Nursing Elites

1. What is the term for creating a surgical airway in the front of the neck (cervical region) to remove copious secretions?

• A. Bronchoscopy
• B. Tracheostomy
• C. Thoracentesis
• D. Underwater seal drainage

Correct answer: B

Rationale: Tracheostomy is the process of surgically creating an airway in the front of the neck to aid in breathing or remove secretions from the airway. Bronchoscopy involves visualizing the airways using a scope, not creating an airway. Thoracentesis is the procedure to remove fluid or air from the pleural space around the lungs, not related to creating an airway. Underwater seal drainage is a method used in chest drainage systems to remove air or fluid from the pleural space, not the creation of an airway.

2. Which factor is most likely to enhance the success of health promotion activities?

• A. Adequate funding
• B. Support from local government
• C. Community involvement
• D. Strong leadership

Correct answer: C

Rationale: Community involvement is essential for the success of health promotion activities as it ensures that the initiatives are relevant and supported by the community. When the community actively participates in planning and implementing health promotion activities, it increases the chances of long-term success and sustainability. Community involvement fosters a sense of ownership and empowerment, leading to greater engagement and positive health outcomes.

3. Which statement best describes a key aspect of sustainable community health programs?

• A. Ensuring continuous community involvement
• B. Allocating resources effectively
• C. Securing long-term funding
• D. Providing culturally relevant services

Correct answer: A

Rationale: Continuous community involvement is crucial for the sustainability of community health programs as it fosters ongoing engagement, support, and ownership within the community. This active participation can lead to better program outcomes, increased community trust, and long-term success by tailoring interventions to the community's specific needs and preferences.

4. What is the primary focus of public health?

• A. Preventing disease and promoting health
• B. Providing health education
• C. Ensuring access to health care services
• D. Reducing health disparities

Correct answer: A

Rationale: The primary focus of public health is to prevent disease and promote health at the population level. This includes implementing interventions and policies that aim to improve the overall health of communities, rather than focusing solely on individual care or education. By addressing the root causes of health issues and promoting wellness, public health efforts strive to create healthier environments and populations.

5. The public health nurse is reading information from a study that states that hypertension may be associated with an odds ratio of 2.49, meaning the patient is approximately 2.5 times more likely to have a severe form of COVID-19 than those without hypertension. The nurse describes the odds ratio as:

• A. a measure of association between an exposure and an outcome
• B. an absolute risk increase
• C. a measure of statistical significance
• D. a measure of precision

Correct answer: A

Rationale: The odds ratio is a measure of association between an exposure and an outcome. In this context, an odds ratio of 2.49 indicates that individuals with hypertension are approximately 2.5 times more likely to develop severe COVID-19 compared to those without hypertension. Therefore, choice A is correct as it accurately defines the role of odds ratio in assessing the relationship between an exposure (hypertension) and an outcome (severe COVID-19). Choices B, C, and D are incorrect as they do not describe the nature of odds ratio.

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