Nursing Elites

1. Which best describes the goal of primary prevention?

• A. Preventing the onset of disease
• B. Managing existing health conditions
• C. Educating the community about healthy lifestyles
• D. Improving quality of life for those with chronic conditions

Correct answer: A

Rationale: The goal of primary prevention is to prevent the onset of disease before it occurs. This is achieved through interventions such as vaccinations, health education, and lifestyle modifications aimed at reducing the risk of developing various illnesses. Primary prevention focuses on promoting health and preventing diseases from ever occurring in the first place, distinguishing it from managing existing conditions (choice B) or improving the quality of life for individuals with chronic illnesses (choice D). Educating the community about healthy lifestyles (choice C) is a component of primary prevention as it aims to instill behaviors that reduce the likelihood of disease development.

2. Which best describes the role of a community health nurse in promoting health?

• A. Advocating for health policy changes
• B. Providing direct care to individuals and families
• C. Educating the community about healthy lifestyles
• D. Conducting research on community health issues

Correct answer: A

Rationale: A community health nurse plays a vital role in promoting health by advocating for health policy changes. By advocating for policy changes that support healthy environments, access to care, and addressing social determinants of health, community health nurses work towards improving the overall health and well-being of the community they serve. While providing direct care to individuals and families, educating the community about healthy lifestyles, and conducting research on community health issues are important aspects of nursing practice, advocating for health policy changes has a broader impact on population health outcomes.

3. What are stressful occurrences referred to as?

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

Correct answer: D

Rationale: Stressful occurrences are known as foreseeable crises. These are situations that can be anticipated or expected to bring about stress or challenges.

4. Which sign or reflex is used to diagnose meningitis?

• A. Homan's sign
• B. Brudzinski
• C. Startle
• D. Anterior drawer

Correct answer: B

Rationale: Brudzinski sign is a physical exam finding used to diagnose meningitis. It is elicited by flexing the patient's neck, resulting in involuntary flexion of the hips and knees. This maneuver indicates meningeal irritation, a common feature in meningitis. Homan's sign is used to assess for deep vein thrombosis, Startle is a reflex response to sudden stimuli, and the Anterior drawer test is used to diagnose ligamentous instability in the knee.

5. What is the most important factor in planning a community health intervention?

• A. Availability of funding
• B. Understanding the community’s needs
• C. Identifying health trends
• D. Engaging health professionals

Correct answer: B

Rationale: Understanding the community’s needs is the most important factor in planning a community health intervention. It ensures that the intervention is tailored to address the specific health concerns and requirements of the community, leading to more effective and sustainable outcomes.

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