Nursing Elites

1. What is the primary focus of public health?

• A. Preventing disease and promoting health
• B. Providing health education
• C. Ensuring access to health care services
• D. Reducing health disparities

Correct answer: A

Rationale: The primary focus of public health is to prevent disease and promote health at the population level. This includes implementing interventions and policies that aim to improve the overall health of communities, rather than focusing solely on individual care or education. By addressing the root causes of health issues and promoting wellness, public health efforts strive to create healthier environments and populations.

2. What is a key role of community health nurses?

• A. Conducting health screenings
• B. Developing health policies
• C. Advocating for health policy changes
• D. Providing emergency care

Correct answer: C

Rationale: A key role of community health nurses is advocating for health policy changes to address community health issues. By advocating for policy changes, community health nurses help promote better health outcomes for the population they serve.

3. One of the first steps in community assessment may involve the community health nurse driving or walking through an area and making observations about such things as environmental layout and location of agencies, hospitals, industries, and so forth. This is called a(n):

• A. Census survey.
• B. Needs survey.
• C. Informant survey.
• D. Windshield survey.

Correct answer: D

Rationale: A windshield survey involves observations made from a moving vehicle, allowing the community health nurse to gather information about the community's physical and social environment without direct interaction. This method helps in understanding the community's resources, potential hazards, and overall characteristics, which are essential for planning and implementing effective community health interventions.

4. Which statement is incorrect regarding an informed consent signed by a patient?

• A. The nurse is responsible for obtaining the consent for surgery
• B. Patients under 18 years of age may need a parent or legal guardian to sign a consent form
• C. The nurse can witness the client signing the consent form
• D. It is the nurse's responsibility to ensure the patient has been educated by the physician about the procedure before informed consent is obtained

Correct answer: A

Rationale: The statement 'The nurse is responsible for obtaining the consent for surgery' is incorrect. The responsibility of obtaining informed consent for surgery lies with the physician or surgeon performing the procedure. Nurses can assist in the process by witnessing the client signing the consent form, ensuring the patient is educated about the procedure by the physician, and verifying that the consent process is voluntary and informed. For patients under 18 years of age, a parent or legal guardian typically needs to sign the consent form on behalf of the minor, as they are not legally able to provide consent themselves.

5. Which best describes a tertiary prevention strategy?

• A. Providing rehabilitation services
• B. Screening for early signs of disease
• C. Educating the public about healthy lifestyles
• D. Offering health education workshops

Correct answer: A

Rationale: The correct answer is A: Providing rehabilitation services. Tertiary prevention involves interventions that focus on managing and improving the outcomes of existing conditions. Rehabilitation services fall under tertiary prevention as they aim to help individuals recover and manage long-term health issues. Screening for early signs of disease (Choice B) is part of secondary prevention, while educating the public about healthy lifestyles (Choice C) and offering health education workshops (Choice D) typically fall under primary prevention strategies.

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