Nursing Elites

1. Which best describes the goal of primary prevention?

• A. Preventing the onset of disease
• B. Managing existing health conditions
• C. Educating the community about healthy lifestyles
• D. Improving quality of life for those with chronic conditions

Correct answer: A

Rationale: The goal of primary prevention is to prevent the onset of disease before it occurs. This is achieved through interventions such as vaccinations, health education, and lifestyle modifications aimed at reducing the risk of developing various illnesses. Primary prevention focuses on promoting health and preventing diseases from ever occurring in the first place, distinguishing it from managing existing conditions (choice B) or improving the quality of life for individuals with chronic illnesses (choice D). Educating the community about healthy lifestyles (choice C) is a component of primary prevention as it aims to instill behaviors that reduce the likelihood of disease development.

2. 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.

3. You are preparing a patient for surgery and completing the preoperative checklist. Which of the following is not typically part of the preoperative checklist?

• A. Assessing for allergies
• B. Conducting the Time Out
• C. Ensuring that informed consent is signed
• D. Ensuring that the history and physical examination have been completed

Correct answer: B

Rationale: Conducting the Time Out is a crucial safety step that occurs immediately before the start of the procedure, but it is not usually part of the preoperative checklist. The Time Out involves verifying patient identity, correct procedure, correct site, and addressing any concerns or questions with the surgical team before proceeding. The other options, such as assessing for allergies, ensuring informed consent, and completing the history and physical examination, are typically included in the preoperative checklist to ensure patient safety and readiness for surgery.

4. Which action exemplifies secondary prevention?

• A. Administering vaccines
• B. Providing treatment for acute illnesses
• C. Teaching safe health practices
• D. Developing health policies

Correct answer: B

Rationale: The correct answer is B: Providing treatment for acute illnesses. Secondary prevention focuses on early detection and treatment of a disease to prevent its progression and complications. Administering vaccines (choice A) is an example of primary prevention aimed at preventing the onset of a disease. Teaching safe health practices (choice C) falls under health promotion and education, which is a form of primary prevention. Developing health policies (choice D) is more aligned with public health initiatives and may impact primary, secondary, or tertiary prevention strategies, depending on the specific policies enacted.

5. Which best describes an example of primary prevention in maternal newborn care?

• A. Providing prenatal education classes
• B. Screening for gestational diabetes
• C. Providing postpartum support groups
• D. Offering breastfeeding support

Correct answer: A

Rationale: Providing prenatal education classes is a prime example of primary prevention in maternal newborn care. These classes aim to educate expectant mothers about healthy practices, nutrition, and prenatal care to prevent potential health issues for both the mother and the newborn before they occur. By providing education and promoting healthy behaviors during pregnancy, the goal is to avoid complications and promote overall well-being.

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