Nursing Elites

1. Donna needs further teaching about the use of partograph if she said to her CI that:

• A. I will start using the partograph if the patient's cervix is already 4 cm dilated.
• B. I can use the partograph in all pregnant women.
• C. I will plot the cervical dilatation using 'x'.
• D. I need to refer my patient to the hospital if the cervical dilatation reaches the action line.

Correct answer: B

Rationale: Donna needs further teaching because using a partograph in all pregnant women is incorrect. The partograph is specifically used when labor is established to monitor the progress of labor and identify deviations from normal patterns. It is not meant to be used indiscriminately in all pregnant women, but rather in those who are in labor to enhance safe delivery practices.

2. What best describes the role of nurses in community health?

• A. Conducting research to find new treatments for diseases
• B. Providing direct care to individuals and families
• C. Collaborating with other health professionals to address community health issues
• D. Advocating for policy changes to improve health outcomes

Correct answer: D

Rationale: Nurses play a crucial role in community health by advocating for policy changes to enhance health outcomes and working on addressing community health issues. While research and direct care are essential aspects of healthcare, nurses in community health often focus on advocating for policies that positively impact the health of the community as a whole.

3. Which of the following is not considered one of the four cornerstones or pillars in primary health care?

• A. Active community participation
• B. Support mechanisms made available
• C. Use of appropriate technology
• D. Inter-sectoral linkages only

Correct answer: D

Rationale: The four cornerstones of primary health care are active community participation, support mechanisms made available, and the use of appropriate technology. Inter-sectoral linkages, while important, are not part of the four core pillars in primary health care.

4. What is a common challenge in community health nursing?

• A. Limited resources
• B. High patient caseloads
• C. Cultural barriers
• D. Changing health behaviors

Correct answer: A

Rationale: Limited resources are a common challenge in community health nursing as they can impact the ability to deliver comprehensive care. This challenge can include financial constraints, lack of supplies, and inadequate staffing levels, all of which can hinder the provision of effective healthcare services to the community.

5. Which best describes a primary prevention strategy in community health?

• A. Providing immunizations
• B. Conducting health screenings
• C. Offering rehabilitation services
• D. Providing treatment for acute illnesses

Correct answer: A

Rationale: The correct answer is A: Providing immunizations. This is a primary prevention strategy that focuses on preventing diseases before they occur. Immunizations help build immunity against specific diseases, reducing the likelihood of infection and transmission within the community. This proactive approach is essential in promoting public health and preventing the spread of communicable diseases.

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