Nursing Elites

1. Which action demonstrates secondary prevention?

• A. Screening for early signs of disease
• B. Providing rehabilitation services
• C. Administering medications
• D. Providing health education

Correct answer: A

Rationale: The correct answer is A: Screening for early signs of disease. Secondary prevention involves activities that aim to detect health issues early to provide timely treatment. Screening for early signs of disease falls under secondary prevention as it helps identify diseases in their early stages, allowing for prompt intervention and management.

2. All of the following are objectives of FHSIS except:

• A. To complete the clinical picture of chronic diseases and describe their natural history
• B. To provide a standardized, facility-level database that can be accessed for more in-depth studies
• C. To minimize recording and reporting burden, allowing more time for patient care and promotive activities
• D. To ensure that reported data are useful, accurate, and disseminated in a timely and easy-to-use fashion

Correct answer: A

Rationale: The objective of FHSIS is not to complete the clinical picture of chronic diseases and describe their natural history. Instead, it focuses on providing standardized facility-level data, minimizing reporting burden to allow more time for patient care, and ensuring that reported data are useful, accurate, and disseminated effectively.

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. The public health RN is engaging with a teen in his community who is concerned about how he will be able to stay part of his friend group when they are all vaping and your client does not want to take part but does not want to feel awkward. Using motivational interviewing techniques, the RN says to the client, 'I understand this concern. Please tell me more about this and how it feels awkward for you.' The RN's question is an example of:

• A. Moving the teen to find a new friend group.
• B. Addressing the problem of teen awkwardness.
• C. Agreeing that awkwardness is hard.
• D. Using open-ended questioning.

Correct answer: D

Rationale: The RN's question, 'Please tell me more about this and how it feels awkward for you,' is an example of using open-ended questioning. Open-ended questions encourage clients to share more about their feelings and thoughts, allowing for a deeper exploration of their concerns and experiences. It helps in building rapport, understanding the client's perspective, and facilitating a client-centered conversation.

5. Which term describes a situation in which there is a demonstrated health need combined with actual or potential resources to apply remedial measures and a commitment to act on the part of the provider or the client?

• A. Health deficit
• B. Health need
• C. Health problem
• D. Foreseeable crisis

Correct answer: C

Rationale: A health problem specifically refers to a situation where a health need is identified, resources are available or potentially available to address it, and there is a commitment from either the provider or the client to take action. This term encapsulates the combination of a demonstrated need for remedial measures with the readiness and commitment to act upon it.

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