Nokea
Which action is an example of primary prevention in community health?
- A. Administering immunizations
- B. Providing treatment for diseases
- C. Educating about the importance of healthy lifestyles
- D. Conducting health screenings
Correct Answer: A
Rationale: Primary prevention aims to prevent the occurrence of a disease before it occurs. Administering immunizations is a direct way to prevent the onset of infectious diseases, making it a clear example of primary prevention. Immunizations boost immunity and reduce the risk of contracting specific diseases. Providing treatment for diseases (choice B) occurs after the disease has already developed, making it a secondary prevention strategy. Educating about healthy lifestyles (choice C) and conducting health screenings (choice D) are important but fall under health promotion and early detection (secondary prevention) rather than primary prevention.
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Which is a key aspect of the Health Belief Model?
- A. Perceived susceptibility
- B. Perceived severity
- C. Perceived barriers
- D. Perceived benefits
Correct Answer: A
Rationale: The correct answer is A: Perceived susceptibility. This is a key aspect of the Health Belief Model because it refers to an individual's belief about their risk of getting a particular health condition. It is crucial in determining whether a person will take preventive actions. Perceived severity (B) and perceived benefits (D) are also important components of the model, but perceived susceptibility is considered the starting point for behavior change. Perceived barriers (C) are obstacles that may prevent an individual from taking action, but they are not the main focus in the Health Belief Model.
Which of the following is an indication for tracheostomy?
- A. Drainage of pleural effusion
- B. Hemorrhage
- C. Infections
- D. Acute respiratory failure
Correct Answer: D
Rationale: The correct answer is D: Acute respiratory failure. Tracheostomy is indicated in cases of severe respiratory compromise when the upper airway is obstructed or when long-term mechanical ventilation is needed. It ensures a patent airway and facilitates weaning from a ventilator. Choices A, B, and C are incorrect as drainage of pleural effusion, hemorrhage, and infections do not typically require a tracheostomy for management.
What is a common challenge in promoting health literacy?
- A. Limited access to health resources
- B. Low literacy levels among patients
- C. Complex medical instructions
- D. Cultural barriers
Correct Answer: B
Rationale: The correct answer is B: Low literacy levels among patients. Health literacy refers to an individual's ability to understand and use health information. Low literacy levels can hinder a person's understanding of health-related information, leading to poor health outcomes. Limited access to health resources (A) can be a challenge, but it is not as common as low literacy levels. While complex medical instructions (C) can be a barrier, low literacy levels are more pervasive. Cultural barriers (D) can also impact health literacy, but the primary challenge is often low literacy levels among patients.
The client diagnosed with a mild concussion is being discharged from the emergency department. Which discharge instruction should the nurse teach the client's significant other?
- A. Awaken the client every two (2) hours.
- B. Monitor for increased intracranial pressure.
- C. Observe frequently for hypervigilance.
- D. Offer the client food every three (3) to four (4) hours.
Correct Answer: A
Rationale: The correct answer is A: Awaken the client every two (2) hours. This instruction is important to monitor for any changes in the client's condition, such as worsening symptoms or neurological deficits. By waking the client every two hours, it allows for assessment of responsiveness and orientation. This is crucial in detecting any signs of deterioration or complications post-concussion.
Choice B is incorrect because monitoring for increased intracranial pressure requires specialized equipment and expertise beyond what can be done at home. Choice C is incorrect as hypervigilance is not typically a common concern after a mild concussion. Choice D is incorrect because offering food every three to four hours is not specific to the client's needs post-concussion.
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.