Nursing Elites

1. During a health education program, a facilitator continues to ask questions and encourages attendees to contribute examples from their own lives relevant to the discussion. Which best describes the rationale for the facilitator’s action?

• A. To avoid having to prepare more material related to the topic
• B. To let the participants feel appreciated and knowledgeable
• C. To allow the participants to learn by doing through active participation
• D. To apply Freire’s principles of learning

Correct answer: C

Rationale: The facilitator's action of encouraging active participation, where attendees contribute examples from their own lives, is aimed at facilitating learning through doing. This approach engages participants directly in the learning process, enhancing understanding and retention by connecting theoretical concepts to real-life experiences. Active participation promotes a deeper understanding of the material and increases the likelihood of behavior and attitude change.

2. 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.

3. In value-based care, which equation represents the focus on achieving the best outcomes relative to cost?

• A. Cost X Quality
• B. Cost X Quality/Consumer satisfaction
• C. Quality/Cost
• D. Fee for service/discount rate

Correct answer: C

Rationale: Value-based care aims to deliver the highest quality of care while efficiently managing costs. The equation Quality/Cost represents this focus by emphasizing achieving superior outcomes relative to the resources invested.

4. Community organizing is an important part of the community nursing function. Given the following elements - choosing an organizational structure, identifying and recruiting members, defining mission, vision, and goals, clarifying roles and responsibilities - at which stage do these elements belong?

• A. Program maintenance-consolidation
• B. Dissemination-Reassessment
• C. Community Analysis/diagnosis
• D. Design and initiation

Correct answer: D

Rationale: These elements of choosing an organizational structure, identifying and recruiting members, defining mission, vision, and goals, and clarifying roles and responsibilities are part of the initial stage of community organizing, which is the design and initiation stage. During this phase, the framework and groundwork for the community organizing efforts are established, setting the direction and structure for the subsequent implementation and maintenance of the program.

5. Which best describes a community-based participatory approach to health?

• A. Engaging community members in the planning process
• B. Conducting research on community health issues
• C. Implementing health policies
• D. Focusing on individual health behaviors

Correct answer: A

Rationale: A community-based participatory approach involves engaging community members in the planning and implementation of health initiatives. This approach values the active involvement of community members in decision-making processes related to health programs and initiatives, emphasizing collaboration and shared decision-making between community members and health professionals.

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