Nursing Elites

1. Which action exemplifies primary prevention in a community setting?

• A. Administering vaccines to children
• B. Screening for early signs of disease
• C. Offering support groups for chronic illness management
• D. Providing treatment for infectious diseases

Correct answer: A

Rationale: Administering vaccines to children is a primary prevention strategy that focuses on preventing the development of diseases before they occur. By administering vaccines, the aim is to protect individuals and the community from infectious diseases by building immunity against them. This proactive approach targets the root causes of illnesses, contributing to overall community health and well-being.

2. As an important tool for planning a community health survey was conducted, the first tangible outcome of collaboration and teamwork with the Local Health Department and its Rural Health Units (RHUs) was observed. This later led to case findings activities via collection and examination of stools from children for suspected parasitism. Which of the following community nursing diagnoses will guide the Parish Health Team for concrete action?

• A. Parasitism as a foreseeable crisis
• B. Malnutrition as a health deficit
• C. Parasitism as a health deficit
• D. Parasitism as a health threat

Correct answer: D

Rationale: The correct answer is 'Parasitism as a health threat' as it is the most appropriate diagnosis that focuses on the immediate and significant health threat posed by parasitic infections, which can have widespread implications in a community setting. This diagnosis would guide the Parish Health Team to take concrete actions to address and mitigate the health risks associated with parasitism.

3. Which best describes a benefit of using electronic health records in community health?

• A. Improving coordination of care among providers
• B. Reducing the risk of medical errors
• C. Facilitating patient access to their health information
• D. Increasing patient satisfaction with care

Correct answer: A

Rationale: The correct answer is A: Improving coordination of care among providers. Electronic health records enhance coordination of care by providing accurate and up-to-date patient information to all involved healthcare providers, leading to better communication, collaboration, and ultimately improving the quality of care delivered to patients in a community health setting.

4. Identifying that numerous factors influence chronic illnesses such as hypertension, which of the following would be an upstream factor to enhance health outcomes for adults with hypertension in the community?

• A. Nutritional classes featuring low-fat and low-carb choices.
• B. Motivational interviewing sessions for smoking cessation.
• C. Working with the public health department to restrict smoking in public.
• D. Initiating chair yoga classes for seniors in the community.

Correct answer: C

Rationale: Working with the public health department to restrict smoking in public is an upstream factor that focuses on implementing population-level interventions to prevent health issues such as hypertension. By creating policies to limit smoking in public spaces, it can help reduce the overall exposure to tobacco smoke, thereby positively impacting the health outcomes of adults with hypertension in the community.

5. Which option best describes an effective way to engage the community in health promotion activities?

• A. Developing culturally appropriate materials
• B. Organizing community events
• C. Creating partnerships with local organizations
• D. Utilizing social media for outreach

Correct answer: C

Rationale: Creating partnerships with local organizations is a highly effective strategy for engaging the community in health promotion activities. By partnering with local organizations, health promotion efforts can leverage existing community connections, resources, and expertise, leading to more comprehensive and sustainable initiatives. These partnerships help in reaching a wider audience, building trust within the community, and fostering collaboration towards shared health goals.

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