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Which of the following is an example of primary prevention?
- A. Papanicolaou (Pap) tests to detect cervical cancer
- B. Screening of pregnant women for gestational diabetes
- C. COVID-19 immunization clinics
- D. Mammography to detect breast cancer
Correct Answer: C
Rationale: Primary prevention aims to prevent the occurrence of a disease before it occurs. COVID-19 immunization clinics fall under primary prevention as they help prevent individuals from contracting the virus in the first place. By administering vaccines, the spread of the disease is reduced, ultimately preventing new cases. This is different from the other options: A and D involve screening tests to detect existing diseases, while B focuses on identifying a health condition in pregnant women rather than preventing its development. Thus, C is the correct choice for primary prevention.
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Epidemiology would be a primary tool used by the nurse scientist for researching which topic?
- A. Experiences of cancer care services
- B. Contributing factors to childhood obesity
- C. Morbidity statistics
- D. Social characteristics and traits of healthy older persons
Correct Answer: B
Rationale: The correct answer is B: Contributing factors to childhood obesity. Epidemiology is the study of the distribution and determinants of health-related states or events in a population. Childhood obesity is a significant public health issue, and studying contributing factors through epidemiology can help in prevention and intervention strategies. Choices A, C, and D are incorrect because while epidemiology can be applied to those topics, the primary focus of a nurse scientist would be on researching contributing factors to childhood obesity due to its relevance and impact on public health.
Which was a very important factor in the success of early visiting nurses?
- A. The care they provided that served as a model for all later hospitals
- B. The more economical care they provided to families
- C. Their role model, Edna Moore
- D. The superb publicity campaign that was created by the health departments
Correct Answer: B
Rationale: The correct answer is B because early visiting nurses were successful due to the more economical care they provided to families. Visiting nurses offered cost-effective healthcare services, making them accessible to a wider population. This affordability factor contributed to their success in providing care to those in need.
Choice A is incorrect because early visiting nurses did not necessarily serve as a model for all later hospitals. Choice C is incorrect as the success of visiting nurses was not solely dependent on a role model like Edna Moore. Choice D is incorrect because the success of visiting nurses was not primarily attributed to a publicity campaign by health departments.
Which public health service best represents primary prevention?
- A. Developing a health education program about the dangers of smoking
- B. Providing a diabetes clinic for adults in low-income neighbourhoods
- C. Providing an influenza vaccination program in a community retirement village
- D. Teaching school-aged children about the positive effects of exercise
Correct Answer: A
Rationale: The correct answer is A because developing a health education program about the dangers of smoking is an example of primary prevention, which aims to prevent the occurrence of a disease or injury before it occurs. This intervention targets the root cause of the health issue by educating individuals on the harmful effects of smoking and promoting healthy behaviors to reduce the risk of developing smoking-related diseases. Choices B, C, and D represent secondary or tertiary prevention strategies as they focus on providing care or interventions after the disease has already developed or to prevent complications.
A community health nurse (CHN) is demonstrating the use of a peak flow meter to help children with chronic asthma recognize when they need to use a rescue inhaler. What is the level of prevention represented by this activity?
- A. Primary
- B. Secondary
- C. Tertiary
- D. Both primary and secondary
Correct Answer: B
Rationale: The correct answer is B: Secondary prevention. Secondary prevention focuses on early detection and intervention to prevent the progression of a disease. In this case, the CHN is helping children with asthma recognize early signs of worsening symptoms through peak flow meter use, enabling them to take action with a rescue inhaler. This intervention aims to prevent exacerbation of asthma symptoms, making it a secondary prevention strategy.
A: Primary prevention focuses on preventing the onset of a disease through health promotion and education before it occurs.
C: Tertiary prevention involves managing and reducing the impact of a disease that has already occurred to prevent complications.
D: Both primary and secondary prevention do not apply in this scenario as it specifically targets early detection and intervention for those with an existing condition.
A team of community health nurses (CHNs) disagree about the appropriate action to take in relation to a family with an ill family member who have chosen to continue working at their jobs instead of taking time off to care for the ill family member. One CHN states, "It is the wife's responsibility to care for her ill husband." What type of thinking is this CHN applying?
- A. Consequentialism
- B. Deontological ethics
- C. Principlism
- D. Utilitarianism
Correct Answer: B
Rationale: The correct answer is B: Deontological ethics. Deontological ethics focuses on the moral duty or obligation to act in a certain way, regardless of the consequences. In this scenario, the CHN is stating that it is the wife's responsibility to care for her ill husband based on a sense of duty or moral obligation, rather than considering the consequences or outcomes. This type of thinking aligns with deontological ethics as it emphasizes following moral principles or rules.
Incorrect choices:
A: Consequentialism - This ethical theory focuses on the outcomes or consequences of actions rather than the inherent rightness or wrongness of the actions themselves. The CHN's statement does not prioritize consequences.
C: Principlism - Principlism involves ethical decision-making based on a set of ethical principles such as autonomy, beneficence, nonmaleficence, and justice. The CHN's statement does not directly relate to these principles.
D: Utilitarianism - Utilitarianism is