Nursing Elites

1. The World Health Organization defines health as:

• A. The health of individuals and communities is, to a large extent, affected by a combination of many factors.
• B. A state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.
• C. Refers to the well-being of individuals, families, and communities being influenced by several factors in the ecosystem.
• D. The science and art of preventing disease, prolonging life, promoting health, and efficiency through organized community effort for the sanitation of the environment, control of communicable diseases, education of individuals in personal hygiene, and organizing these benefits to enable every citizen to realize their birthright of health and longevity.

Correct answer: B

Rationale: The World Health Organization defines health as a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity. This definition emphasizes that health encompasses more than just the absence of illness; it includes physical, mental, and social well-being.

2. What factor is most likely to improve health outcomes in a community?

• A. Access to affordable health care
• B. Community engagement and participation
• C. Implementing health education programs
• D. Strong leadership

Correct answer: B

Rationale: Community engagement and participation play a crucial role in improving health outcomes by ensuring that interventions are relevant and supported by the community. When individuals are actively involved and engaged in health initiatives, it promotes a sense of ownership, increases awareness, and fosters collaboration within the community, ultimately leading to more effective and sustainable health outcomes.

3. What is community health nursing practiced in the public sector known as?

• A. Public health nursing
• B. Public health nurse
• C. Registered nurse
• D. Registered midwives

Correct answer: A

Rationale: Community health nursing practiced in the public sector is specifically termed public health nursing. This specialty focuses on promoting and protecting the health of populations within a community, emphasizing preventive healthcare measures and education.

4. Which of the following is an example of a health disparity?

• A. Differences in health outcomes based on geographic location
• B. Differences in health outcomes based on socioeconomic status
• C. Differences in health outcomes based on age
• D. Differences in health outcomes based on genetic factors

Correct answer: B

Rationale: A health disparity refers to differences in health outcomes based on socioeconomic status, indicating unequal access to healthcare services and variations in health outcomes due to economic factors.

5. The healthcare provider should consider the following when assessing the child for chest indrawing EXCEPT

• A. Chest indrawing should be present at all times
• B. The lower chest wall does not move in when the child breathes in
• C. The lower chest moves in when the child breathes in
• D. The child should be calm

Correct answer: A

Rationale: When assessing a child for chest indrawing, it is important to note that chest indrawing should NOT be present at all times, as this would suggest a significant respiratory distress. Chest indrawing is an abnormal inward movement of the lower chest wall during inhalation, indicating increased work of breathing. Therefore, the absence of chest indrawing during normal breathing is a normal finding. The healthcare provider should observe for the lower chest moving in with each breath, which is abnormal, while ensuring that the child is calm during the assessment.

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