Nursing Elites

1. Which factor is critical to the success of community health programs?

• A. Adequate funding
• B. Community involvement
• C. Strong leadership
• D. Comprehensive planning

Correct answer: B

Rationale: Community involvement plays a critical role in the success of community health programs. It ensures that programs are tailored to meet the specific needs of the community, fostering ownership and sustainability.

2. What is a major barrier to accessing health care services?

• A. Cultural differences
• B. High cost of services
• C. Lack of transportation
• D. Long wait times

Correct answer: B

Rationale: The high cost of services can be a significant barrier that prevents individuals from accessing necessary health care. Financial constraints can deter people from seeking medical help, leading to negative health outcomes.

3. Which action demonstrates secondary prevention?

• A. Screening for early signs of disease
• B. Providing rehabilitation services
• C. Administering medications
• D. Providing health education

Correct answer: A

Rationale: The correct answer is A: Screening for early signs of disease. Secondary prevention involves activities that aim to detect health issues early to provide timely treatment. Screening for early signs of disease falls under secondary prevention as it helps identify diseases in their early stages, allowing for prompt intervention and management.

4. The client diagnosed with a mild concussion is being discharged from the emergency department. Which discharge instruction should the nurse teach the client's significant other?

• A. Awaken the client every two (2) hours.
• B. Monitor for increased intracranial pressure.
• C. Observe frequently for hypervigilance.
• D. Offer the client food every three (3) to four (4) hours.

Correct answer: A

Rationale: In a client with a mild concussion, it is important to monitor for signs of deterioration, which includes changes in the client's level of consciousness. Waking the client every two hours helps in assessing their neurological status, ensuring they can awaken and respond appropriately. This intervention aids in detecting any worsening symptoms promptly and seeking medical assistance if needed.

5. Which of the following are core functions of public health?

• A. Assessment
• B. Policy development
• C. Assurance
• D. All of the above

Correct answer: D

Rationale: All the options listed - Assessment, Policy development, and Assurance - are core functions of public health. Assessment involves collecting and analyzing data to identify health problems, Policy development focuses on creating and implementing policies to address those problems, and Assurance ensures that necessary health services are provided to the community.

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