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The system-wide emergency management plan should conduct a gap analysis. What should be evaluated?
- A. Differences between standards and policies and procedures
- B. Differences between pieces of the program that are and are not in place
- C. Similarities between standards and policies and procedures
- D. Similarities between pieces of the program that are and are not in place
Correct Answer: B
Rationale: Rationale A: Standards vs. policies is a compliance issue, not gap analysis. Rationale B: Correct, as gap analysis identifies missing elements in preparedness plans. Rationale C: Similarities don't highlight gaps. Rationale D: Similarities between present/absent pieces are irrelevant.
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Which level of prevention is the CHN implementing when participating in the development of a community-wide disaster management plan?
- A. Primary prevention
- B. Secondary prevention
- C. Tertiary prevention
- D. All prevention levels
Correct Answer: A
Rationale: Developing a disaster plan is primary prevention (A), reducing risk before an event, per public health models. Secondary (B) detects early issues, tertiary (C) manages aftermath, and all levels (D) is too broad.
A CHN suspects that an elementary school student is being physically abused. Which action would be the most appropriate one for the CHN to take?
- A. Ask the student about the abuse.
- B. Document findings in the student's school record.
- C. Discuss the suspicions of abuse with the student's teachers or the family's spiritual leader.
- D. Notify legal authorities.
Correct Answer: D
Rationale: Rationale A: Incorrect, direct questioning may retraumatize. Rationale B: Incorrect, documentation alone doesn't protect the child. Rationale C: Incorrect, discussing delays reporting. Rationale D: Correct, CHNs are mandated reporters; legal authorities must investigate.
At a district board meeting, the CHN requests funding for an after-school recreation program that promotes healthy, fun activities in an effort to decrease drug abuse. Which level of prevention does this exemplify?
- A. Primary prevention
- B. Secondary prevention
- C. Tertiary prevention
- D. Primary and secondary prevention
Correct Answer: A
Rationale: Rationale A: Correct, recreation prevents drug abuse before it starts (primary). Rationale B: Incorrect, secondary involves early detection. Rationale C: Incorrect, tertiary manages existing addiction. Rationale D: Incorrect, it's solely primary.
What information is most important to keep in mind when caring for a pregnant teen?
- A. All teen pregnancies are considered high risk.
- B. Limited knowledge can lead to pregnancy complications.
- C. Pregnant teens are less likely to focus on proper prenatal nutrition.
- D. Pregnant teens who are poor are more likely to have poorer health outcomes.
Correct Answer: D
Rationale: Rationale A: Incorrect, not all teen pregnancies are high risk; it depends on factors. Rationale B: Incorrect, knowledge is a factor but not the most critical. Rationale C: Incorrect, nutrition focus varies individually. Rationale D: Correct, poverty strongly correlates with poorer outcomes due to access issues.
Which one of the following is the cause of the greatest overall costs to the community for providing health care to the homeless?
- A. The need for increased preventive services to address the health conditions of the homeless population
- B. The need for more frequent clinic visits by homeless clients for multiple health problems
- C. The spread of contagious diseases by homeless people to those they pass on the street
- D. The fact that most of the care for homeless people takes place in hospital emergency departments
Correct Answer: D
Rationale: Rationale A: Incorrect, preventive services are less costly than acute care. Rationale B: Incorrect, clinic visits are less expensive than emergency care. Rationale C: Incorrect, disease spread is a concern but not the primary cost driver. Rationale D: Correct, emergency department care is the most expensive and common for homeless due to lack of primary care access.