1. Which of the following is a characteristic of a healthy work environment?

A. High turnover rate and lack of communication
B. Lack of teamwork and frequent conflicts
C. Open communication and collaboration
D. Micromanagement and strict hierarchy

Correct answer: C

Rationale: A healthy work environment is characterized by open communication and collaboration among team members. This fosters a positive atmosphere where ideas can be freely shared, conflicts resolved constructively, and teamwork thrives. High turnover rates, lack of communication, micromanagement, and strict hierarchy are detrimental to a healthy work environment as they can lead to low morale, decreased productivity, and a negative workplace culture.

2. James' illness can be classified as:

A. Pneumonia
B. Very severe illness
C. Severe pneumonia
D. No pneumonia

Correct answer: D

Rationale: James' illness can be classified as 'No pneumonia' because there are no general danger signs present, and his breathing rate is normal, indicating the absence of pneumonia.

3. The C/PHN is supporting legislation that seeks tighter gun control laws in New York State. The nurse knows that a significant challenge to getting legislation passed relates to which of the following:

A. A lack of interest in this topic by many citizens of the state.
B. An inability to gather statistics to understand the magnitude of the problem.
C. Special interest groups that exert influence on legislators.
D. The idea that gun violence is not a significant public health concern in the US.

Correct answer: C

Rationale: Special interest groups often exert significant influence on legislators, making it challenging to pass tighter gun control laws. These groups may lobby against such legislation, impacting the decision-making process of lawmakers. This influence can hinder the progress of bills related to gun control, despite potential public support or health implications.

4. What action should be taken by nurses in the local community regarding the trash in the stream?

A. Hold a dialogue with community members about the problem and its effects
B. Advocate for stronger littering laws and harsher penalties
C. Educate community organizations about the importance of clean water for recreational activities
D. Ensure personal trash is disposed of in appropriate receptacles

Correct answer: A

Rationale: Nurses play a crucial role in community health promotion. By engaging in dialogue with community members about the issue of trash in the stream and its impacts, nurses can raise awareness, foster community involvement, and encourage collective action towards a cleaner environment. This approach aligns with nursing principles of empowering individuals and communities to address health-related concerns collaboratively.

5. Which action exemplifies secondary prevention?

A. Administering vaccines
B. Providing treatment for acute illnesses
C. Teaching safe health practices
D. Developing health policies

Correct answer: B

Rationale: The correct answer is B: Providing treatment for acute illnesses. Secondary prevention focuses on early detection and treatment of a disease to prevent its progression and complications. Administering vaccines (choice A) is an example of primary prevention aimed at preventing the onset of a disease. Teaching safe health practices (choice C) falls under health promotion and education, which is a form of primary prevention. Developing health policies (choice D) is more aligned with public health initiatives and may impact primary, secondary, or tertiary prevention strategies, depending on the specific policies enacted.