Nursing Elites

1. Which best describes the role of surveillance in public health?

• A. Monitoring the spread of diseases
• B. Providing direct patient care
• C. Offering health education workshops
• D. Conducting epidemiological research

Correct answer: A

Rationale: Surveillance in public health primarily involves monitoring the spread of diseases. By tracking patterns of diseases and behaviors in populations, public health officials can identify potential outbreaks, assess the effectiveness of interventions, and make informed decisions to protect and improve community health. Surveillance is crucial for early detection, timely response, and prevention of the spread of infectious diseases and other health threats.

2. What is the goal of Healthy People 2020?

• A. To improve the quality and years of healthy life
• B. To reduce health disparities among different populations
• C. To promote healthy behaviors across the lifespan
• D. To achieve health equity and eliminate health disparities

Correct answer: D

Rationale: The goal of Healthy People 2020 is to achieve health equity and eliminate health disparities by promoting health and well-being for all populations. This includes addressing social determinants of health and ensuring that everyone has the opportunity to live a healthy life, regardless of their background or circumstances.

3. As an important tool for planning a community health survey was conducted, the first tangible outcome of collaboration and teamwork with the Local Health Department and its Rural Health Units (RHUs) was observed. This later led to case findings activities via collection and examination of stools from children for suspected parasitism. Which of the following community nursing diagnoses will guide the Parish Health Team for concrete action?

• A. Parasitism as a foreseeable crisis
• B. Malnutrition as a health deficit
• C. Parasitism as a health deficit
• D. Parasitism as a health threat

Correct answer: D

Rationale: The correct answer is 'Parasitism as a health threat' as it is the most appropriate diagnosis that focuses on the immediate and significant health threat posed by parasitic infections, which can have widespread implications in a community setting. This diagnosis would guide the Parish Health Team to take concrete actions to address and mitigate the health risks associated with parasitism.

4. Malnutrition continues to be a public health concern in the country. The common nutritional deficiencies are the following, except:

• A. Vitamin A
• B. Iron
• C. Iodine
• D. Calcium

Correct answer: D

Rationale: The question addresses common nutritional deficiencies, except for one. Vitamin A, Iron, and Iodine are often cited as common deficiencies in populations facing malnutrition. However, Calcium deficiency is not typically considered one of the common nutritional deficiencies in such contexts. Calcium deficiency can occur but is not as prevalent as the other options listed in populations with malnutrition.

5. The public health nurse is working with a client who desires to move away from eating take-out and fatty foods to maintain a healthier lifestyle. The client mentions eliminating processed foods from her diet most days of the week but still struggles to consistently add fruits and vegetables to her meals. According to the Transtheoretical Model of health behavior change, this client is in which stage:

• A. Pre-contemplation
• B. Contemplation
• C. Preparation
• D. Action

Correct answer: C

Rationale: The client is in the Preparation stage as they are actively taking steps towards behavior change by eliminating processed foods from their diet most days of the week. While they still struggle to consistently add fruits and vegetables, their efforts to make small changes indicate that they are in the Preparation stage, where individuals are getting ready to take action to change their behavior.

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