Nursing Elites

1. A key component of primary prevention strategies is:

• A. aggressive interventions
• B. detection
• C. culture
• D. education

Correct answer: D

Rationale: The correct answer is 'D: education.' Education plays a vital role in primary prevention strategies by empowering individuals with knowledge and skills to prevent the onset of diseases. Through education, people can make informed decisions about their health, adopt healthy behaviors, and engage in preventive measures. Choice A, 'aggressive interventions,' is incorrect as primary prevention focuses on proactive measures to avoid the development of diseases rather than aggressive reactive interventions. Choice B, 'detection,' is more aligned with secondary prevention, which involves early identification of diseases. Choice C, 'culture,' while important in shaping health behaviors, is not a key component specifically in primary prevention strategies.

2. When the Public Health Nurse assesses needs and plans health interventions for a group of people in coordination with other health professionals, they are demonstrating which of the following features of community health nursing:

• A. CHN involves interdisciplinary collaboration
• B. The use of an epidemiologic approach is an essential part of nursing practice
• C. CHN is oriented towards populations
• D. CHN encourages the client's participation in determining their own health

Correct answer: A

Rationale: The correct answer is A. Interdisciplinary collaboration is a fundamental feature of community health nursing. In this scenario, the nurse works with other health professionals to assess needs and plan interventions for a group of people, emphasizing the importance of teamwork and cooperation. Choice B is incorrect because while epidemiology plays a role in community health nursing, it is not the primary focus of this particular situation. Choice C is incorrect as it describes the population-focused nature of community health nursing, which is related but not directly demonstrated in the given scenario. Choice D is incorrect because while client participation is essential in community health nursing, it is not the primary feature demonstrated in the scenario provided.

3. Which of the following is a voluntary organization?

• A. NIH
• B. FDA
• C. CDC
• D. ADA

Correct answer: D

Rationale: The American Diabetes Association (ADA) is a voluntary organization that relies on voluntary contributions and membership fees. NIH (National Institutes of Health), FDA (Food and Drug Administration), and CDC (Centers for Disease Control and Prevention) are governmental agencies and not voluntary organizations. Therefore, the correct answer is D.

4. What title should be given to this role in the occupational health nurse job description? A registered nurse who teaches and prepares nursing students to function as expert clinicians/practitioners, administrators, educators, researchers, or consultants at the work site.

• A. researcher
• B. case manager
• C. health educator
• D. health promotion specialist

Correct answer: C

Rationale: The correct title for the role described in the job description is a health educator. A health educator is responsible for teaching and preparing nursing students for various professional roles. Choice A, researcher, is incorrect because the main focus in the job description is on teaching and preparing students, not conducting research. Choice B, case manager, does not align with the role of teaching and preparing nursing students. Choice D, health promotion specialist, is also not the best fit as the primary focus in the job description is on education and preparation, rather than promoting health within a specific population.

5. The nurse is planning care for a client with increased intracranial pressure. The best position for this client is

• A. Trendelenburg
• B. Prone
• C. Semi-Fowler's
• D. Side-lying with head flat

Correct answer: C

Rationale: The correct answer is C, Semi-Fowler's. This position helps to reduce intracranial pressure by promoting venous drainage from the head while maintaining adequate oxygenation. Option A, Trendelenburg position, is incorrect as it involves placing the patient with the head lower than the body, which can increase intracranial pressure. Option B, Prone position, is also incorrect as it involves lying on the stomach, which can further elevate intracranial pressure. Option D, Side-lying with head flat, does not provide the same benefits as the Semi-Fowler's position in terms of promoting venous drainage and maintaining oxygenation in a client with increased intracranial pressure.

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