Nokea
Why is cultural competence important in community health nursing?
- A. It helps nurses provide care that is respectful and responsive to the health beliefs and practices of diverse patients.
- B. It mandates all health care providers to undergo cultural training.
- C. It ensures that nurses are knowledgeable about different medical practices.
- D. It prevents nurses from encountering cultural misunderstandings.
Correct Answer: A
Rationale: The correct answer is A because cultural competence in community health nursing enables nurses to provide care that respects and responds to the health beliefs and practices of diverse patients. This is important for building trust, improving communication, and enhancing patient outcomes. Choice B is incorrect because cultural training is not mandatory for all healthcare providers. Choice C is incorrect because cultural competence goes beyond medical practices to encompass understanding and respecting patients' cultural backgrounds. Choice D is incorrect because cultural competence does not prevent misunderstandings, but rather helps nurses navigate and address them effectively.
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Which is a key component of the chronic care model?
- A. Implementing community health education programs
- B. Improving access to care for all individuals
- C. Increasing funding for health care services
- D. Coordinating care across different health care settings
Correct Answer: A
Rationale: The correct answer is A because implementing community health education programs is a key component of the chronic care model as it focuses on empowering individuals to manage their own health effectively. This approach enhances patient engagement, self-management skills, and health literacy, leading to better health outcomes and reduced healthcare costs.
Choice B is incorrect as improving access to care, although important, is not a specific component of the chronic care model. Choice C is incorrect because increasing funding does not directly relate to the core principles of the chronic care model. Choice D is incorrect as coordinating care across different settings is important but not the central focus of the chronic care model, which emphasizes patient-centered care and self-management.
Which action demonstrates secondary prevention?
- A. Screening for early signs of disease
- B. Providing rehabilitation services
- C. Administering medications
- D. Providing health education
Correct Answer: A
Rationale: The correct answer is A, screening for early signs of disease. Secondary prevention focuses on early detection and treatment of a disease to prevent its progression. Screening helps identify diseases in their early stages, enabling timely intervention to prevent further complications. Providing rehabilitation services (B) is part of tertiary prevention for individuals already diagnosed with a disease. Administering medications (C) is a treatment approach, not specifically focused on prevention. Providing health education (D) is more aligned with primary prevention by promoting healthy behaviors to prevent the onset of diseases.
Which of the following is an indication for tracheostomy?
- A. Drainage of pleural effusion
- B. Hemorrhage
- C. Infections
- D. Acute respiratory failure
Correct Answer: D
Rationale: The correct answer is D: Acute respiratory failure. Tracheostomy is indicated in cases of severe respiratory compromise when the upper airway is obstructed or when long-term mechanical ventilation is needed. It ensures a patent airway and facilitates weaning from a ventilator. Choices A, B, and C are incorrect as drainage of pleural effusion, hemorrhage, and infections do not typically require a tracheostomy for management.
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.
Which action represents a primary prevention strategy?
- A. Educating children on the importance of handwashing
- B. Administering vaccines to prevent disease
- C. Screening for early signs of disease
- D. Providing treatment for acute illnesses
Correct Answer: B
Rationale: The correct answer is B, administering vaccines to prevent disease. This is a primary prevention strategy as it aims to prevent the occurrence of disease before it occurs. Vaccines stimulate the immune system to produce an immune response against specific pathogens, reducing the risk of infection and transmission. Educating children on handwashing (A) is important for hygiene but falls under health promotion, not primary prevention. Screening for early signs of disease (C) is secondary prevention, aiming to detect disease at an early stage to prevent complications. Providing treatment for acute illnesses (D) is tertiary prevention, focusing on managing and minimizing the impact of existing conditions.