Nursing Elites

1. As an important tool for planning a community health survey was conducted, the first tangible outcome of collaboration and teamwork with the Local Health Department and its Rural Health Units (RHUs) was observed. This later led to case findings activities via collection and examination of stools from children for suspected parasitism. Which of the following community nursing diagnoses will guide the Parish Health Team for concrete action?

• A. Parasitism as a foreseeable crisis
• B. Malnutrition as a health deficit
• C. Parasitism as a health deficit
• D. Parasitism as a health threat

Correct answer: D

Rationale: The correct answer is 'Parasitism as a health threat' as it is the most appropriate diagnosis that focuses on the immediate and significant health threat posed by parasitic infections, which can have widespread implications in a community setting. This diagnosis would guide the Parish Health Team to take concrete actions to address and mitigate the health risks associated with parasitism.

2. Which action would be classified as tertiary prevention?

• A. Providing rehabilitation services
• B. Administering medications
• C. Conducting health education sessions
• D. Conducting follow-up appointments

Correct answer: A

Rationale: The correct answer is providing rehabilitation services. Tertiary prevention focuses on improving the quality of life and minimizing the impact of chronic conditions. Rehabilitation services help individuals with chronic illnesses or disabilities to restore or enhance their functioning, making it a crucial aspect of tertiary prevention efforts.

3. The public health nurse is working with a client who desires to move away from eating take-out and fatty foods to maintain a healthier lifestyle. The client mentions eliminating processed foods from her diet most days of the week but still struggles to consistently add fruits and vegetables to her meals. According to the Transtheoretical Model of health behavior change, this client is in which stage:

• A. Pre-contemplation
• B. Contemplation
• C. Preparation
• D. Action

Correct answer: C

Rationale: The client is in the Preparation stage as they are actively taking steps towards behavior change by eliminating processed foods from their diet most days of the week. While they still struggle to consistently add fruits and vegetables, their efforts to make small changes indicate that they are in the Preparation stage, where individuals are getting ready to take action to change their behavior.

4. Which is an example of a community-level intervention?

• A. Developing health policies
• B. Conducting health education programs
• C. Offering immunizations at a local clinic
• D. Implementing community-wide health campaigns

Correct answer: D

Rationale: Implementing community-wide health campaigns is the correct answer as it involves interventions that target the entire community to address health issues on a broader scale. These campaigns aim to promote health and well-being across various segments of the community by implementing strategies that can reach a larger population and have a significant impact on public health outcomes.

5. In which declaration was the concept of Primary Health Care discussed?

• A. Alma Ata Declaration
• B. Declaration of Helsinki
• C. Declaration of Human Rights
• D. Declaration of Ottawa

Correct answer: A

Rationale: The concept of Primary Health Care was discussed in the Alma Ata Declaration. The Alma Ata Declaration, adopted at the International Conference on Primary Health Care in Alma Ata, Kazakhstan, in 1978, emphasized the importance of primary health care in achieving Health for All by the year 2000. This declaration promoted a comprehensive approach to health care that is essential, accessible, acceptable, and affordable to individuals and communities. It highlighted the significance of addressing social, economic, and environmental determinants of health to achieve better health outcomes for all.

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