Nursing Elites

1. The nurse is evaluating the effectiveness of a community health program aimed at reducing teen pregnancy rates. Which outcome indicates the program was successful?

• A. increased attendance at health education classes
• B. decreased number of repeat pregnancies among teens
• C. higher number of teens seeking prenatal care
• D. greater use of contraception among teens

Correct answer: D

Rationale: The correct answer is D: greater use of contraception among teens. This outcome indicates successful prevention of pregnancies by demonstrating that teens are taking proactive steps to avoid unintended pregnancies. Increased attendance at health education classes (choice A) may show improved knowledge but does not directly measure the prevention of pregnancies. While a decreased number of repeat pregnancies among teens (choice B) is positive, it does not necessarily indicate prevention of initial pregnancies. A higher number of teens seeking prenatal care (choice C) is important for maternal and fetal health but does not directly reflect the prevention of teen pregnancies.

2. Barangay Mabulaklak has poor hygienic practices and poor environmental conditions. These are contributing factors to which of the following disease conditions?

• A. influenza
• B. hepatitis B
• C. parasitism
• D. measles

Correct answer: C

Rationale: Poor hygienic practices and poor environmental conditions often create an environment conducive to the spread of parasites. Parasitism refers to the condition where parasites live on or in a host organism, potentially causing harm. In this scenario, the unsanitary conditions in Barangay Mabulaklak can lead to an increased risk of parasitic infections. The other options, influenza, hepatitis B, and measles, are not directly linked to poor hygiene and environmental conditions as parasitism is.

3. In which of the following settings would a community health nurse be less likely to be involved?

• A. neighborhood clinic, community clinic, or senior center
• B. physician's office with a focus on individual client care
• C. home-based care
• D. neighborhood planning board

Correct answer: B

Rationale: Community health nurses are less likely to be involved in a physician's office with a focus on individual client care because their role primarily revolves around promoting and maintaining the health of populations and communities rather than providing direct care to individual clients. Options A, C, and D are more aligned with the community health nurse's role as they involve working in community-based settings, providing home-based care, and participating in community planning and advocacy.

4. An example of the continuum health model of health and wellness would be:

• A. a person is either well or not, and the emphasis is on continuously and aggressively treating people who are ill
• B. predicting that a person will most likely continue good health practices, based on his or her health practices in the past, such as getting flu shots
• C. using acupuncture and therapeutic touch to cure disease instead of traditional medical therapies
• D. none of the above

Correct answer: B

Rationale: The continuum health model emphasizes ongoing health practices based on past behaviors. Choice A is incorrect as it describes a more binary approach to health. Choice C is incorrect as it focuses on alternative therapies rather than the continuity of health practices.

5. A community health nurse is developing a program to decrease the incidence of Type 2 diabetes in the community. Which of the following interventions should be included?

• A. distributing brochures on managing diabetes
• B. conducting exercise classes at the community center
• C. providing free glucose monitors
• D. offering dietary counseling sessions

Correct answer: B

Rationale: The correct answer is B: conducting exercise classes at the community center. Regular physical activity plays a crucial role in preventing Type 2 diabetes by helping to maintain a healthy weight, improve insulin sensitivity, and regulate blood sugar levels. Distributing brochures (choice A) may raise awareness but might not lead to significant behavior change. Providing free glucose monitors (choice C) focuses on monitoring rather than prevention. Offering dietary counseling sessions (choice D) is important but focusing solely on diet may not address the comprehensive approach needed to prevent Type 2 diabetes.

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