Diabetes has become a major health problem. How can healthcare professionals help to reduce the incidence of diabetes?
- A. Conducting extensive screening of individuals with diabetes risk factors
- B. Facilitating the implementation of Republic Act 8191 - National Diabetes Act
- C. Establishing support groups for individuals with diabetes
- D. Increasing community awareness of diabetes prevention
Correct Answer: D
Rationale: The correct answer is D because increasing community awareness of diabetes prevention can help educate the public on lifestyle changes and risk factors. This empowers individuals to make healthier choices, ultimately reducing the incidence of diabetes. Conducting extensive screening (A) focuses on detection rather than prevention. Facilitating the implementation of a specific act (B) may not be feasible or effective in all settings. Establishing support groups (C) is beneficial for those already diagnosed but does not directly address prevention on a larger scale.
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What is the learning process aimed at improving health status through changes in knowledge, attitudes, and practices?
- A. Motivating
- B. Counseling
- C. Disease prevention
- D. Health education
Correct Answer: D
Rationale: The correct answer is D: Health education. This learning process focuses on improving health through knowledge, attitudes, and practices. Health education aims to empower individuals to make informed decisions for their well-being. Motivating (A) is about encouraging action, counseling (B) involves providing guidance and support, and disease prevention (C) targets specific strategies to reduce the risk of illnesses. In this context, health education encompasses a broader approach to promoting overall health and wellness.
As an important tool for planning a community health survey was conducted, the first tangible outcome of collaboration and teamwork with the Local Health Department and its Rural Health Units (RHUs) was observed. This later led to case findings activities via collection and examination of stools from children for suspected parasitism. Which of the following community nursing diagnoses will guide the Parish Health Team for concrete action?
- A. Parasitism as a foreseeable crisis
- B. Malnutrition as a health deficit
- C. Parasitism as a health deficit
- D. Parasitism as a health threat
Correct Answer: D
Rationale: The correct answer is D: Parasitism as a health threat. This diagnosis guides the Parish Health Team to take concrete action because parasitism poses a direct risk to the community's health. By identifying parasitism as a health threat, the team can prioritize interventions to prevent and control the spread of parasites, ensuring the well-being of the population.
Choices A, B, and C are incorrect:
A: Parasitism as a foreseeable crisis - This choice does not provide a clear direction for action and lacks a sense of urgency compared to a health threat.
B: Malnutrition as a health deficit - While malnutrition is a significant issue, the question specifically mentions suspected parasitism as the focus of case findings activities.
C: Parasitism as a health deficit - This choice does not emphasize the immediate danger posed by parasitism, unlike the concept of a health threat.
The public health RN is engaging with a teen in his community who is concerned about how he will be able to stay part of his friend group when they are all vaping and your client does not want to take part but does not want to feel awkward. Using motivational interviewing techniques, the RN says to the client, 'I understand this concern. Please tell me more about this and how it feels awkward for you.' The RN's question is an example of:
- A. Moving the teen to find a new friend group.
- B. Addressing the problem of teen awkwardness.
- C. Agreeing that awkwardness is hard.
- D. Using open-ended questioning.
Correct Answer: D
Rationale: The correct answer is D: Using open-ended questioning. The RN's question is open-ended, allowing the teen to express thoughts and feelings freely. This technique helps the client explore their concerns and motivations, fostering self-reflection and problem-solving. This approach aligns with motivational interviewing principles, aiming to evoke the client's own reasons for change.
Choices A, B, and C are incorrect:
A: Moving the teen to find a new friend group - This option involves a directive approach, which is contrary to motivational interviewing's collaborative and client-centered nature.
B: Addressing the problem of teen awkwardness - While acknowledging the teen's feelings, this choice focuses on the issue rather than facilitating the client's exploration of their own perspective.
C: Agreeing that awkwardness is hard - This choice reflects empathy, but it does not encourage the client to elaborate on their feelings and thoughts, limiting the depth of the conversation.
Which best describes an example of primary prevention in maternal newborn care?
- A. Providing prenatal education classes
- B. Screening for gestational diabetes
- C. Providing postpartum support groups
- D. Offering breastfeeding support
Correct Answer: A
Rationale: Primary prevention aims to prevent the occurrence of a disease or health condition before it happens. Providing prenatal education classes falls under primary prevention as it educates expecting mothers on healthy behaviors during pregnancy to prevent complications. This empowers them with knowledge and skills to promote their own and their baby's wellbeing. Screening for gestational diabetes (B) is a form of secondary prevention, as it detects a condition early to prevent its progression. Providing postpartum support groups (C) and offering breastfeeding support (D) are important interventions for promoting maternal and newborn health, but they are considered more as supportive or tertiary prevention measures rather than primary prevention.
In population health management, a nurse overseeing a panel of 1,500 patients will primarily engage in which of the following activities?
- A. Proactively assessing the health needs of the entire panel and planning accordingly
- B. Focusing on providing care to young and seemingly vulnerable patients
- C. Spending most time with patients who regularly attend their visits
- D. Prioritizing care by responding to the oldest patients first
Correct Answer: A
Rationale: The correct answer is A: Proactively assessing the health needs of the entire panel and planning accordingly. This is because in population health management, the primary goal is to improve the health outcomes of a large group of individuals. By proactively assessing the health needs of the entire panel, the nurse can identify trends and patterns, prioritize interventions, and allocate resources effectively. This approach allows for early identification of health issues, implementation of preventive measures, and tailored care plans.
Choices B, C, and D are incorrect because they focus on specific subgroups or individuals within the panel rather than the entire population. Focusing only on young or seemingly vulnerable patients (B) may neglect the health needs of other demographic groups. Spending most time with patients who regularly attend their visits (C) may result in overlooking those who do not attend regularly. Prioritizing care by responding to the oldest patients first (D) does not consider the diverse health needs present across the entire panel.