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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 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.
What is a primary objective of public health?
- A. Lowering the prevalence of chronic diseases
- B. Eliminating health disparities among populations
- C. Delivering health education
- D. Extending life expectancy
Correct Answer: B
Rationale: The correct answer is B: Eliminating health disparities among populations. This is the primary objective of public health as it focuses on ensuring that all individuals have equal access to healthcare and resources to achieve optimal health outcomes. By addressing disparities, public health aims to promote health equity and reduce inequalities in health status. Lowering chronic diseases (A) and extending life expectancy (D) are important goals but not the primary objective. Delivering health education (C) is a strategy within public health but not the main objective.
During secondary prevention activities, what action is a healthcare professional performing?
- A. Conducting health screenings
- B. Providing early treatment for disease
- C. Administering medications
- D. Referral to specialized care
Correct Answer: B
Rationale: The correct answer is B: Providing early treatment for disease. Secondary prevention involves early detection and treatment of a disease to prevent its progression. By providing early treatment, healthcare professionals aim to minimize the impact of the disease and prevent complications. Conducting health screenings (A) is part of primary prevention to identify risk factors before a disease develops. Administering medications (C) is a treatment intervention but not specific to secondary prevention. Referral to specialized care (D) may be needed but does not directly involve providing early treatment for the disease as in secondary prevention.
After surgery, your patient starts to shiver uncontrollably. What nursing intervention would you do first?
- A. Apply warm blankets & continue oxygen as prescribed
- B. Take the patient's rectal temperature
- C. Page the doctor for further orders
- D. Adjust the thermostat in the room
Correct Answer: A
Rationale: The correct answer is A: Apply warm blankets & continue oxygen as prescribed. Shivering after surgery indicates the patient is cold due to anesthesia effects. Applying warm blankets helps raise body temperature, reducing shivering. Oxygen is crucial post-surgery. Taking rectal temperature or adjusting room temperature is not the priority. Paging the doctor should only be done if the patient's condition worsens.
Which is an example of tertiary prevention?
- A. Providing rehabilitation services
- B. Diagnosing and treating disease
- C. Health education to prevent complications
- D. Screening for complications
Correct Answer: A
Rationale: The correct answer is A because tertiary prevention focuses on managing and rehabilitating individuals who already have a disease or condition to prevent further complications and improve quality of life. Providing rehabilitation services falls under tertiary prevention as it aims to restore function and reduce disability post-diagnosis.
B: Diagnosing and treating disease is considered secondary prevention, which aims to detect and treat diseases early to prevent progression.
C: Health education to prevent complications is an example of primary prevention, which aims to prevent the development of diseases or conditions.
D: Screening for complications is part of secondary prevention, as it involves early detection and treatment to prevent complications.