Which of the following is not a therapeutic indication of bone marrow puncture?

Correct Answer: A

Rationale: Rationale: 1. Bone marrow puncture is not indicated for analgesia but for diagnostic purposes. 2. Antibiotics may be indicated to prevent infection during the procedure. 3. Anaesthesia may be used to minimize pain and discomfort. 4. Inflammation is a condition that may necessitate bone marrow puncture for diagnosis. Therefore, choice A is the correct answer as it does not align with the therapeutic indications of bone marrow puncture.

Correct Answer: B

Rationale: The correct answer is B: Low literacy levels among patients. Health literacy refers to an individual's ability to understand and use health information. Low literacy levels can hinder a person's understanding of health-related information, leading to poor health outcomes. Limited access to health resources (A) can be a challenge, but it is not as common as low literacy levels. While complex medical instructions (C) can be a barrier, low literacy levels are more pervasive. Cultural barriers (D) can also impact health literacy, but the primary challenge is often low literacy levels among patients.

Correct Answer: C

Rationale: The correct answer is C: Advocating for health policy changes. This action demonstrates a proactive approach to address systemic health issues at a community level. By advocating for health policy changes, the healthcare professional can influence and implement policies that have a broad impact on community health outcomes. This action goes beyond individual-level interventions and focuses on addressing root causes of health disparities. Providing health education (A) and conducting community assessments (B) are important steps, but advocating for policy changes has a broader and more sustainable impact. Developing health policies (D) is a necessary step, but advocating for changes implies actively working towards implementing those policies.

Correct Answer: B

Rationale: The correct answer is B: Encouraging healthy behaviors. Health promotion aims to empower individuals to take control of their health by adopting behaviors that prevent illness and promote overall well-being. This involves educating, motivating, and supporting people to make positive lifestyle choices. Treating illness (A) and ensuring access to care (C) are more related to healthcare delivery rather than health promotion. While disease prevention (D) is an important aspect of health promotion, it focuses specifically on preventing the occurrence of diseases rather than promoting overall health through positive behaviors.

Correct Answer: B

Rationale: The correct answer is B: Socioeconomic status. Socioeconomic status influences access to healthcare, environmental quality, and genetic predisposition. Low socioeconomic status is linked to poorer health outcomes due to limited access to healthcare services, exposure to environmental hazards, and unhealthy lifestyle factors. It also impacts education, employment, and social support, all of which are crucial for community health. Access to healthcare services (A) is important but is influenced by socioeconomic status. Environmental quality (C) and genetic predisposition (D) play a role, but socioeconomic status has a broader impact on overall community health.

Correct Answer: A

Rationale: Primary prevention aims to prevent the onset of disease before it occurs. Administering immunizations is a key example of primary prevention as it directly targets the prevention of infectious diseases by building immunity. Immunizations protect individuals from getting sick in the first place, aligning with the primary prevention goal. Teaching healthy lifestyle behaviors (choice B) is more focused on health promotion rather than disease prevention. Educating about regular check-ups (choice C) falls under secondary prevention by detecting diseases early. Screening for early signs of disease (choice D) is also considered secondary prevention as it aims to identify diseases at an early stage.

Correct Answer: B

Rationale: The correct answer is B because community health nursing focuses on improving the quality of life for individuals and families through health promotion and disease prevention. This encompasses a holistic approach that considers social determinants of health and empowers communities to make informed decisions. Providing curative services (A) is not the primary focus of community health nursing, as it aims to prevent illness before it occurs. Conducting research (D) is important but not a key objective of direct community health nursing practice. While promoting health and preventing disease (C) is a key objective, improving the quality of life (B) captures the overarching goal of community health nursing more comprehensively.

Correct Answer: D

Rationale: The correct answer is D, Economic stability, as it directly influences access to healthcare, housing, education, and nutritious food, impacting overall health. Genetic predisposition (A) refers to inherited traits, not external factors. Personal health behaviors (B) are individual choices. Biological factors (C) focus on physical attributes, not societal influences. Economic stability (D) aligns with social determinants by addressing social, economic, and environmental factors that shape health outcomes.

Correct Answer: A

Rationale: The correct answer is A because using clear and simple language in communication is the most effective strategy in improving health literacy among patients. This approach ensures that information is easily understood and retained by patients of diverse educational backgrounds. Clear communication helps patients comprehend health-related information, make informed decisions, and follow treatment plans correctly. Providing health education sessions (choice B) may be beneficial, but the effectiveness can vary depending on the presentation and comprehension levels of patients. One-on-one counseling (choice C) is helpful, but it may not be feasible for all patients due to time and resource constraints. Distributing written materials (choice D) can be a useful supplement, but may not be as effective as clear verbal communication in addressing individual questions and concerns.