Nursing Elites

1. Which is an example of tertiary prevention?

• A. Providing rehabilitation services
• B. Diagnosing and treating disease
• C. Health education to prevent complications
• D. Screening for complications

Correct answer: A

Rationale: Tertiary prevention aims to manage long-term health problems and prevent complications in individuals who already have a disease or condition. Providing rehabilitation services falls under tertiary prevention as it helps individuals recover and improve their quality of life after the initial treatment of a health issue.

2. 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.

3. As a community health nurse covering a cluster of Barangays, your population coverage includes the following:

• A. Families in their homes, school population, workers in factories
• B. All except workers in factories
• C. Families in their homes, school population, workers in factories, patients in hospitals
• D. All except patients in hospitals

Correct answer: D

Rationale: As a community health nurse focusing on a cluster of Barangays, the primary population coverage typically includes families in their homes, school populations, and workers in factories. Patients in hospitals are usually under the care of hospital healthcare providers, not community health nurses. The main role of community health nurses is to provide healthcare services and education within the community and public health settings, rather than hospitals.

4. Which statement best describes the focus of community health nursing?

• A. Providing care to individuals and families within the community
• B. Improving the overall health of the community
• C. Ensuring access to health care for all community members
• D. Addressing the social determinants of health

Correct answer: B

Rationale: The correct answer is B because community health nursing focuses on improving the health of the entire community rather than just individuals or families. By addressing health issues at the population level, community health nurses work towards enhancing the overall well-being and health outcomes of the community.

5. Why is it difficult to get others interested in environmental health?

• A. Environmental problems are not perceived as interesting or dramatic.
• B. It is difficult to get the media interested.
• C. People respond more to an acute crisis than chronic environmental problems.
• D. People respond more to an individual asking for help than a community asking for help.

Correct answer: C

Rationale: The difficulty in getting others interested in environmental health is due to the fact that people tend to respond more to acute crises that receive dramatic media coverage, as opposed to chronic environmental problems that require sustained attention and action. Immediate and dramatic events capture attention more effectively than ongoing, less visible issues.

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