Nursing Elites

1. The community health nurse is involved in public health work. Which of these statements by the nurse reflects an understanding of upstream interventions?

• A. I will engage in policy initiatives in my urban area.
• B. I will administer the flu shot to interested seniors.
• C. I will help manage a senior's diabetes needs at home.
• D. I will work with a local school to provide asthma education.

Correct answer: A

Rationale: The correct answer is A because engaging in policy initiatives reflects an understanding of upstream interventions. Upstream interventions focus on influencing broader determinants of health, such as policies and social factors, to prevent health issues before they occur. This approach addresses the root causes of health problems rather than just treating symptoms or providing individual care.

2. Which method is commonly used to evaluate community health programs?

• A. Conducting randomized controlled trials
• B. Using focus groups to gather feedback
• C. Measuring changes in health behaviors
• D. Surveying community health needs

Correct answer: C

Rationale: Measuring changes in health behaviors is a common method used to evaluate the effectiveness of community health programs. By assessing changes in health behaviors, such as dietary choices, exercise habits, or preventative care utilization, program evaluators can determine the impact of the intervention on the target population's health outcomes.

3. What factor is most likely to influence the success of a health promotion program?

• A. Adequate funding
• B. Community engagement
• C. Support from local government
• D. Availability of resources

Correct answer: B

Rationale: Community engagement plays a pivotal role in the success of a health promotion program. When the community is actively involved, it helps in tailoring the program to meet their specific needs, garnering their support, and fostering sustainability.

4. Which level of care serves as a referral center for primary health facilities?

• A. Secondary level of care
• B. Tertiary level of care
• C. Primary level of care
• D. Intermediate level of care

Correct answer: B

Rationale: The correct answer is B - Tertiary level of care. Tertiary level of care is the highest level of care and serves as a referral center for primary health facilities, handling complex cases and providing specialized services that primary care facilities may not offer.

5. What is the primary goal of public health?

• A. To achieve health equity
• B. To prevent disease and disability
• C. To prolong life
• D. To promote health

Correct answer: B

Rationale: The primary goal of public health is to prevent disease and disability by implementing measures to protect and improve the health of communities and populations. While achieving health equity, prolonging life, and promoting health are important aspects of public health, the central focus remains on preventing diseases and disabilities through various strategies such as vaccination programs, health education, and environmental regulations.

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