Nursing Elites

1. As a community health nurse engaged in the process of community empowerment, what is essential for you to do?

• A. Gather data from the community
• B. Make decisions for people in the community
• C. Form partnerships with people in the community
• D. Accept responsibility for people's actions

Correct answer: C

Rationale: Forming partnerships with people in the community is crucial for community empowerment. It fosters collaboration, mutual support, and shared decision-making in health initiatives, empowering the community members to take charge of their own health.

2. The Food Fortification Act of 2000 provides for the mandatory fortification of staple foods, including:

• A. Flour with iron
• B. Cooking oil with vitamin A
• C. Refined sugar with iron
• D. Rice with vitamin A

Correct answer: A

Rationale: The Food Fortification Act of 2000 mandates the fortification of staple foods. In this case, flour is fortified with iron according to this act. Therefore, the correct choice is A: 'Flour with iron.'

3. Which best describes a community health assessment?

• A. A comprehensive evaluation of the health needs of a community
• B. An analysis of the effectiveness of health interventions
• C. A survey of individual health behaviors and outcomes
• D. A review of health care resources available in a community

Correct answer: A

Rationale: A community health assessment involves a thorough evaluation of the health needs of a community, taking into account various factors such as demographics, health behaviors, environmental factors, and existing health services. This assessment helps in identifying health disparities, determining priority areas for intervention, and developing strategies to address the identified health needs of the community.

4. The appropriate order of steps in active management of the third stage of labor include:

• A. Cord clamping and cutting, controlled cord traction, ergometrine administration, and inspection to be sure the placenta is intact.
• B. Intravenous oxytocin, cord clamping and cutting, and fundal massage
• C. Intramuscular injection oxytocin, controlled cord traction with counter traction to the uterus, uterine massage
• D. Controlled cord traction, fundal massage and oxytocin

Correct answer: C

Rationale: Intramuscular injection of oxytocin, controlled cord traction with counter traction to the uterus, and uterine massage are the appropriate steps in active management of the third stage of labor.

5. When working with moms and babies from diverse backgrounds in the community, what is a necessary competence for a public health nurse to have self-awareness and humility?

• A. I am confident in my ability to teach the new mom about all the necessary aspects of evidence-based newborn care before the baby is born.
• B. I often notice that newly expectant moms underestimate the challenges of caring for a new baby, and I emphasize this to them.
• C. Sometimes, young moms lack knowledge about self-care, and I try to correct their behavior promptly.
• D. I understand that I may not always be perfect with my patients, but I acknowledge this openly and listen to their feedback.

Correct answer: D

Rationale: Self-awareness and humility are vital qualities for a public health nurse. Option D demonstrates these qualities by acknowledging personal fallibility and actively engaging with patients to address any shortcomings. This approach fosters trust and open communication, essential for providing effective care across diverse cultural backgrounds.

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