A community health nurse is teaching a group of recent graduates ...

[pragya sharda]

A community health nurse is teaching a group of recent graduates about the large variety of factors that influence an individual's health or lack thereof.
 
  The nurse is referring to the Healthy People 2020 report from the U.S. Department of Health and Human Services as a teaching example. Of the following aspects discussed, which would be considered a determinant of health that is outside the focus of this report?
  A)
  The client has a diverse background by being of Asian and Native American descent and practices various alternative therapies to minimize effects of stress.
  B)
  The client has a family history of cardiovascular disease related to hypercholesterolemi a and remains noncompliant with the treatment regime.
  C)
  The client has a good career with exceptional preventative health care benefits.
  D)
  The client lives in an affluent, clean, suburban community with access to many health care facilities.

Question 2

Of the following aging theory examples, which one supports the nonstochastic beliefs about aging?
 
  A)
  Mitochondrial DNA damage has accumulated to such a level that the person has physiological symptoms of declining health.
  B)
  Oxidative free radicals result in by-products that react with DNA to lead to cellular damage.
  C)
  The wear-and-tear theory of aging states that accumulated damage to vital parts of cells leads to cellular aging and death.
  D)
  Mutations in BRCA1 and BRCA2 have been associated with increased risk for developing breast and ovarian cancer.

[xiaomengxian]

Answer to Question 1

Ans:
B

Feedback:

In Healthy People 2020, the focus is to promote good health to all (such as using alternative therapies to minimize effects of stress); achieving health equity and promoting health for all (which includes having good health care benefits); and promoting good health (which includes living in a clean community with good access to health care). A client's noncompliance with treatments to control high cholesterol levels within the presence of a family history of CV disease does not meet the attaining lives free of preventable disease and premature death determinant.

Answer to Question 2

Ans:
D

Feedback:

Nonstochastic theories focus on genetic influences that determine physical condition, occurrence of disease, age of death, cause of death, and other factors contributing to longevity. Many genes that are associated with the human life span are not longevity genes, per se. For example, because mutations in the tumor suppressor genes BRCA1 and BRCA2 increase mortality rates associated with breast and ovarian cancer, they are rare among long-lived women. The mitochondrial DNA damage theory, oxidative free radical theory, and wear-and-tear theory are all stochastic theories of aging.

[pragya sharda]

Thank you

[xiaomengxian]

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