Nursing Elites

1. Which best describes a tertiary prevention strategy?

• A. Providing rehabilitation services
• B. Screening for early signs of disease
• C. Educating the public about healthy lifestyles
• D. Offering health education workshops

Correct answer: A

Rationale: The correct answer is A: Providing rehabilitation services. Tertiary prevention involves interventions that focus on managing and improving the outcomes of existing conditions. Rehabilitation services fall under tertiary prevention as they aim to help individuals recover and manage long-term health issues. Screening for early signs of disease (Choice B) is part of secondary prevention, while educating the public about healthy lifestyles (Choice C) and offering health education workshops (Choice D) typically fall under primary prevention strategies.

2. What best describes the importance of evaluation in community health programs?

• A. Ensuring that programs meet their objectives
• B. Identifying areas for improvement
• C. Demonstrating the impact of interventions
• D. Securing future funding for programs

Correct answer: A

Rationale: Evaluation in community health programs is crucial as it ensures that programs are meeting their intended objectives. By evaluating these programs, organizations can determine whether they are effectively addressing community health issues and meeting their goals. Identifying areas for improvement is an essential part of the evaluation process to enhance program effectiveness and make necessary adjustments. While demonstrating the impact of interventions and securing future funding are also important aspects, the primary focus of evaluation in community health programs is to ensure that they are achieving their objectives.

3. Which of the following is NOT an example of public health services?

• A. Control of communicable diseases
• B. Environmental sanitation
• C. Hospital management
• D. Health education

Correct answer: C

Rationale: Public health services focus on promoting and protecting the health of communities. Control of communicable diseases, environmental sanitation, and health education directly impact the overall well-being of populations. However, hospital management is typically associated with the administration and operations of healthcare facilities rather than public health initiatives.

4. During a health education program, a facilitator continues to ask questions and encourages attendees to contribute examples from their own lives relevant to the discussion. Which best describes the rationale for the facilitator’s action?

• A. To avoid having to prepare more material related to the topic
• B. To let the participants feel appreciated and knowledgeable
• C. To allow the participants to learn by doing through active participation
• D. To apply Freire’s principles of learning

Correct answer: C

Rationale: The facilitator's action of encouraging active participation, where attendees contribute examples from their own lives, is aimed at facilitating learning through doing. This approach engages participants directly in the learning process, enhancing understanding and retention by connecting theoretical concepts to real-life experiences. Active participation promotes a deeper understanding of the material and increases the likelihood of behavior and attitude change.

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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