Which best describes the concept of health promotion?
- A. Focusing on treating illness
- B. Encouraging healthy behaviors
- C. Ensuring access to care
- D. Focusing on disease prevention
Correct Answer: B
Rationale: The correct answer is B: Encouraging healthy behaviors. Health promotion aims to empower individuals to take control of their health by adopting behaviors that prevent illness and promote overall well-being. This involves educating, motivating, and supporting people to make positive lifestyle choices. Treating illness (A) and ensuring access to care (C) are more related to healthcare delivery rather than health promotion. While disease prevention (D) is an important aspect of health promotion, it focuses specifically on preventing the occurrence of diseases rather than promoting overall health through positive behaviors.
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Which strategy is most effective in improving health literacy among patients?
- A. Using clear and simple language in communication
- B. Providing health education sessions
- C. Offering one-on-one counseling
- D. Distributing written materials
Correct Answer: A
Rationale: The correct answer is A because using clear and simple language in communication is the most effective strategy in improving health literacy among patients. This approach ensures that information is easily understood and retained by patients of diverse educational backgrounds. Clear communication helps patients comprehend health-related information, make informed decisions, and follow treatment plans correctly. Providing health education sessions (choice B) may be beneficial, but the effectiveness can vary depending on the presentation and comprehension levels of patients. One-on-one counseling (choice C) is helpful, but it may not be feasible for all patients due to time and resource constraints. Distributing written materials (choice D) can be a useful supplement, but may not be as effective as clear verbal communication in addressing individual questions and concerns.
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.
Which is a major focus of community health nursing?
- A. Providing care to individuals and families
- B. Improving access to health care
- C. Implementing health policies
- D. Promoting community partnerships
Correct Answer: A
Rationale: The correct answer is A because community health nursing primarily focuses on providing care to individuals and families within a community to improve their health outcomes. This involves assessing their needs, developing care plans, and implementing interventions to promote wellness and prevent disease. Improving access to healthcare (B) and implementing health policies (C) are important aspects of public health, but not the main focus of community health nursing. Promoting community partnerships (D) is also essential, but it is more about collaboration and resource mobilization rather than the primary focus of providing direct care.
Which best describes a community health assessment?
- A. A comprehensive evaluation of the health needs of a community
- B. An analysis of the effectiveness of health interventions
- C. A survey of individual health behaviors and outcomes
- D. A review of health care resources available in a community
Correct Answer: A
Rationale: Step 1: A community health assessment involves evaluating the overall health needs of a community, including social determinants and health disparities.
Step 2: It considers factors such as demographics, health behaviors, access to care, and environmental health.
Step 3: By conducting a comprehensive assessment, public health officials can identify priorities for intervention and allocate resources effectively.
Step 4: Option A aligns with the process of assessing community health comprehensively.
Summary: Options B, C, and D are incorrect because they focus on specific aspects (interventions, individual behaviors, and health care resources) rather than the holistic evaluation of a community's health needs.
Which is an example of a secondary prevention strategy?
- A. Administering immunizations to prevent disease
- B. Conducting health screenings to detect early signs of disease
- C. Providing rehabilitation services to prevent complications
- D. Educating the public about healthy lifestyle choices
Correct Answer: B
Rationale: Step-by-step rationale:
1. Secondary prevention aims to detect and treat diseases at an early stage.
2. Health screenings help identify early signs of disease before symptoms appear.
3. Early detection allows for prompt intervention to prevent disease progression.
4. Administering immunizations (A) is an example of primary prevention.
5. Providing rehabilitation services (C) is an example of tertiary prevention.
6. Educating the public (D) focuses on promoting healthy behaviors, also a primary prevention strategy.
Summary:
Option B is correct as it aligns with the goal of secondary prevention by detecting diseases early. Options A, C, and D are incorrect as they represent primary prevention, tertiary prevention, and health promotion strategies, respectively.