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. The public health nurse partners with the American Heart Association to develop NYS public policy priority statements to promote the expansion of the Double Up Food Bucks program. Which area and intervention on the Minnesota Public Health Wheel do these actions most closely align?

• A. Counseling - Blue wedge
• B. Advocacy - Yellow wedge
• C. Outreach - Red wedge
• D. Screening - Red wedge

Correct answer: B

Rationale: In this scenario, the public health nurse is engaging in advocacy by partnering with an organization to influence public policy through the development of public policy priority statements. Advocacy, represented by the yellow wedge on the Minnesota Public Health Wheel, aligns most closely with these actions as it involves working to influence public policy.

4. Conditions that promote disease or injury and prevent people from realizing their health potential are termed as:

• A. Aggregate of people
• B. Health threats
• C. Health need
• D. Foreseeable crisis

Correct answer: B

Rationale: The correct term for conditions that promote disease or injury and hinder people from achieving their health potential is 'health threats.' These are factors that pose a risk to an individual or community's health, such as environmental hazards, lifestyle choices, or infectious diseases.

5. What action would promote health equity?

• A. Advocating for policy changes that address social determinants of health
• B. Providing direct care to underserved populations
• C. Conducting health education sessions
• D. Developing new health technologies

Correct answer: A

Rationale: Advocating for policy changes that address social determinants of health is a crucial strategy to promote health equity. By addressing systemic issues that contribute to health disparities, such as access to healthcare, education, and socioeconomic factors, it can help create a more equitable healthcare system and improve health outcomes for all individuals in the community.

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