Nokea
Which is an example of a community-level intervention?
- A. Developing health policies
- B. Conducting health education programs
- C. Offering immunizations at a local clinic
- D. Implementing community-wide health campaigns
Correct Answer: D
Rationale: The correct answer is D because implementing community-wide health campaigns targets the entire community rather than individuals, making it a community-level intervention. This approach aims to create widespread behavior change and improve health outcomes across the entire community. In contrast, options A and B focus on individual or small group actions, while option C is more of a service delivery intervention at the individual level. By choosing option D, the intervention has a broader reach and impact on the community's overall health status.
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Why is cultural competence important in community health nursing?
- A. It helps nurses provide care that is respectful and responsive to the health beliefs and practices of diverse patients.
- B. It mandates all health care providers to undergo cultural training.
- C. It ensures that nurses are knowledgeable about different medical practices.
- D. It prevents nurses from encountering cultural misunderstandings.
Correct Answer: A
Rationale: The correct answer is A because cultural competence in community health nursing enables nurses to provide care that respects and responds to the health beliefs and practices of diverse patients. This is important for building trust, improving communication, and enhancing patient outcomes. Choice B is incorrect because cultural training is not mandatory for all healthcare providers. Choice C is incorrect because cultural competence goes beyond medical practices to encompass understanding and respecting patients' cultural backgrounds. Choice D is incorrect because cultural competence does not prevent misunderstandings, but rather helps nurses navigate and address them effectively.
Which of the following is not a common causative agent of bacterial meningitis?
- A. Streptococcus pneumoniae
- B. Neisseria meningitidis
- C. Staphylococcus aureus
- D. Haemophilus influenzae
Correct Answer: C
Rationale: Step 1: Bacterial meningitis is commonly caused by Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae.
Step 2: Staphylococcus aureus is not a common causative agent of bacterial meningitis.
Step 3: Staphylococcus aureus is more commonly associated with skin and soft tissue infections.
Summary: Choices A, B, and D are common causative agents of bacterial meningitis, while choice C, Staphylococcus aureus, is not commonly associated with this infection.
What is the goal of Healthy People 2020?
- A. To improve the quality and years of healthy life
- B. To reduce health disparities among different populations
- C. To promote healthy behaviors across the lifespan
- D. To achieve health equity and eliminate health disparities
Correct Answer: D
Rationale: The correct answer is D: To achieve health equity and eliminate health disparities. This is the goal of Healthy People 2020 as it aims to ensure that everyone has the opportunity to achieve their highest level of health. Health equity involves providing opportunities for all individuals to reach their full health potential, regardless of their social or economic status. By eliminating health disparities, the goal is to address the root causes of health inequities and promote fairness in health outcomes.
Choice A is incorrect as it focuses solely on improving the quality and years of healthy life without addressing disparities. Choice B is incorrect as it specifically mentions reducing health disparities but does not mention achieving health equity. Choice C is incorrect as it emphasizes promoting healthy behaviors but does not encompass the broader goal of health equity and eliminating disparities.
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.
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.