Nursing Elites

1. 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.

2. Which level of care serves as a referral center for primary health facilities?

• A. Secondary level of care
• B. Tertiary level of care
• C. Primary level of care
• D. Intermediate level of care

Correct answer: B

Rationale: The correct answer is B - Tertiary level of care. Tertiary level of care is the highest level of care and serves as a referral center for primary health facilities, handling complex cases and providing specialized services that primary care facilities may not offer.

3. During the assessment phase of the nursing process, a community health nurse conducted research to identify the distribution pattern of breast cancer within a population and the associated risk factors. This is called

• A. Statistical analysis.
• B. Needs assessment.
• C. Census collection.
• D. Epidemiology.

Correct answer: D

Rationale: Epidemiology is the study of the distribution and determinants of health-related states within a population. In this scenario, the nurse is investigating the distribution pattern of breast cancer and its associated risk factors, which aligns with the principles of epidemiology.

4. What is the primary advantage of having a target client list?

• A. Nurses do not need to go back to the Family Treatment Record to monitor treatment and services, thus saving time and effort
• B. Helps monitor services rendered to clients in general
• C. Facilitates monitoring and supervision of services
• D. Facilitates easier reporting

Correct answer: A

Rationale: The primary advantage of having a target client list is that nurses do not need to go back to the Family Treatment Record to monitor treatment and services, which saves them time and effort. By having a specific list, they can efficiently track and manage the care provided without the need for repeated references to the records.

5. The public health nurse is reading information from a study that states that hypertension may be associated with an odds ratio of 2.49, meaning the patient is approximately 2.5 times more likely to have a severe form of COVID-19 than those without hypertension. The nurse describes the odds ratio as:

• A. a measure of association between an exposure and an outcome
• B. an absolute risk increase
• C. a measure of statistical significance
• D. a measure of precision

Correct answer: A

Rationale: The odds ratio is a measure of association between an exposure and an outcome. In this context, an odds ratio of 2.49 indicates that individuals with hypertension are approximately 2.5 times more likely to develop severe COVID-19 compared to those without hypertension. Therefore, choice A is correct as it accurately defines the role of odds ratio in assessing the relationship between an exposure (hypertension) and an outcome (severe COVID-19). Choices B, C, and D are incorrect as they do not describe the nature of odds ratio.

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