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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.
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Which is an example of a policy-level intervention in community health?
- A. Implementing new treatment protocols
- B. Educating individuals about healthy behaviors
- C. Establishing community health clinics
- D. Advocating for legislative changes
Correct Answer: D
Rationale: The correct answer is D, advocating for legislative changes. Policy-level interventions involve changing laws or regulations to improve community health outcomes. Advocating for legislative changes can address systemic issues and create sustainable improvements. Implementing new treatment protocols (A) is a clinical intervention. Educating individuals about healthy behaviors (B) is a behavior-level intervention. Establishing community health clinics (C) is a service-level intervention.
What is the term for creating a surgical airway in the front of the neck (cervical region) to remove copious secretions?
- A. Bronchoscopy
- B. Tracheostomy
- C. Thoracentesis
- D. Underwater seal drainage
Correct Answer: B
Rationale: The correct answer is B: Tracheostomy. Tracheostomy involves creating a surgical airway in the front of the neck to remove copious secretions. This procedure allows direct access to the trachea to facilitate breathing and clear secretions. Bronchoscopy (choice A) involves visualizing the airways with a scope, not creating a surgical airway. Thoracentesis (choice C) is a procedure to remove fluid from the chest cavity, not the airway. Underwater seal drainage (choice D) is used for managing chest tube drainage, not creating a surgical airway.
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.
What best describes the concept of social justice in health care?
- A. Ensuring that all individuals have access to the same health care services
- B. Providing the same level of care to everyone, regardless of their background
- C. Addressing the underlying social determinants that contribute to health disparities
- D. Offering free health services to underserved populations
Correct Answer: C
Rationale: Step 1: Social justice in health care focuses on addressing the root causes of health disparities.
Step 2: By addressing social determinants like poverty, education, and housing, health equity can be achieved.
Step 3: This approach aims to create fair opportunities for everyone to attain good health outcomes.
Step 4: Choices A and B do not address the underlying social factors contributing to disparities.
Step 5: Choice D, offering free services, may not address the systemic issues that lead to inequities.
Which best describes the role of a community health nurse in promoting health?
- A. Advocating for health policy changes
- B. Providing direct care to individuals and families
- C. Educating the community about healthy lifestyles
- D. Conducting research on community health issues
Correct Answer: A
Rationale: The correct answer is A because advocating for health policy changes is a key role of community health nurses in promoting health at a population level. They work to influence policies that address social determinants of health and improve overall community well-being. Providing direct care (B) is more aligned with clinical nursing roles. Educating the community (C) is important but not the primary role of a community health nurse. Conducting research (D) may inform practice but is not the primary function of promoting health in the community.