Which best describes a primary role of nurses in promoting community health?
- A. Conducting individual health assessments
- B. Advocating for health policy changes
- C. Providing health education to groups
- D. Developing health policies
Correct Answer: B
Rationale: The correct answer is B: Advocating for health policy changes. Nurses play a crucial role in promoting community health by advocating for policies that address social determinants of health, improve access to healthcare, and create healthier environments. By influencing health policies, nurses can have a broader impact on population health compared to individual health assessments (A), group health education (C), or developing policies (D), which are important but not primary roles for promoting community health. Advocating for health policy changes allows nurses to address systemic issues that impact the health and well-being of communities on a larger scale.
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What best describes the primary goal of community health nursing?
- A. Promoting health and preventing disease
- B. Providing direct care to sick individuals
- C. Managing chronic conditions
- D. Evaluating health programs
Correct Answer: A
Rationale: The correct answer is A, promoting health and preventing disease, as the primary goal of community health nursing is to focus on improving the overall health of the community. This involves implementing strategies to prevent disease and promote wellness through education, advocacy, and community partnerships. Providing direct care to sick individuals (B) is typically the role of acute care nurses. Managing chronic conditions (C) is important but not the primary goal of community health nursing. Evaluating health programs (D) is a component of community health nursing but is not the primary goal.
When assessing a community to determine its health needs, which data would be most useful?
- A. Demographic data
- B. Health behavior data
- C. Environmental data
- D. Morbidity and mortality data
Correct Answer: D
Rationale: The correct answer is D: Morbidity and mortality data. This data provides direct information on the health status of the community by indicating the prevalence of diseases and deaths. It helps identify major health issues, prioritize interventions, and allocate resources effectively. Demographic data (A) provides information on population characteristics but does not directly reflect health needs. Health behavior data (B) offers insights into lifestyle choices but may not capture underlying health conditions. Environmental data (C) focuses on external factors impacting health, which are important but not as direct in indicating community health needs as morbidity and mortality data.
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.
Which sign or reflex is used to diagnose meningitis?
- A. Homan's sign
- B. Brudzinski
- C. Startle
- D. Anterior drawer
Correct Answer: B
Rationale: The correct answer is B: Brudzinski sign. This sign is used to diagnose meningitis because it involves the involuntary flexion of the hips and knees when the neck is flexed. This reflex is indicative of meningeal irritation and is a classic sign of meningitis.
A: Homan's sign is used to assess for deep vein thrombosis, not meningitis.
C: Startle reflex is a normal response to a sudden unexpected stimulus, not specific to meningitis.
D: Anterior drawer test is used to assess for ligamentous instability in the knee, not related to meningitis.
Which best describes a key component of health literacy?
- A. Understanding medical terminology
- B. Reading and comprehending health information
- C. Accessing health care services
- D. Navigating the health care system
Correct Answer: B
Rationale: The correct answer is B: Reading and comprehending health information. Health literacy involves the ability to understand and use health information to make informed decisions. By being able to read and comprehend health information, individuals can better manage their health and navigate the healthcare system effectively. Understanding medical terminology (A) is important but not the sole focus of health literacy. Accessing health care services (C) is a component of healthcare access, not health literacy. Navigating the healthcare system (D) is related to health literacy but doesn't encompass the full scope of understanding and utilizing health information.