. Increased urinary output secondary to total body water increase
b. Decreased bladder capacity
c. Decreased glomerular filtration rate (GFR) resulting from estrogen and progesterone surge
d. Increased renal excretion of acidic drugs
5. During a routine clinic visit, a pregnant woman expresses concern about reflux she is experiencing. Which statement should be made by the nurse when addressing the womans concern?
a. Frequent heartburn may be a sign of fetal distress and an ultrasound should be performed immediately.
b. Frequent heartburn is caused by high levels of hormones during pregnancy.
c. Frequent heartburn is a result of gastrointestinal system changes that occur during pregnancy.
d. Frequent heartburn during pregnancy requires immediate consultation with a gastroenterologist.
6. The client who is taking prescribed _____ would require preconception management to minimize the potential for drug-related birth defects.
a. antiemetics
b. antiepileptics
c. iron
d. non-narcotic analgesics
7. A nurse is caring for a pregnant woman who has a pre-pregnancy body mass index (BMI) of 27. Which of the following instructions should the nurse provide the woman regarding weight gain during pregnancy?
a. You should gain 11 to 20 pounds during your pregnancy.
b. You should gain 15 to 25 pounds during your pregnancy.
c. You should gain 25 to 35 pounds during your pregnancy.
d. You should gain 28 to 40 pounds during your pregnancy.
8. A nurse is caring for a woman who is in labor. The nurse anticipates that the labor will progress through which of the following sequences?
a. Dilation stage, pressure stage, placental stage, recovery stage
b. Dilation stage, pushing stage, pain stage, recovery stage
c. Dilation stage, pushing stage, placental stage, recovery stage
d. Dilation stage, pushing stage, placental stage, refractory stage
9. A nurse is caring for a woman who is in labor and the fetus descends to the lower birth canal. The woman is in which of the following stages of labor?
a. First
b. Second
c. Third
d. Fourth
10. A nurse is caring for a woman during the fourth stage of labor. Which of the following best describes an action the nurse would take during this stage?
a. Providing constant reinforcement and education about the labor process and assisting the woman with pushing
b. Explaining unusual interventions such as the use of a fetal heart monitor
c. Assisting with labor discomfort by modeling breathing
d. Teaching the new mother positioning of the infant to assist with breast-feeding
Chapter 17: Infant
1. An infant is lying in a crib watching and listening to a colorful mobile. What is the purpose of having a mobile?
a. Provides stimulation necessary for continued growth and development for the infant
b. Provides too much stimulation for the infant, making it difficult for the infant to focus
c. Serves as inadequate stimulation for the infant because it is an inanimate object
d. Serves as a distractor for the infant, making it easier to fall asleep
2. The nurse performs a home visit for a new mother and infant. The nurse observes that the infant lacks a regular feeding schedule, has diapers that are not changed promptly, and cries for long periods of time before being consoled. Which of the following problems is the infant most at risk for encountering in the future?
a. Developing enuresis as a toddler
b. Having difficulty forming relationships
c. Becoming a picky eater
d. Taking longer to toilet train
3. By what age is an infants retina fully developed?
a. Birth
b. 2 months
c. 4 months
d. 6 months
4. A nurse is completing a well-child assessment of a 6-month-old infant. Which of the following guidelines should be used when assessing the infants height and weight?
a. CDC growth charts
b. CDC body mass index (BMI) charts
c. WHO growth standards
d. Denver Developmental Screening height and weight standards
5. A delivery room nurse senses disappointment when a mother is told she just delivered a baby girl. Which of the following would be the most therapeutic response by the nurse?
a. Yes, you just delivered a healthy, beautiful baby girl.
b. This is your first baby. You can always try again for a boy.
c. Dont worry, many parents often feel the same way you do.
d. You are tired. I think you should get some rest.
6. A nurse is working with a family of an infant to improve their health-perception and health management pattern. Which of the following interventions would be most appropriate for the nurse to implement?
a. Assess the home for safety hazards.
b. Teach parents appropriate coping mechanisms.
c. Demonstrate effective parenting skills.
d. Encourage appropriate stimulation of the infant.
7. The mother of an 8-month-old asks what the minimum recommended amount of fat intake is for her 10-kg infant. Which of the following would be the minimum recommended fat intake?
a. 18 grams a day
b. 28 grams a day
c. 38 grams a day
d. 48 grams a day
8. The mother of a 3-month-old is concerned because her infant usually falls asleep halfway through his bottle. Because of this, the mother is afraid he will not grow well and get sick. Which of the following would be the most therapeutic response by the nurse?
a. Ask the mother about the infants feeding schedule.
b. Assure the mother that he is growing fine.
c. Tell the mother that half a bottle is probably enough for him.
d. Tell the mother she should start to add solids to his diet.
9. A nurse is completing a home visit of a new mother who is breast-feeding her infant. Which of the following instructions should the nurse provide during this visit?
a. Consume 500 kcal/day above pre-pregnancy energy intake to avoid excessive weight loss.
b. Drink 1 quart of fluids daily to produce sufficient quantity of breast milk.
c. Use formula to provide the infant supplementation between feedings.
d. Use a pacifier to help the infant to fall asleep so he does not fall asleep when breast-feeding.
10. A mother asks the nurse when she should start feeding her infant solid foods. Which of the following is the most appropriate response by the nurse?
a. It is recommended that solid foods are introduced no earlier than 3 months of age.
b. It is recommended that solid foods are introduced no earlier than 6 months of age.
c. You should wait until your child is 9 months old to start solid foods.
d. You should wait until your child is 1 year old to start solid foods.
Chapter 18: Toddler
1. At a well-child visit, a 2-year-old toddler measures 2 feet 8 inches tall. The nurse estimates the toddlers approximate final adult height to be:
a. 4 feet 8 inches.
b. 5 feet.
c. 5 feet 2 inches.
d. 5 feet 4 inches.
2. A -year-old toddler is in for an office visit. He was born at 6 pounds, 10 ounces. At todays visit, the nurse expects his weight to be:
a. 13 pounds, 4 ounces.
b. 19 pounds, 14 ounces.
c. 26 pounds, 8 ounces.
d. 33 pounds, 2 ounces.
3. At a well-child visit, the parents of a toddler ask the nurse how they should teach their toddler the importance of dental hygiene. Which of the following actions should the nurse recommend to the parents?
a. Remind the toddler to brush his teeth every day.
b. Have the dentist tell the toddler about the importance of dental hygiene.
c. Schedule a time to brush their own teeth with their toddler.
d. Have the toddler watch an educational cartoon video on the teeth brushing.
4. A mother is concerned because her 22-month-old has been skipping meals lately. Which of the following actions should the nurse recommend to the mother?
a. Put the child in time out whenever he skips a meal.
b. Offer him foods he likes such as cookies and chips.
c. Limit the childs consumption of juices and cookies.
d. Talk to the child about how important it is to eat three meals a day.
5. Which of the following toddlers would require further investigation from the nurse?
a. Sitting quietly on a couch
b. Experiencing a temper tantrum
c. Playing with a toy next to another child also playing with a toy
d. Exploring his environment and playing with new toys
6. Approximately how much sleep do toddlers require each day?
a. 10 hours
b. 11 hours
c. 12 hours
d. 13 hours
7. The inability of a toddler to put him- or herself in anothers shoes is known as:
a. autonomy.
b. egocentrism.
c. self-perception.
d. integrity.
8. A nurse is assessing the cognitive-perceptual pattern of a toddler. Which of the following findings would be cause for concern for the nurse?
a. Uses the word blanky to mean both that he wants to go to

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