Nursing Elites

1. What is the primary role of community health nurses in disaster preparedness?

• A. Developing emergency response plans
• B. Providing direct patient care
• C. Coordinating care among various providers
• D. Conducting health screenings

Correct answer: A

Rationale: Community health nurses primarily focus on developing emergency response plans in disaster preparedness. This involves creating strategies to address various aspects of a disaster, such as evacuation procedures, resource management, and communication plans. While providing direct patient care and coordinating care among providers are important aspects of nursing, in the context of disaster preparedness, the emphasis is on planning and preparedness to ensure an effective response in times of crisis.

2. 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.

3. Community organizing is an important part of the community nursing function. Given the following elements - choosing an organizational structure, identifying and recruiting members, defining mission, vision, and goals, clarifying roles and responsibilities - at which stage do these elements belong?

• A. Program maintenance-consolidation
• B. Dissemination-Reassessment
• C. Community Analysis/diagnosis
• D. Design and initiation

Correct answer: D

Rationale: These elements of choosing an organizational structure, identifying and recruiting members, defining mission, vision, and goals, and clarifying roles and responsibilities are part of the initial stage of community organizing, which is the design and initiation stage. During this phase, the framework and groundwork for the community organizing efforts are established, setting the direction and structure for the subsequent implementation and maintenance of the program.

4. You are preparing a patient for surgery and completing the preoperative checklist. Which of the following is not typically part of the preoperative checklist?

• A. Assessing for allergies
• B. Conducting the Time Out
• C. Ensuring that informed consent is signed
• D. Ensuring that the history and physical examination have been completed

Correct answer: B

Rationale: Conducting the Time Out is a crucial safety step that occurs immediately before the start of the procedure, but it is not usually part of the preoperative checklist. The Time Out involves verifying patient identity, correct procedure, correct site, and addressing any concerns or questions with the surgical team before proceeding. The other options, such as assessing for allergies, ensuring informed consent, and completing the history and physical examination, are typically included in the preoperative checklist to ensure patient safety and readiness for surgery.

5. Which action demonstrates primary prevention?

• A. Administering immunizations
• B. Teaching healthy lifestyle behaviors
• C. Educating about the importance of regular check-ups
• D. Screening for early signs of disease

Correct answer: A

Rationale: Administering immunizations is a primary prevention strategy aimed at preventing diseases before they occur. By administering immunizations, the nurse helps individuals develop immunity against specific diseases, reducing the likelihood of them getting sick in the first place. This proactive approach aligns with primary prevention efforts to promote health and prevent illnesses.

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