Nursing Elites

1. Which of the following is an example of a social determinant of health?

• A. Blood pressure
• B. Genetic mutations
• C. Housing conditions
• D. Age

Correct answer: C

Rationale: The correct answer is C: Housing conditions. Social determinants of health are the conditions in which people are born, grow, live, work, and age. Housing conditions directly impact health outcomes as they can affect exposure to toxins, safety, and overall well-being. Choice A, blood pressure, is a physiological measure and not a social determinant. Choice B, genetic mutations, relates to an individual's genetic makeup and is not influenced by social factors. Choice D, age, is a demographic factor and not a social determinant of health.

2. Health activities are designed to:

• A. prevent people from being exposed to germs
• B. ignore spiritual factors as they can confuse medical issues
• C. increase communities' control over their health and well-being
• D. ensure that the community health nurse leads health programs

Correct answer: C

Rationale: Health activities are structured to enhance communities' autonomy and influence over their health and well-being, aiming to empower them to make informed choices and take control of their health. Choice A is incorrect as health activities encompass a broader scope beyond just preventing exposure to germs. Choice B is incorrect because spiritual factors are crucial components that should not be disregarded in healthcare. Choice D is incorrect as health activities are not solely about the community health nurse being in charge, but about empowering the community as a whole.

3. For Barangay Mabulaklak, you intend to conduct health education sessions for a group of mothers. Which of the following topics for discussion will be given least priority:

• A. proper selection and preparation of food
• B. handwashing before preparing food
• C. cutting children's fingernails short
• D. overcrowding and its effect

Correct answer: D

Rationale: The correct answer is D - 'overcrowding and its effect.' While overcrowding is an important topic, it will be given least priority compared to the other choices when conducting health education sessions for a group of mothers. Proper selection and preparation of food (Choice A) is crucial for ensuring adequate nutrition, handwashing before preparing food (Choice B) is essential for preventing foodborne illnesses, and cutting children's fingernails short (Choice C) is important for maintaining good hygiene. Overcrowding, although significant in the context of public health, might be considered less immediately relevant for a group of mothers in a health education session focused on more direct and practical aspects of family health and hygiene.

4. You are teaching a client about the patient-controlled analgesia (PCA) planned for post-operative care. Which statement indicates further teaching may be needed by the client?

• A. ''I will be receiving continuous doses of medication.''
• B. ''I should call the nurse before I take additional doses.''
• C. ''I will call for assistance if my pain is not relieved.''
• D. ''The machine will prevent an overdose.''

Correct answer: B

Rationale: PCA allows patients to self-administer pain medication within prescribed limits, without the need to call the nurse before taking an additional dose. Choice B suggests a misunderstanding of how PCA works, as the patient should be educated that they can self-administer doses within the safety parameters set by the healthcare provider. Choices A, C, and D demonstrate proper understanding of PCA, hence are not indicative of needing further teaching.

5. What is the focus of health promotion activities?

• A. Treating existing health conditions
• B. Preventing the onset of disease
• C. Providing palliative care
• D. Conducting clinical trials

Correct answer: B

Rationale: The correct answer is B: Preventing the onset of disease. Health promotion activities aim to prevent illnesses and promote overall well-being through education, lifestyle changes, and preventive measures. Choice A is incorrect as health promotion is not primarily about treating existing health conditions but rather preventing them. Choice C is incorrect because palliative care focuses on providing relief and comfort to patients with serious illnesses, not on preventing diseases. Choice D is also incorrect as conducting clinical trials is a research activity to test new treatments or interventions, not a focus of health promotion.

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