Nursing Elites

1. Match the following terms in column A with the correct definition in Column B:

• A. I. Topical anesthesia C. The agent is applied directly to the skin and mucous membranes of the skin. II. Epidural anesthesia D. Injecting the anesthesia in the epidural mater of the spinal cord.
• B. II. Epidural anesthesia B. Anesthesia is introduced in the subarachnoid space at the lumbar area L4 and L5. I. Topical anesthesia C. The agent is applied directly to the skin and mucous membranes of the skin.
• C. I. Topical anesthesia C. The agent is applied directly to the skin and mucous membranes of the skin. II. Epidural anesthesia D. Injecting the anesthesia in the epidural mater of the spinal cord.
• D. I. Topical anesthesia C. The agent is applied directly to the skin and mucous membranes of the skin. II. Epidural anesthesia B. Anesthesia is introduced in the subarachnoid space at the lumbar area L4 and L5.

Correct answer: A

Rationale: Topical anesthesia involves applying the anesthetic agent directly to the skin and mucous membranes to numb the area. On the other hand, epidural anesthesia involves injecting the anesthetic into the epidural space surrounding the spinal cord. Therefore, the correct matches are: I. Topical anesthesia with the definition of applying the agent directly to the skin and mucous membranes (Choice C), and II. Epidural anesthesia with the definition of injecting the anesthesia in the epidural space around the spinal cord (Choice D).

2. Which best describes an example of health advocacy?

• A. Educating policymakers about health issues
• B. Providing direct patient care
• C. Organizing community health fairs
• D. Developing new health technologies

Correct answer: A

Rationale: The correct answer is A: 'Educating policymakers about health issues.' Health advocacy involves advocating for improved health outcomes by influencing policy changes through educating policymakers about health issues. This can lead to systemic changes that benefit public health on a broader scale. Providing direct patient care (Choice B) is important but falls under healthcare delivery rather than advocacy. Organizing community health fairs (Choice C) is a community health promotion activity rather than advocacy. Developing new health technologies (Choice D) is related to innovation and research, not advocacy efforts focused on policy change.

3. 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: A key component of the chronic care model involves implementing community health education programs. These programs are essential for supporting self-management among individuals with chronic conditions and have been shown to improve health outcomes by empowering patients with the knowledge and skills needed to manage their conditions effectively.

4. Which best describes a community health assessment?

• A. A comprehensive evaluation of the health needs of a community
• B. An analysis of the effectiveness of health interventions
• C. A survey of individual health behaviors and outcomes
• D. A review of health care resources available in a community

Correct answer: A

Rationale: A community health assessment involves a thorough evaluation of the health needs of a community, taking into account various factors such as demographics, health behaviors, environmental factors, and existing health services. This assessment helps in identifying health disparities, determining priority areas for intervention, and developing strategies to address the identified health needs of the community.

5. 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.

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