Nursing Elites

1. Identifying that numerous factors influence chronic illnesses such as hypertension, which of the following would be an upstream factor to enhance health outcomes for adults with hypertension in the community?

• A. Nutritional classes featuring low-fat and low-carb choices.
• B. Motivational interviewing sessions for smoking cessation.
• C. Working with the public health department to restrict smoking in public.
• D. Initiating chair yoga classes for seniors in the community.

Correct answer: C

Rationale: Working with the public health department to restrict smoking in public is an upstream factor that focuses on implementing population-level interventions to prevent health issues such as hypertension. By creating policies to limit smoking in public spaces, it can help reduce the overall exposure to tobacco smoke, thereby positively impacting the health outcomes of adults with hypertension in the community.

2. Which best describes a key principle of public health?

• A. Focusing on individual health behaviors
• B. Addressing the social determinants of health
• C. Reducing health care costs
• D. Increasing access to health services

Correct answer: B

Rationale: A key principle of public health is addressing the social determinants of health, which include factors like socioeconomic status, education, and environment. By focusing on these determinants, public health initiatives aim to improve overall health outcomes for entire populations, rather than just individual health behaviors. This approach helps in creating a healthier society and preventing diseases at a broader level.

3. How does critical theory differ from other nursing theories such as the Health Belief Model or Orem’s self-care deficit theory?

• A. Critical theory can be utilized by professionals other than nurses.
• B. Critical theory focuses on oppression and enables group action.
• C. Critical theory is indirectly associated with health promotion.
• D. Critical theory addresses challenging an individual’s beliefs.

Correct answer: B

Rationale: Critical theory differs from other nursing theories like the Health Belief Model or Orem's self-care deficit theory by focusing on oppression and enabling group action. Unlike these nursing theories that may concentrate more on individual beliefs, critical theory aims to address broader societal issues and promote collective action for social change.

4. Which best describes a key goal of secondary prevention?

• A. Preventing the onset of disease
• B. Detecting diseases early
• C. Managing chronic conditions
• D. Improving quality of life

Correct answer: B

Rationale: The key goal of secondary prevention is to detect diseases early before they progress to advanced stages. By identifying diseases at an early stage, healthcare providers can intervene promptly, initiate treatment, and potentially improve patient outcomes. This approach aims to prevent complications and reduce the impact of the disease on an individual's health and well-being.

5. 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.

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