Nursing Elites

1. What is the term for creating a surgical airway in the front of the neck (cervical region) to remove copious secretions?

• A. Bronchoscopy
• B. Tracheostomy
• C. Thoracentesis
• D. Underwater seal drainage

Correct answer: B

Rationale: Tracheostomy is the process of surgically creating an airway in the front of the neck to aid in breathing or remove secretions from the airway. Bronchoscopy involves visualizing the airways using a scope, not creating an airway. Thoracentesis is the procedure to remove fluid or air from the pleural space around the lungs, not related to creating an airway. Underwater seal drainage is a method used in chest drainage systems to remove air or fluid from the pleural space, not the creation of an airway.

2. What is a key component of a successful community health program?

• A. Engaging community members
• B. Sufficient funding
• C. Effective leadership
• D. Lowering health care expenses

Correct answer: A

Rationale: Engaging community members is crucial for the success of a community health program as it ensures that interventions are relevant and supported by the community. By involving community members, programs can better address local needs, increase participation, and foster a sense of ownership and responsibility among the population.

3. What are the steps involved in the community assessment process for community health nurses? (Select all that apply.)

• A. Writing a community diagnosis
• B. Evaluating the outcomes
• C. Collecting assessment data
• D. Identifying the cause of the problem, planning community interventions

Correct answer: D

Rationale: The steps in the community assessment process for community health nurses involve collecting assessment data, identifying the cause of the problem, and planning community interventions. These steps are crucial for a comprehensive assessment and effective intervention planning in community health nursing.

4. The RN working within the NFP model of care uses the Minnesota Health Wheel to describe what she does in her role to her own family. Which intervention is the RN likely to describe that is consistent with the public health nurse role of delegation:

• A. I administered IV antibiotics every 6 hours when the physician or nurse practitioner prescribed them.
• B. I conducted a full respiratory exam on a mother who might need asthma follow-up.
• C. I collaborated with the social work services team when I noted that my patient was unhoused.
• D. I taught the newly pregnant mom about necessary vaccinations to have at this time.

Correct answer: C

Rationale: Collaborating with social work services is a form of delegation, ensuring that clients receive comprehensive care.

5. What factor most influences health disparities?

• A. Genetic factors
• B. Lifestyle choices
• C. Access to health care services
• D. Cultural beliefs

Correct answer: C

Rationale: Access to health care services plays a significant role in influencing health disparities as it determines individuals' ability to access necessary medical care and services. Disparities in access to healthcare can lead to differences in health outcomes and contribute to overall health disparities within populations.

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