Nursing Elites

1. A community hospital is an example of which level of health care?

• A. Secondary level of care
• B. Tertiary level of care
• C. Primary level of care
• D. Intermediate level of care

Correct answer: A

Rationale: Community hospitals are considered part of the secondary level of health care. They provide acute care services, including emergency care, surgeries, and specialized diagnostic services. Primary care is typically provided in outpatient settings such as clinics and doctor's offices, while tertiary care involves highly specialized services like organ transplants and neurosurgery. Intermediate care usually refers to services that are more intensive than what is provided at the primary care level but less specialized than tertiary care.

2. Which source of information about a community's health would give the community health nurse information about births, deaths, and marriages and aid in providing indicators of population growth or reduction?

• A. Census tracts
• B. Vital statistics
• C. National Health Survey data
• D. Needs assessment

Correct answer: B

Rationale: Vital statistics are records of births, deaths, and marriages. They provide crucial data that help in understanding population dynamics, growth, and reduction trends within a community. By analyzing vital statistics, community health nurses can identify health needs, plan interventions, and allocate resources effectively to address the specific health challenges of the population.

3. Barriers to a patient’s engagement in self-care include all of the following except:

• A. Mental health issues
• B. Lack of knowledge
• C. High health literacy
• D. Financial issues

Correct answer: C

Rationale: High health literacy is not considered a barrier to patient engagement in self-care. In fact, individuals with high health literacy are more likely to understand health information, make informed decisions, and actively participate in their self-care, which can enhance health outcomes. Mental health issues, lack of knowledge, and financial issues are common barriers that can hinder a patient's ability to engage in self-care practices.

4. 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.

5. What term is used for the statistics of disease and death?

• A. Vital statistics
• B. Statistics
• C. Morbidity
• D. Mortality

Correct answer: A

Rationale: The statistics related to disease and death are termed as vital statistics. Vital statistics provide data on events such as births, deaths, marriages, and divorces. Therefore, the correct answer is 'Vital statistics,' not 'Mortality.'

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