UP NHM CHO 7 Sept 2022(shift-1st)
Medical & Surgical Nursing
Easy

The modifiable risk factor associated with coronary artery disease is

Appeared in: UP NHM CHO 7 Sept 2022(shift-1st)

Explanation

  • Obesity is a condition that can be managed or reversed through lifestyle changes, such as diet and exercise, and medical interventions.
  • Risk factors that can be controlled or changed are known as 'modifiable' risk factors.
  • Managing obesity reduces the overall workload on the heart, lowers blood pressure, improves cholesterol levels, and decreases the risk of developing coronary artery disease.
  • Source SRC_1943 explicitly lists obesity as a major modifiable lifestyle risk factor for atherosclerosis.

Why Other Options Were Wrong

  • Option B: Age is a primary non-modifiable risk factor. The risk for CAD increases as a person gets older due to progressive, natural changes in the cardiovascular system.
  • Option C: Gender is a non-modifiable risk factor. Men are generally at a higher risk at an earlier age, while the risk for women increases significantly after menopause.
  • Option D: Heredity, which includes family history and genetic predisposition, is a non-modifiable risk factor. A person cannot change their genetic makeup.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: Knowing Classification of risk factors for Coronary Artery Disease (CAD) into modifiable and non-modifiable categories helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
  • Nurses play a crucial role in patient education regarding lifestyle modifications to manage modifiable risk factors like obesity, diet, and physical inactivity, which is a cornerstone of primary and secondary prevention of CAD.
  • A comprehensive cardiovascular health assessment performed by a nurse must include screening for both modifiable and non-modifiable risk factors to create an accurate risk profile for the patient.
  • What if? If a patient has a strong non-modifiable risk factor, such as a family history of premature CAD, the nurse's role in aggressively promoting the management of their modifiable risks (like weight, blood pressure, and cholesterol) becomes even more critical to mitigate their overall risk.
How to Approach the Question
  • First, identify the key terms in the question stem: "modifiable risk factor" and "coronary artery disease."
  • Understand the definition of "modifiable," which means something that can be changed, controlled, or altered through behavior or medical treatment.
  • Evaluate each option against this definition.
  • Ask yourself for each option: "Can a person change this?" For example, can a person change their age? No. Can they change their genetic history? No. Can they change their weight? Yes.
  • Select the option that is the only one that can be changed or managed by the individual.
Concept Tested & Keywords
  • Concept Tested: Classification of risk factors for Coronary Artery Disease (CAD) into modifiable and non-modifiable categories.
  • Stem keywords: modifiable risk factor, coronary artery disease
  • Lead-in keywords: is
  • Negative lead-in flag: false

Question ID

QomkBQqKdKgKf4-S7VSr_r

Reference Book

E6 PATHOLOGY QUICK REVIEWBased on Harsh Mohan Textbook of PATHOLOGY p. 185-187

E6 Medicine Davidson Principles Practice 24e p. 506-508

Practise the full UP NHM CHO 7 Sept 2022(shift-1st)

Attempt every question from this paper in a timed mock, then review the full solution for each one.

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