Nokea
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.
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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.
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.
When assessing a community to determine its health needs, which data would be most useful?
- A. Demographic data
- B. Health behavior data
- C. Environmental data
- D. Morbidity and mortality data
Correct Answer: D
Rationale: The correct answer is D: Morbidity and mortality data. This data provides direct information on the health status of the community by indicating the prevalence of diseases and deaths. It helps identify major health issues, prioritize interventions, and allocate resources effectively. Demographic data (A) provides information on population characteristics but does not directly reflect health needs. Health behavior data (B) offers insights into lifestyle choices but may not capture underlying health conditions. Environmental data (C) focuses on external factors impacting health, which are important but not as direct in indicating community health needs as morbidity and mortality data.
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.
Which strategy is most effective in improving health literacy among patients?
- A. Using clear and simple language in communication
- B. Providing health education sessions
- C. Offering one-on-one counseling
- D. Distributing written materials
Correct Answer: A
Rationale: The correct answer is A because using clear and simple language in communication is the most effective strategy in improving health literacy among patients. This approach ensures that information is easily understood and retained by patients of diverse educational backgrounds. Clear communication helps patients comprehend health-related information, make informed decisions, and follow treatment plans correctly. Providing health education sessions (choice B) may be beneficial, but the effectiveness can vary depending on the presentation and comprehension levels of patients. One-on-one counseling (choice C) is helpful, but it may not be feasible for all patients due to time and resource constraints. Distributing written materials (choice D) can be a useful supplement, but may not be as effective as clear verbal communication in addressing individual questions and concerns.