MP NHM CHO-2024 (Shift-2)
Medical & Surgical Nursing
Medium
Which of the following is a non-modifiable risk factor for hypertension?
Appeared in: MP NHM CHO-2024 (Shift-2)
Explanation
- Risk factors for hypertension are divided into those that can be changed (modifiable) and those that cannot (non-modifiable).
- Non-modifiable risk factors are innate, such as age, genetics, and ethnicity.
- Modifiable risk factors are lifestyle-related, like diet, exercise, and smoking.
- While diabetes management is modifiable, the presence of the disease itself is a long-term comorbidity that permanently alters cardiovascular risk.
- Compared to purely behavioral choices like obesity, smoking, and inactivity, the established disease state of diabetes is the least modifiable option provided.
Why Other Options Were Wrong
- Option B: Obesity is a well-established modifiable risk factor. Weight loss can significantly lower blood pressure.
- Option C: Tobacco consumption is a classic modifiable risk factor. Smoking cessation is a key intervention to reduce cardiovascular risk, including hypertension.
- Option D: Physical inactivity is a major modifiable risk factor. Increasing physical activity helps lower blood pressure, manage weight, and improve overall cardiovascular health.
Related Visual
- Visual 1: Infographic: A chart clearly separating Modifiable and Non-Modifiable risk factors for hypertension with icons for each (e.g., a cigarette for smoking, a family tree for genetics).
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Risk Factors for Hypertension (Modifiable vs. Non-modifiable) as background academic context rather than a clinical decision trigger.
- Nurses play a crucial role in educating patients about the difference between modifiable and non-modifiable risk factors to empower them to take control of their health.
- Patient counseling should focus on actionable lifestyle changes for modifiable risks like diet, exercise, and smoking cessation, which can also help manage comorbidities like diabetes.
- What if? If the patient had a strong family history of hypertension but no other risk factors, the nurse's focus would shift to vigilant monitoring (secondary prevention) and education on early symptom recognition, as the primary risk factor (genetics) is non-modifiable.
How to Approach the Question
- First, define the key term in the question: 'non-modifiable risk factor'. This means a factor that cannot be changed by the individual.
- List the classic non-modifiable risk factors you know: Age, Sex, Genetics, Ethnicity.
- Evaluate each option against this definition.
- Recognize that 'Obesity', 'Consumption of tobacco', and 'Physical inactivity' are all lifestyle choices and therefore clearly modifiable.
- Analyze the remaining option, 'Co-morbidity-Diabetes'. While its management is modifiable, the disease itself is a chronic condition. In a multiple-choice question, you must select the 'best' fit. Since the other three are definitively modifiable behaviors, diabetes as a disease state is the intended non-modifiable answer.
- Select the option that is the 'odd one out' or least changeable, even if there is some ambiguity.
Concept Tested & Keywords
- Concept Tested: Risk Factors for Hypertension (Modifiable vs. Non-modifiable)
- Stem keywords: hypertension, risk factor
- Lead-in keywords: non-modifiable
- Negative lead-in flag: false
Question ID
QgA61J59cTkdA2jjdFraHD
Reference Book
Lewis Medical Surgical Nursing p. 678-679
Practise the full MP NHM CHO-2024 (Shift-2)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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