Which of the following is responsible for the dramatic increase in life expectancy during the twentieth century?
- A. Technology increases in the field of medical laboratory research
- B. Advances in surgical techniques and procedures
- C. Sanitation and other public health activities
- D. Use of antibiotics to fight infections
Correct Answer: C
Rationale: The correct answer is C: Sanitation and other public health activities. Sanitation improvements, such as clean water supply and waste disposal, have played a significant role in reducing infectious diseases and improving overall health, leading to the dramatic increase in life expectancy during the twentieth century. This is supported by historical data showing a correlation between improved sanitation and decreased mortality rates. Other choices are incorrect because while technology, surgical advances, and antibiotics have contributed to medical progress, they alone cannot account for the significant increase in life expectancy seen during the twentieth century.
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A nurse states that the client has exhibited an explicit cultural behavior. Which of the following has the nurse most likely observed?
- A. Verbal communication
- B. Body language
- C. Use of titles
- D. Perception of health and illness
Correct Answer: C
Rationale: The correct answer is C: Use of titles. When a client uses specific titles such as "Doctor" or "Nurse" to address healthcare providers, it reflects their cultural behavior and beliefs. This demonstrates respect and hierarchy within their culture. Verbal communication (A) and body language (B) are important aspects of cultural behavior but may not always be explicit. Perception of health and illness (D) is more related to beliefs rather than explicit cultural behavior.
Which action by a health care organization demonstrates the development of a culturally and linguistically competent plan to meet the needs of diverse populations of the community?
- A. Informing the community about their cultural needs
- B. Collaborating with community leaders
- C. Developing strategies that have worked at other health care organizations
- D. Developing consistent strategies that will not change over time
Correct Answer: B
Rationale: The correct answer is B: Collaborating with community leaders. This action is essential for developing a culturally and linguistically competent plan as community leaders possess valuable insights into the specific needs and preferences of diverse populations. By collaborating with them, the health care organization can tailor its services effectively. Informing the community about their cultural needs (A) is important but insufficient without direct collaboration. Developing strategies based on other organizations' success (C) may not account for the unique needs of the local community. Developing consistent strategies (D) is rigid and may not adapt to evolving community needs.
A nurse advises a client with osteoporosis to have three servings of milk or dairy products daily.
- A. Primary prevention
- B. Secondary prevention
- C. Tertiary prevention
- D. Treatment, but not prevention
Correct Answer: A
Rationale: The correct answer is A: Primary prevention. This recommendation aims to prevent osteoporosis from developing in the first place by promoting adequate calcium intake. Primary prevention focuses on reducing the risk factors and promoting healthy behaviors to prevent the onset of a disease. Choices B, C, and D are incorrect because they are related to different stages of disease prevention and management. Secondary prevention involves early detection and treatment to prevent complications, tertiary prevention focuses on managing the complications of a disease, and treatment without prevention (choice D) implies addressing the disease after it has already developed.
A nurse wants to obtain information on the alternative methods of health care used by a 45-year-old female Hispanic client. Who would be the best person to ask about this?
- A. The husband of the client
- B. A community leader of the ethnic group
- C. The client herself
- D. The religious leader of the ethnic group
Correct Answer: C
Rationale: The correct answer is C: The client herself. The client is the best person to provide information on her own health practices as she is the one directly involved. Asking her ensures accuracy and respect for her autonomy. The other choices may not have accurate or relevant information about the client's health practices. The husband (A) may not be aware of all the client's health practices. A community leader (B) may not have personal knowledge of the client's specific health practices. The religious leader (D) may only provide information on religious practices, not alternative health methods.
The public health nurse has a clear vision of what needs to be done and where to begin to improve
- A. To increase the groups self-esteem
- B. To maintain communication links with the groups
- C. To make the groups feel good about their contribution
- D. To work with the groups, not for the groups
Correct Answer: A
Rationale: The correct answer is A: To increase the group's self-esteem. This is important because when individuals have higher self-esteem, they are more likely to engage in positive health behaviors and take ownership of their well-being. By focusing on increasing the group's self-esteem, the public health nurse can empower them to make healthier choices and be more proactive in addressing health issues.
Choice B is incorrect because while maintaining communication links is important, it is not the primary focus for improving public health outcomes. Choice C is incorrect as making the group feel good about their contribution may be beneficial, but it does not address the core issue of self-esteem. Choice D is incorrect as working with the groups, not for the groups, is a good practice but does not directly address the need to boost self-esteem.
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