Nursing Elites

1. Where does the classic definition of public health originate from?

• A. Ruth B. Freeman
• B. Lilian Wald
• C. Dr. C. E. Winslow
• D. World Health Organization Expert Committee on Nursing

Correct answer: C

Rationale: The classic definition of public health originates from Dr. C. E. Winslow. He defined public health as 'the science and art of preventing disease, prolonging life, and promoting health through organized efforts and informed choices of society, organizations, public and private, communities, and individuals.' Winslow's definition is widely recognized and used as a foundational concept in the field of public health.

2. Why is environmental health more challenging than other variables related to an individual’s health?

• A. Environmental health affects susceptible individuals more than groups.
• B. Environmental health demands that individuals be willing to change their beliefs.
• C. Environmental health is dependent on social neighborhoods and geography.
• D. Environmental health requires social, economic, and political changes to improve.

Correct answer: D

Rationale: Improving environmental health necessitates broader changes beyond individual actions, including social, economic, and political transformations to address root causes of environmental issues. These changes are crucial for sustainable improvements in environmental health outcomes.

3. Which of the following is an example of tertiary prevention?

• A. Vaccination
• B. Screening for cancer
• C. Physical therapy
• D. Health education

Correct answer: C

Rationale: Tertiary prevention aims to manage and improve the quality of life of individuals already diagnosed with a disease. Physical therapy, which focuses on rehabilitation and restoring function after an injury or illness, is a prime example of tertiary prevention. It helps individuals regain mobility and independence, thereby reducing the impact of the disease and preventing further complications.

4. What is the most crucial factor in determining the health of a community?

• A. Access to health care services
• B. Socioeconomic status
• C. Environmental quality
• D. Genetic predisposition

Correct answer: B

Rationale: Socioeconomic status plays a vital role in determining the health of a community. It affects access to resources, education, employment opportunities, housing, and healthcare services. Individuals with higher socioeconomic status generally have better health outcomes due to their ability to afford healthier lifestyle choices, quality healthcare, and living environments. In contrast, individuals with lower socioeconomic status may face barriers to accessing essential healthcare services, nutritious food, safe housing, and education, leading to poorer health outcomes. Therefore, addressing socioeconomic disparities is crucial in promoting community health and well-being.

5. What is the drug of choice for progressive multiple sclerosis?

• A. Ocrelizumab
• B. Dimethyl fumarate
• C. Teriflunomide
• D. Fluoroquinolones

Correct answer: A

Rationale: Ocrelizumab is the drug of choice for progressive multiple sclerosis due to its efficacy in reducing disease activity and progression in patients with this form of the disease. Dimethyl fumarate, Teriflunomide, and Fluoroquinolones are not typically used as first-line treatments for progressive MS.

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