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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.
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Which of the following is an example of a health disparity?
- A. Differences in health outcomes based on geographic location
- B. Differences in health outcomes based on socioeconomic status
- C. Differences in health outcomes based on age
- D. Differences in health outcomes based on genetic factors
Correct Answer: B
Rationale: The correct answer is B: Differences in health outcomes based on socioeconomic status. Health disparities refer to variations in health outcomes among different groups, often due to social, economic, and environmental factors. Socioeconomic status greatly influences access to healthcare, healthy living conditions, and resources, leading to disparities in health outcomes.
A: Differences based on geographic location can contribute to health inequities but do not directly address the impact of socioeconomic status on health outcomes.
C: Age-related differences in health outcomes are common but do not necessarily reflect disparities based on social determinants such as income or education.
D: Genetic factors can influence health outcomes, but health disparities typically focus on social determinants rather than biological factors.
For a complete spinal injury, which statement is true?
- A. Some of the motor and sensory functions are lost
- B. Only the motor functions are lost
- C. Only the sensory functions are lost
- D. Both the motor and sensory functions are lost
Correct Answer: D
Rationale: The correct answer is D because in a complete spinal injury, both motor and sensory functions are lost below the level of the injury. This occurs due to the disruption of communication between the brain and the rest of the body. Choice A is incorrect as it implies that only some functions are lost, which is not the case in a complete injury. Choice B is incorrect because sensory functions are also affected in a complete spinal injury. Choice C is incorrect as it suggests that only sensory functions are lost, which is not true for a complete spinal injury.
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.
Which sign or reflex is used to diagnose meningitis?
- A. Homan's sign
- B. Brudzinski
- C. Startle
- D. Anterior drawer
Correct Answer: B
Rationale: The correct answer is B: Brudzinski sign. This sign is used to diagnose meningitis because it involves the involuntary flexion of the hips and knees when the neck is flexed. This reflex is indicative of meningeal irritation and is a classic sign of meningitis.
A: Homan's sign is used to assess for deep vein thrombosis, not meningitis.
C: Startle reflex is a normal response to a sudden unexpected stimulus, not specific to meningitis.
D: Anterior drawer test is used to assess for ligamentous instability in the knee, not related to meningitis.
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.