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. When planning a health promotion program for a community, what information should be considered first?

• A. The health needs of the population
• B. The available resources for the program
• C. The current health status of the population
• D. The demographic characteristics of the population

Correct answer: A

Rationale: When planning a health promotion program for a community, the health needs of the population should be considered first. Understanding the specific health needs of the community helps in designing a program that addresses relevant health issues and is tailored to be effective. By identifying the prevalent health concerns, the program can be targeted towards making a meaningful impact on the community's well-being.

3. After 3 days, the nurse notes that James has chest indrawing and stridor. His mother returned him to the health center immediately. The nurse should:

• A. Change the medication to the second-line antibiotics
• B. Advise the mother to observe the child and continue giving the antibiotics
• C. Give the first dose of antibiotics and refer urgently
• D. Observe the child at the center

Correct answer: C

Rationale: In the scenario described, the presence of chest indrawing and stridor indicates respiratory distress, which requires immediate attention. Giving the first dose of antibiotics and referring urgently is the correct course of action to ensure prompt and appropriate management of the child's condition.

4. What is the primary advantage of having a target client list?

• A. Nurses do not need to go back to the Family Treatment Record to monitor treatment and services, thus saving time and effort
• B. Helps monitor services rendered to clients in general
• C. Facilitates monitoring and supervision of services
• D. Facilitates easier reporting

Correct answer: A

Rationale: The primary advantage of having a target client list is that nurses do not need to go back to the Family Treatment Record to monitor treatment and services, which saves them time and effort. By having a specific list, they can efficiently track and manage the care provided without the need for repeated references to the records.

5. What is the most influential factor in determining health outcomes?

• A. Genetic predisposition to diseases
• B. Socioeconomic status
• C. Access to health care services
• D. Lifestyle choices

Correct answer: B

Rationale: Socioeconomic status plays a crucial role in determining health outcomes as it impacts access to resources, education, living conditions, and healthcare services. Individuals with higher socioeconomic status generally have better health outcomes due to easier access to quality healthcare, healthier living environments, and resources to make healthier lifestyle choices.

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