Nursing Elites

1. Why is it difficult to get others interested in environmental health?

• A. Environmental problems are not perceived as interesting or dramatic.
• B. It is difficult to get the media interested.
• C. People respond more to an acute crisis than chronic environmental problems.
• D. People respond more to an individual asking for help than a community asking for help.

Correct answer: C

Rationale: The difficulty in getting others interested in environmental health is due to the fact that people tend to respond more to acute crises that receive dramatic media coverage, as opposed to chronic environmental problems that require sustained attention and action. Immediate and dramatic events capture attention more effectively than ongoing, less visible issues.

2. What action should be taken by nurses in the local community regarding the trash in the stream?

• A. Hold a dialogue with community members about the problem and its effects
• B. Advocate for stronger littering laws and harsher penalties
• C. Educate community organizations about the importance of clean water for recreational activities
• D. Ensure personal trash is disposed of in appropriate receptacles

Correct answer: A

Rationale: Nurses play a crucial role in community health promotion. By engaging in dialogue with community members about the issue of trash in the stream and its impacts, nurses can raise awareness, foster community involvement, and encourage collective action towards a cleaner environment. This approach aligns with nursing principles of empowering individuals and communities to address health-related concerns collaboratively.

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 of the following is not considered one of the four cornerstones or pillars in primary health care?

• A. Active community participation
• B. Support mechanisms made available
• C. Use of appropriate technology
• D. Inter-sectoral linkages only

Correct answer: D

Rationale: The four cornerstones of primary health care are active community participation, support mechanisms made available, and the use of appropriate technology. Inter-sectoral linkages, while important, are not part of the four core pillars in primary health care.

5. What is the primary goal of public health?

• A. To achieve health equity
• B. To prevent disease and disability
• C. To prolong life
• D. To promote health

Correct answer: B

Rationale: The primary goal of public health is to prevent disease and disability by implementing measures to protect and improve the health of communities and populations. While achieving health equity, prolonging life, and promoting health are important aspects of public health, the central focus remains on preventing diseases and disabilities through various strategies such as vaccination programs, health education, and environmental regulations.

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