Nursing Elites

1. Which best describes a key goal of secondary prevention?

• A. Preventing the onset of disease
• B. Detecting diseases early
• C. Managing chronic conditions
• D. Improving quality of life

Correct answer: B

Rationale: The key goal of secondary prevention is to detect diseases early before they progress to advanced stages. By identifying diseases at an early stage, healthcare providers can intervene promptly, initiate treatment, and potentially improve patient outcomes. This approach aims to prevent complications and reduce the impact of the disease on an individual's health and well-being.

2. Which of the following best describes epidemiology?

• A. The study of the distribution and determinants of health-related states or events in specified populations.
• B. The study of the distribution and determinants of health-related states or events in specified populations and the application of this study to control health problems.
• C. The study of how social factors influence health outcomes.
• D. The study of how health systems and services impact population health.

Correct answer: B

Rationale: Epidemiology is defined as the study of the distribution and determinants of health-related states or events in specified populations, as well as the application of this study to control health problems. This field focuses on identifying patterns and causes of health and disease in order to develop strategies for prevention and control.

3. What is a key role of community health nurses?

• A. Conducting health screenings
• B. Developing health policies
• C. Advocating for health policy changes
• D. Providing emergency care

Correct answer: C

Rationale: A key role of community health nurses is advocating for health policy changes to address community health issues. By advocating for policy changes, community health nurses help promote better health outcomes for the population they serve.

4. How should a healthcare provider determine a client’s reading level?

• A. Ask the client how they would rate their ability to read.
• B. Have the client assess their own health literacy and provide examples.
• C. Determine the client's completed years of formal education.
• D. Utilize literacy assessment tools available in the literature.

Correct answer: A

Rationale: In assessing a client's reading level, asking the client to rate their own reading ability is a quick and straightforward method. It allows for a self-assessment that may provide insights into the individual's perception of their literacy skills. This approach can be efficient in initiating discussions about reading abilities and can serve as a starting point for further literacy evaluation if needed.

5. The community health nurse is involved in public health work. Which of these statements by the nurse reflects an understanding of upstream interventions?

• A. I will engage in policy initiatives in my urban area.
• B. I will administer the flu shot to interested seniors.
• C. I will help manage a senior's diabetes needs at home.
• D. I will work with a local school to provide asthma education.

Correct answer: A

Rationale: The correct answer is A because engaging in policy initiatives reflects an understanding of upstream interventions. Upstream interventions focus on influencing broader determinants of health, such as policies and social factors, to prevent health issues before they occur. This approach addresses the root causes of health problems rather than just treating symptoms or providing individual care.

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