Nokea
What is the drug of choice for progressive multiple sclerosis?
- A. Ocrelizumab
- B. Dimethyl fumarate
- C. Teriflunomide
- D. Fluoroquinolones
Correct Answer: A
Rationale: The correct answer is A: Ocrelizumab. It is the drug of choice for progressive multiple sclerosis due to its proven efficacy in reducing disease progression and disability in clinical trials. Ocrelizumab specifically targets B cells, which play a key role in the pathogenesis of multiple sclerosis. Dimethyl fumarate (B) and Teriflunomide (C) are more commonly used for relapsing-remitting multiple sclerosis rather than progressive forms. Fluoroquinolones (D) are antibiotics and have no role in the treatment of multiple sclerosis.
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Which factor is most closely linked to health disparities?
- A. Access to health care
- B. Lifestyle choices
- C. Environmental factors
- D. Social support
Correct Answer: A
Rationale: The correct answer is A: Access to health care. Health disparities are predominantly influenced by unequal access to healthcare services, which can lead to differences in health outcomes among various populations. Limited access to healthcare can result in delayed or inadequate treatment, leading to poorer health outcomes. Lifestyle choices (B) and environmental factors (C) can contribute to health disparities, but access to healthcare plays a more significant role. Social support (D) is important for overall well-being but is not as closely linked to health disparities as access to healthcare.
What is the most influential factor in determining health outcomes?
- A. Genetic predisposition to diseases
- B. Socioeconomic status
- C. Access to health care services
- D. Lifestyle choices
Correct Answer: B
Rationale: The correct answer is B: Socioeconomic status. Socioeconomic status encompasses various factors such as income, education, and occupation, which significantly impact access to resources like nutritious food, safe housing, and quality healthcare. Individuals with higher socioeconomic status tend to have better health outcomes due to better access to preventive care, healthier living conditions, and the ability to afford necessary treatments. This influence on health outcomes is more pronounced than genetic predisposition, access to healthcare services, and lifestyle choices, as socioeconomic disparities play a crucial role in determining overall health and well-being.
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.
Which action demonstrates health advocacy?
- A. Providing direct patient care
- B. Working to change policies that affect health care access
- C. Educating patients about their health conditions
- D. Conducting health screenings in underserved areas
Correct Answer: B
Rationale: The correct answer is B because advocating for health involves addressing systemic issues that impact health outcomes. Changing policies can lead to broader and sustainable improvements in healthcare access for all individuals. Providing direct patient care (A) focuses on individual needs, educating patients (C) is important but not necessarily advocacy, and conducting health screenings (D) is part of preventive care but not advocacy for systemic change.
What is the most effective method for preventing the spread of disease?
- A. Hand hygiene
- B. Vaccination
- C. Quarantine
- D. Use of personal protective equipment
Correct Answer: A
Rationale: The correct answer is A: Hand hygiene. Proper hand hygiene, including washing hands with soap and water or using hand sanitizer, is the most effective method for preventing the spread of disease. This is because hands can easily pick up and transfer germs from surfaces to our bodies. Regular handwashing can remove these germs and reduce the risk of infection.
Summary of other choices:
B: Vaccination is important in preventing certain diseases but may not be as effective in controlling the immediate spread of a disease outbreak.
C: Quarantine can help contain the spread of disease in specific situations but may not be as universally applicable as hand hygiene.
D: Use of personal protective equipment is crucial in certain settings, but it is not as practical or accessible for the general population compared to practicing good hand hygiene.