What definition accurately reflects the meaning of the term health inequities?

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NCLEX Questions and Answers in Community Health Nursing Questions

Question 1 of 5

What definition accurately reflects the meaning of the term health inequities?

Correct Answer: C

Rationale: The correct answer is C because health inequities refer to unjust and avoidable disparities in health outcomes that are rooted in social injustices. This definition highlights the importance of taking reasonable actions to address these disparities, such as ensuring access to healthcare and addressing social determinants of health. Choice A is incorrect as it focuses on the accumulation of factors leading to poor health, which is more aligned with the concept of health determinants. Choice B is incorrect as it suggests that individuals are solely responsible for their health outcomes, ignoring systemic factors. Choice D is incorrect as it only mentions variations in health status without emphasizing the unfairness and avoidability of these differences.

Question 2 of 5

What information is most important to keep in mind when caring for a pregnant adolescent?

Correct Answer: B

Rationale: The correct answer is B because limited knowledge can lead to pregnancy complications in pregnant adolescents. Having adequate knowledge about prenatal care, nutrition, and potential risks is crucial for ensuring a healthy pregnancy. Incorrect choices: A: Not all adolescent pregnancies are high risk. Risk factors vary based on individual circumstances. C: While some pregnant adolescents may struggle with proper nutrition, it is not a general rule. D: Socioeconomic status can influence health outcomes, but it is not the most important factor in caring for pregnant adolescents.

Question 3 of 5

A community health nurse (CHN) is asked by a parent group to explain the risk factors for alcoholism. What statement should the CHN include in the explanation?

Correct Answer: B

Rationale: The correct answer is B: Alcoholism is determined partly by genes. This answer is correct because research has shown that genetics play a significant role in predisposing individuals to alcoholism. Studies have identified specific genes that can increase the risk of developing alcohol use disorder. However, it is important to note that environmental factors also play a crucial role in the development of alcoholism. A: Alcoholism is not solely determined by the environment; genetics also play a role. C: Alcoholism rates may vary between genders, but it is not accurate to generalize that it is higher in women. D: Persons born with fetal alcohol syndrome have a higher risk of developing alcohol-related issues, but this does not mean they are alcoholics from birth.

Question 4 of 5

A mother confides to the community health nurse (CHN) that her live-in boyfriend pushed her 2-year-old child because he was crying too much. She begs the CHN not to tell anyone because her boyfriend has agreed to take anger management classes. What should the CHN do?

Correct Answer: D

Rationale: The correct answer is D: Report the incident to the child protection agency. The CHN has a legal and ethical duty to protect the child from harm. Reporting to the child protection agency ensures the child's safety and well-being. The boyfriend's behavior of pushing a child is abusive and potentially dangerous. Ignoring the situation could lead to further harm to the child. Abiding by the mother's wishes (choice A) would prioritize confidentiality over the child's safety. Arranging counselling for the boyfriend (choice B) does not address the immediate risk to the child. Advicing the mother to take the child away (choice C) may not guarantee the child's safety if the boyfriend is not held accountable for his actions. Reporting to the child protection agency is the most appropriate and responsible action to safeguard the child's welfare.

Question 5 of 5

Community health nurses (CHNs) have been advised by the medical director to give injections of hepatitis A immunoglobulin to selected susceptible persons in the event of a hepatitis A epidemic. What outcome will be the result?

Correct Answer: D

Rationale: The correct answer is D: Passive immunization. In this scenario, the administration of hepatitis A immunoglobulin provides temporary protection by transferring pre-formed antibodies from an immune individual to a susceptible person. This process does not stimulate the individual's immune system to produce its antibodies, hence it is considered passive immunization. This approach is effective for providing immediate protection against hepatitis A in susceptible persons during an outbreak. A: Active immunization involves administering a vaccine to stimulate the individual's immune system to produce antibodies. B: Long-lasting immunity usually results from active immunization, not passive immunization. C: Natural immunity typically occurs after an individual has been exposed to and recovered from a specific infection, not through passive immunization.

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