Health Promotion and Disease Prevention Flashcards
7 cards from real Family Nurse Practitioner Test practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Health Promotion and Disease Prevention flashcards as text
A 50-year-old male patient with no prior cardiovascular events has a 10-year ASCVD risk of 12%. What is the most appropriate recommendation?
Answer: Statin therapy discussion based on shared decision-making
For patients with an intermediate 10-year ASCVD risk (7.5-20%), current guidelines recommend a shared decision-making discussion about initiating moderate-intensity statin therapy.
Which of the following is recommended by USPSTF for depression screening in the general adult population?
Answer: Screen all adults aged 18 and older
USPSTF recommends screening for depression in all adults 18 and older when adequate systems are in place to ensure diagnosis, treatment, and follow-up.
A 65-year-old patient asks about shingles prevention. Which vaccine should the FNP recommend?
Answer: Shingrix (recombinant zoster vaccine) 2-dose series
Shingrix (RZV) 2-dose series is recommended for adults 50 and older and is preferred over Zostavax due to greater efficacy (>90%).
The FNP counsels a patient about sun safety. Which of the following recommendations aligns with skin cancer primary prevention?
Answer: Apply broad-spectrum SPF 30+ sunscreen, wear protective clothing, and avoid peak UV hours
Primary prevention of skin cancer includes broad-spectrum SPF 30+ sunscreen, UV-protective clothing, and avoiding sun exposure during peak hours (10 AM–4 PM).
Which blood pressure threshold is used to diagnose hypertension according to the 2017 ACC/AHA guidelines?
Answer: ≥130/80 mmHg
The 2017 ACC/AHA guidelines lowered the threshold for hypertension diagnosis to ≥130/80 mmHg, replacing the prior ≥140/90 threshold.
A 30-year-old woman at average risk asks how often she should have a Pap smear. What is the current USPSTF recommendation?
Answer: Every 3 years (cytology alone) or every 5 years (with HPV co-testing)
USPSTF recommends cervical cancer screening every 3 years with cytology alone, or every 5 years with high-risk HPV testing or co-testing for women aged 30-65.
Which counseling intervention is most supported by evidence for helping patients achieve smoking cessation?
Answer: Combination of pharmacotherapy (varenicline or NRT) with behavioral counseling
Combining FDA-approved pharmacotherapy (varenicline, bupropion, or nicotine replacement therapy) with behavioral counseling yields the highest quit rates in evidence-based guidelines.