Nursing Elites

1. How should a healthcare provider determine a client’s reading level?

• A. Ask the client how they would rate their ability to read.
• B. Have the client assess their own health literacy and provide examples.
• C. Determine the client's completed years of formal education.
• D. Utilize literacy assessment tools available in the literature.

Correct answer: A

Rationale: In assessing a client's reading level, asking the client to rate their own reading ability is a quick and straightforward method. It allows for a self-assessment that may provide insights into the individual's perception of their literacy skills. This approach can be efficient in initiating discussions about reading abilities and can serve as a starting point for further literacy evaluation if needed.

2. The C/PHN is supporting legislation that seeks tighter gun control laws in New York State. The nurse knows that a significant challenge to getting legislation passed relates to which of the following:

• A. A lack of interest in this topic by many citizens of the state.
• B. An inability to gather statistics to understand the magnitude of the problem.
• C. Special interest groups that exert influence on legislators.
• D. The idea that gun violence is not a significant public health concern in the US.

Correct answer: C

Rationale: Special interest groups often exert significant influence on legislators, making it challenging to pass tighter gun control laws. These groups may lobby against such legislation, impacting the decision-making process of lawmakers. This influence can hinder the progress of bills related to gun control, despite potential public support or health implications.

3. What is the MOST COMMON cause of vaginal bleeding immediately after birth?

• A. Uterine atony
• B. Genital lacerations
• C. Abnormal clotting mechanisms
• D. Endometritis

Correct answer: A

Rationale: Vaginal bleeding immediately after birth is most commonly due to uterine atony. Uterine atony is the failure of the uterine muscle to contract adequately after childbirth, leading to postpartum hemorrhage. This condition is more frequent than genital lacerations, abnormal clotting mechanisms, or endometritis as a cause of immediate postpartum bleeding.

4. Which statement best describes a key aspect of sustainable community health programs?

• A. Ensuring continuous community involvement
• B. Allocating resources effectively
• C. Securing long-term funding
• D. Providing culturally relevant services

Correct answer: A

Rationale: Continuous community involvement is crucial for the sustainability of community health programs as it fosters ongoing engagement, support, and ownership within the community. This active participation can lead to better program outcomes, increased community trust, and long-term success by tailoring interventions to the community's specific needs and preferences.

5. What is the primary purpose of health education?

• A. To empower individuals to make informed health decisions
• B. To reduce healthcare costs
• C. To provide health information
• D. To comply with legal requirements

Correct answer: A

Rationale: The primary purpose of health education is to empower individuals with the knowledge and skills to make informed health decisions. By providing individuals with the necessary information and tools, they can take control of their health, leading to better health outcomes and overall well-being. While reducing healthcare costs may be an indirect benefit of health education, the core focus is on empowering individuals rather than cost reduction, simply providing health information or meeting legal requirements.

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