Paralysis of all or part of the trunk, legs, and pelvic organs is referred to as:
- A. Hemiplegia
- B. Tetraplegia
- C. Paraplegia
- D. Hemiparesis
Correct Answer: C
Rationale: The correct answer is C: Paraplegia. Paraplegia refers to the paralysis of the lower half of the body, including both legs and often the trunk and pelvic organs. This term specifically indicates paralysis below the waist. Hemiplegia (A) refers to paralysis on one side of the body, not the trunk and legs. Tetraplegia (B) is paralysis of all four limbs and the trunk, not specifically the trunk, legs, and pelvic organs. Hemiparesis (D) is weakness on one side of the body, not a complete paralysis of the trunk, legs, and pelvic organs.
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What is a common barrier to accessing health care services?
- A. Lack of transportation
- B. High cost of services
- C. Long wait times
- D. Complexity of the health care system
Correct Answer: A
Rationale: The correct answer is A: Lack of transportation. This is a common barrier because individuals may not be able to physically reach healthcare facilities, leading to limited access to services. Lack of transportation can prevent people from seeking timely care, resulting in worsened health outcomes.
Choice B: High cost of services is a barrier, but lack of transportation directly affects physical access to care.
Choice C: Long wait times can be a barrier, but it is not as fundamental as the inability to physically reach the healthcare facility.
Choice D: Complexity of the health care system can also be a barrier, but lack of transportation is more immediate and directly impacts access.
What procedure is performed prior to a blood transfusion to detect incompatibilities?
- A. Grouping and crossmatching
- B. Complete blood count
- C. D-dimer test
- D. Blood clotting test
Correct Answer: A
Rationale: The correct answer is A: Grouping and crossmatching. This procedure involves determining the patient's blood type (grouping) and testing for compatibility with the donor blood (crossmatching). It ensures that the recipient receives compatible blood, minimizing the risk of transfusion reactions.
B: Complete blood count is not specific to detecting incompatibilities for transfusions.
C: D-dimer test is used to detect blood clotting disorders, not blood transfusion incompatibilities.
D: Blood clotting test assesses the ability of blood to clot, not compatibility for transfusions.
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 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.
Which is an example of a secondary prevention strategy?
- A. Administering immunizations to prevent disease
- B. Conducting health screenings to detect early signs of disease
- C. Providing rehabilitation services to prevent complications
- D. Educating the public about healthy lifestyle choices
Correct Answer: B
Rationale: Step-by-step rationale:
1. Secondary prevention aims to detect and treat diseases at an early stage.
2. Health screenings help identify early signs of disease before symptoms appear.
3. Early detection allows for prompt intervention to prevent disease progression.
4. Administering immunizations (A) is an example of primary prevention.
5. Providing rehabilitation services (C) is an example of tertiary prevention.
6. Educating the public (D) focuses on promoting healthy behaviors, also a primary prevention strategy.
Summary:
Option B is correct as it aligns with the goal of secondary prevention by detecting diseases early. Options A, C, and D are incorrect as they represent primary prevention, tertiary prevention, and health promotion strategies, respectively.
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