Which best describes a primary role of nurses in promoting community health?
- A. Conducting individual health assessments
- B. Advocating for health policy changes
- C. Providing health education to groups
- D. Developing health policies
Correct Answer: B
Rationale: The correct answer is B: Advocating for health policy changes. Nurses play a crucial role in promoting community health by advocating for policies that address social determinants of health, improve access to healthcare, and create healthier environments. By influencing health policies, nurses can have a broader impact on population health compared to individual health assessments (A), group health education (C), or developing policies (D), which are important but not primary roles for promoting community health. Advocating for health policy changes allows nurses to address systemic issues that impact the health and well-being of communities on a larger scale.
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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: The correct answer is A: Awaken the client every two (2) hours. This instruction is important to monitor for any changes in the client's condition, such as worsening symptoms or neurological deficits. By waking the client every two hours, it allows for assessment of responsiveness and orientation. This is crucial in detecting any signs of deterioration or complications post-concussion.
Choice B is incorrect because monitoring for increased intracranial pressure requires specialized equipment and expertise beyond what can be done at home. Choice C is incorrect as hypervigilance is not typically a common concern after a mild concussion. Choice D is incorrect because offering food every three to four hours is not specific to the client's needs post-concussion.
What is a key objective of community health nursing?
- A. Providing curative services to the community
- B. Improving the quality of life for individuals and families
- C. Promoting health and preventing disease
- D. Conducting research to find new treatments
Correct Answer: B
Rationale: The correct answer is B because community health nursing focuses on improving the quality of life for individuals and families through health promotion and disease prevention. This encompasses a holistic approach that considers social determinants of health and empowers communities to make informed decisions. Providing curative services (A) is not the primary focus of community health nursing, as it aims to prevent illness before it occurs. Conducting research (D) is important but not a key objective of direct community health nursing practice. While promoting health and preventing disease (C) is a key objective, improving the quality of life (B) captures the overarching goal of community health nursing more comprehensively.
For a complete spinal injury, which statement is true?
- A. Some of the motor and sensory functions are lost
- B. Only the motor functions are lost
- C. Only the sensory functions are lost
- D. Both the motor and sensory functions are lost
Correct Answer: D
Rationale: The correct answer is D because in a complete spinal injury, both motor and sensory functions are lost below the level of the injury. This occurs due to the disruption of communication between the brain and the rest of the body. Choice A is incorrect as it implies that only some functions are lost, which is not the case in a complete injury. Choice B is incorrect because sensory functions are also affected in a complete spinal injury. Choice C is incorrect as it suggests that only sensory functions are lost, which is not true for a complete spinal injury.
Which best describes the concept of risk?
- A. The probability that an individual will develop a specific condition
- B. The impact of a health condition on an individual's life
- C. The potential for harm from a specific condition
- D. The likelihood of being exposed to a health hazard
Correct Answer: A
Rationale: The correct answer is A because risk is defined as the probability that an individual will develop a specific condition. This involves assessing the likelihood of an event occurring. Choice B focuses on the impact of a health condition, which is not the same as risk assessment. Choice C refers to the potential harm, but risk includes both the probability and potential consequences. Choice D is about exposure to health hazards, which is related to risk but doesn't fully encompass the concept. Therefore, option A best captures the essence of risk assessment.
State whether each of the following statement is true (T) or false (F):
I. Epilepsy has a genetic predisposition and can be inherited
II. Old age is a risk factor for Parkinson's disease
- A. TT
- B. FT
- C. TF
- D. FF
Correct Answer: A
Rationale: Rationale for Correct Answer (A):
I. Epilepsy can have a genetic predisposition, as certain genetic factors can increase the likelihood of developing epilepsy, making statement I true (T).
II. Old age is indeed a risk factor for Parkinson's disease, as the incidence of the disease increases with age, making statement II true (T).
Therefore, the correct answer is A (TT).
Summary of Incorrect Choices:
B: FT - This choice is incorrect because both statements I and II are true.
C: TF - This choice is incorrect because statement I is true (T) and statement II is also true (T).
D: FF - This choice is incorrect because both statements I and II are true.