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Which is a major focus of community health nursing?
- A. Providing care to individuals and families
- B. Improving access to health care
- C. Implementing health policies
- D. Promoting community partnerships
Correct Answer: A
Rationale: The correct answer is A because community health nursing primarily focuses on providing care to individuals and families within a community to improve their health outcomes. This involves assessing their needs, developing care plans, and implementing interventions to promote wellness and prevent disease. Improving access to healthcare (B) and implementing health policies (C) are important aspects of public health, but not the main focus of community health nursing. Promoting community partnerships (D) is also essential, but it is more about collaboration and resource mobilization rather than the primary focus of providing direct care.
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Which is an example of a community-level intervention?
- A. Developing health policies
- B. Conducting health education programs
- C. Offering immunizations at a local clinic
- D. Implementing community-wide health campaigns
Correct Answer: D
Rationale: The correct answer is D because implementing community-wide health campaigns targets the entire community rather than individuals, making it a community-level intervention. This approach aims to create widespread behavior change and improve health outcomes across the entire community. In contrast, options A and B focus on individual or small group actions, while option C is more of a service delivery intervention at the individual level. By choosing option D, the intervention has a broader reach and impact on the community's overall health status.
Why is cultural competence important in community health nursing?
- A. It helps nurses provide care that is respectful and responsive to the health beliefs and practices of diverse patients.
- B. It mandates all health care providers to undergo cultural training.
- C. It ensures that nurses are knowledgeable about different medical practices.
- D. It prevents nurses from encountering cultural misunderstandings.
Correct Answer: A
Rationale: The correct answer is A because cultural competence in community health nursing enables nurses to provide care that respects and responds to the health beliefs and practices of diverse patients. This is important for building trust, improving communication, and enhancing patient outcomes. Choice B is incorrect because cultural training is not mandatory for all healthcare providers. Choice C is incorrect because cultural competence goes beyond medical practices to encompass understanding and respecting patients' cultural backgrounds. Choice D is incorrect because cultural competence does not prevent misunderstandings, but rather helps nurses navigate and address them effectively.
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 preventing disease and promoting health. This is because public health aims to improve the overall health of populations through preventive measures such as vaccinations, health education, and policy interventions. By focusing on prevention, public health addresses the root causes of health issues and promotes well-being on a larger scale. Providing health education (choice B) is a component of public health but not the primary focus. Ensuring access to health care services (choice C) is important but falls under healthcare delivery rather than public health. Reducing health disparities (choice D) is a goal of public health but not the primary focus, as it is a part of the broader mission to promote health equity.
Which of the following is an indication for tracheostomy?
- A. Drainage of pleural effusion
- B. Hemorrhage
- C. Infections
- D. Acute respiratory failure
Correct Answer: D
Rationale: The correct answer is D: Acute respiratory failure. Tracheostomy is indicated in cases of severe respiratory compromise when the upper airway is obstructed or when long-term mechanical ventilation is needed. It ensures a patent airway and facilitates weaning from a ventilator. Choices A, B, and C are incorrect as drainage of pleural effusion, hemorrhage, and infections do not typically require a tracheostomy for management.
What is the drug of choice for progressive multiple sclerosis?
- A. Ocrelizumab
- B. Dimethyl fumarate
- C. Teriflunomide
- D. Fluoroquinolones
Correct Answer: A
Rationale: The correct answer is A: Ocrelizumab. It is the drug of choice for progressive multiple sclerosis due to its proven efficacy in reducing disease progression and disability in clinical trials. Ocrelizumab specifically targets B cells, which play a key role in the pathogenesis of multiple sclerosis. Dimethyl fumarate (B) and Teriflunomide (C) are more commonly used for relapsing-remitting multiple sclerosis rather than progressive forms. Fluoroquinolones (D) are antibiotics and have no role in the treatment of multiple sclerosis.