Nokea
Which is a key component of the chronic care model?
- A. Implementing community health education programs
- B. Improving access to care for all individuals
- C. Increasing funding for health care services
- D. Coordinating care across different health care settings
Correct Answer: A
Rationale: The correct answer is A because implementing community health education programs is a key component of the chronic care model as it focuses on empowering individuals to manage their own health effectively. This approach enhances patient engagement, self-management skills, and health literacy, leading to better health outcomes and reduced healthcare costs.
Choice B is incorrect as improving access to care, although important, is not a specific component of the chronic care model. Choice C is incorrect because increasing funding does not directly relate to the core principles of the chronic care model. Choice D is incorrect as coordinating care across different settings is important but not the central focus of the chronic care model, which emphasizes patient-centered care and self-management.
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Which is a primary focus of health promotion activities?
- A. Preventing the onset of disease
- B. Detecting diseases early to improve outcomes
- C. Managing chronic conditions to improve quality of life
- D. Providing treatment for existing health conditions
Correct Answer: A
Rationale: The correct answer is A: Preventing the onset of disease. Health promotion activities aim to prevent diseases before they occur by promoting healthy behaviors and lifestyles. This primary focus helps individuals maintain good health and well-being. Detecting diseases early (B) is part of screening and early intervention, not the main focus of health promotion. Managing chronic conditions (C) is more about disease management than prevention. Providing treatment for existing conditions (D) is reactive rather than proactive in promoting health.
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 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.
Which fluid is used in the management of gastrointestinal tract (GIT) loss and burns?
- A. Ringer's lactate
- B. Normal saline
- C. Dextrose
- D. Blood
Correct Answer: A
Rationale: The correct answer is A: Ringer's lactate. Ringer's lactate is used in managing GIT loss and burns due to its balanced electrolyte composition, which closely resembles the electrolyte content of plasma. It helps replace lost fluids and maintain electrolyte balance. Normal saline (B) lacks bicarbonate and may lead to metabolic acidosis. Dextrose (C) provides energy but does not address fluid and electrolyte losses. Blood (D) is not typically used for fluid resuscitation in these cases unless there is severe hemorrhage.
Which statement best describes the focus of community health nursing?
- A. Providing care to individuals and families within the community
- B. Improving the overall health of the community
- C. Ensuring access to health care for all community members
- D. Addressing the social determinants of health
Correct Answer: B
Rationale: The correct answer is B: Improving the overall health of the community. Community health nursing focuses on promoting and protecting the health of the entire community through various interventions and programs. This includes implementing population-based strategies to address public health issues, prevent diseases, and improve health outcomes at a community level. By focusing on improving the overall health of the community, community health nurses work towards enhancing the well-being of all community members.
Incorrect choices:
A: Providing care to individuals and families within the community - While community health nurses do provide care to individuals and families, the primary focus is on the health of the entire community.
C: Ensuring access to health care for all community members - While access to healthcare is important, it is not the sole focus of community health nursing.
D: Addressing the social determinants of health - While addressing social determinants of health is a crucial aspect of community health nursing, the primary focus is on improving the overall health of the community.