Nursing Elites

1. Which statement best describes an effective method to evaluate community health programs?

• A. Conducting randomized controlled trials
• B. Using focus groups to gather feedback
• C. Measuring changes in health outcomes
• D. Comparing program costs and benefits

Correct answer: C

Rationale: Measuring changes in health outcomes is a crucial method to evaluate community health programs. By assessing the impact on health outcomes, such as reduced disease rates or improved wellness indicators, the effectiveness of the program can be determined. This approach provides concrete evidence of the program's success in promoting community health.

2. 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.

3. While using technique of motivational interviewing with a college student engaged in binge drinking several times per week, the public health RN should begin with which intervention:

• A. Discussing how the student is managing his overall academic studies since drinking has become a problem
• B. Explaining to the student the full range of harmful impacts binge drinking has on the body and mind
• C. Asking open-ended questions and actively listening to the student while trying to remove any judgement
• D. Asking the student to make a validated survey that reveals attitudes and knowledge about binge drinking

Correct answer: C

Rationale: Asking open-ended questions and actively listening without judgement is a key technique in motivational interviewing.

4. How should contaminated instruments used during delivery be handled?

• A. Wash with soap and water and soak in 0.5% chlorine solution for 10 minutes
• B. Soak in 0.5% chlorine solution for 30 minutes
• C. Wash with soap and water and boil for 2 hours
• D. Soak in 0.5% chlorine solution for 10 minutes

Correct answer: B

Rationale: When dealing with contaminated instruments used during delivery, it is crucial to soak them in a 0.5% chlorine solution for 30 minutes to ensure proper disinfection. This practice helps eliminate potential pathogens and ensures the safety of both the healthcare provider and the patient.

5. Which action is an example of secondary prevention in public health?

• A. Administering vaccines to prevent disease
• B. Providing treatment for chronic diseases
• C. Screening for early signs of disease
• D. Offering health education workshops

Correct answer: C

Rationale: The correct answer is screening for early signs of disease (Choice C). Secondary prevention focuses on early detection and treatment of diseases to prevent their progression. By screening for early signs of disease, individuals can receive timely interventions, leading to better health outcomes. Administering vaccines (Choice A) falls under primary prevention by preventing the occurrence of diseases. Providing treatment for chronic diseases (Choice B) is part of tertiary prevention, which focuses on managing and reducing complications of established diseases. Offering health education workshops (Choice D) can be part of primary prevention by promoting healthy behaviors to prevent diseases.

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