Nursing Elites

1. 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.

2. Which best describes an example of an environmental health intervention?

• A. Providing clean drinking water
• B. Administering medications
• C. Conducting health education sessions
• D. Developing health policies

Correct answer: A

Rationale: Providing clean drinking water is a crucial environmental health intervention as it helps prevent waterborne diseases and promotes overall health. Access to clean drinking water is essential for maintaining public health, especially in preventing illnesses caused by contaminated water sources. Administering medications, conducting health education sessions, and developing health policies are important interventions but are not directly related to environmental health like providing clean drinking water.

3. A traditional birth attendant or a healer is classified as:

• A. None of the above
• B. Intermediate level health workers
• C. Barangay health workers
• D. All of the above

Correct answer: C

Rationale: Traditional birth attendants or healers fall under the category of barangay health workers. They play a crucial role in providing essential health services and support within their communities. Being recognized as barangay health workers aligns them with the local healthcare system and enables them to contribute effectively to improving maternal and newborn health outcomes.

4. One of the first steps in community assessment may involve the community health nurse driving or walking through an area and making observations about such things as environmental layout and location of agencies, hospitals, industries, and so forth. This is called a(n):

• A. Census survey.
• B. Needs survey.
• C. Informant survey.
• D. Windshield survey.

Correct answer: D

Rationale: A windshield survey involves observations made from a moving vehicle, allowing the community health nurse to gather information about the community's physical and social environment without direct interaction. This method helps in understanding the community's resources, potential hazards, and overall characteristics, which are essential for planning and implementing effective community health interventions.

5. Which of the following is the best intervention for a client with less than 6 months to live who is seeking comfort care?

• A. Set up a meeting with the hospice team
• B. Arrange a meeting with the client’s family
• C. Discuss advance directives (DNR & living will) with the patient
• D. Ask the provider to decrease the patient’s heart medications

Correct answer: A

Rationale: Setting up a meeting with the hospice team is the most appropriate intervention for a client with less than 6 months to live who is seeking comfort care. Hospice care focuses on providing comfort and support for individuals with terminal illnesses. By involving the hospice team, the client can receive specialized care aimed at improving their quality of life and managing symptoms effectively during this challenging time.

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