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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.
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What is the drug of choice for progressive multiple sclerosis?
- A. Ocrelizumab
- B. Dimethyl fumarate
- C. Teriflunomide
- D. Fluoroquinolones
Correct Answer: A
Rationale: The correct answer is A: Ocrelizumab. It is the drug of choice for progressive multiple sclerosis due to its proven efficacy in reducing disease progression and disability in clinical trials. Ocrelizumab specifically targets B cells, which play a key role in the pathogenesis of multiple sclerosis. Dimethyl fumarate (B) and Teriflunomide (C) are more commonly used for relapsing-remitting multiple sclerosis rather than progressive forms. Fluoroquinolones (D) are antibiotics and have no role in the treatment of multiple sclerosis.
What best describes the role of nurses in community health?
- A. Conducting research to find new treatments for diseases
- B. Providing direct care to individuals and families
- C. Collaborating with other health professionals to address community health issues
- D. Advocating for policy changes to improve health outcomes
Correct Answer: D
Rationale: The correct answer is D because nurses play a crucial role in advocating for policy changes to improve health outcomes at both individual and community levels. Nurses use their expertise to influence healthcare policies, promote public health initiatives, and advocate for social justice. This role aligns with the nursing profession's commitment to promoting health equity and addressing social determinants of health.
A: Conducting research is important but not the primary role of nurses in community health.
B: Providing direct care is a part of a nurse's role, but community health nursing involves a broader scope of practice.
C: Collaboration with other health professionals is essential, but it is not specific to the unique advocacy role that nurses play in community health.
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.
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.
Which best describes the concept of risk?
- A. The probability that an individual will develop a specific condition
- B. The impact of a health condition on an individual's life
- C. The potential for harm from a specific condition
- D. The likelihood of being exposed to a health hazard
Correct Answer: A
Rationale: The correct answer is A because risk is defined as the probability that an individual will develop a specific condition. This involves assessing the likelihood of an event occurring. Choice B focuses on the impact of a health condition, which is not the same as risk assessment. Choice C refers to the potential harm, but risk includes both the probability and potential consequences. Choice D is about exposure to health hazards, which is related to risk but doesn't fully encompass the concept. Therefore, option A best captures the essence of risk assessment.