Nursing Elites

1. Which action demonstrates primary prevention?

• A. Administering immunizations
• B. Teaching healthy lifestyle behaviors
• C. Educating about the importance of regular check-ups
• D. Screening for early signs of disease

Correct answer: A

Rationale: Administering immunizations is a primary prevention strategy aimed at preventing diseases before they occur. By administering immunizations, the nurse helps individuals develop immunity against specific diseases, reducing the likelihood of them getting sick in the first place. This proactive approach aligns with primary prevention efforts to promote health and prevent illnesses.

2. 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.

3. Which is an essential aspect of developing a community health intervention?

• A. Assessing the availability of local health resources
• B. Engaging policymakers in the planning process
• C. Developing culturally appropriate health materials
• D. Allocating funding for health services

Correct answer: A

Rationale: Assessing the availability of local health resources is a crucial step in the development of a community health intervention. By understanding the resources already present in the community, intervention strategies can be tailored to effectively address the specific health needs of the population. This assessment helps in identifying gaps, strengths, and areas for improvement, ensuring that the intervention is well-informed and targeted towards improving community health outcomes.

4. 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.

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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