Nokea
What is an essential skill for nurses in community health?
- A. Providing direct patient care
- B. Advocating for patients' health needs
- C. Educating about health promotion
- D. Managing chronic conditions
Correct Answer: B
Rationale: The correct answer is B: Advocating for patients' health needs. Nurses in community health must advocate for their patients to ensure they receive proper care and resources. This involves understanding individual needs, navigating healthcare systems, and promoting health equity. Providing direct patient care (A) is important but not specific to community health. Educating about health promotion (C) is crucial, but advocacy encompasses a broader scope of support. Managing chronic conditions (D) is essential, but advocacy involves addressing various health needs beyond just chronic conditions.
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What best describes the concept of social justice in health care?
- A. Ensuring that all individuals have access to the same health care services
- B. Providing the same level of care to everyone, regardless of their background
- C. Addressing the underlying social determinants that contribute to health disparities
- D. Offering free health services to underserved populations
Correct Answer: C
Rationale: Step 1: Social justice in health care focuses on addressing the root causes of health disparities.
Step 2: By addressing social determinants like poverty, education, and housing, health equity can be achieved.
Step 3: This approach aims to create fair opportunities for everyone to attain good health outcomes.
Step 4: Choices A and B do not address the underlying social factors contributing to disparities.
Step 5: Choice D, offering free services, may not address the systemic issues that lead to inequities.
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.
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.
After surgery, your patient starts to shiver uncontrollably. What nursing intervention would you do first?
- A. Apply warm blankets & continue oxygen as prescribed
- B. Take the patient's rectal temperature
- C. Page the doctor for further orders
- D. Adjust the thermostat in the room
Correct Answer: A
Rationale: The correct answer is A: Apply warm blankets & continue oxygen as prescribed. Shivering after surgery indicates the patient is cold due to anesthesia effects. Applying warm blankets helps raise body temperature, reducing shivering. Oxygen is crucial post-surgery. Taking rectal temperature or adjusting room temperature is not the priority. Paging the doctor should only be done if the patient's condition worsens.
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.