Nursing Elites

1. What procedure is performed prior to a blood transfusion to detect incompatibilities?

• A. Grouping and crossmatching
• B. Complete blood count
• C. D-dimer test
• D. Blood clotting test

Correct answer: A

Rationale: Grouping and crossmatching is the procedure performed prior to a blood transfusion to determine the blood type and identify any potential incompatibilities between the donor and recipient. This process involves testing the recipient's blood for ABO and Rh antigens and crossmatching it with the donor's blood to ensure compatibility and prevent adverse reactions during the transfusion. Complete blood count, D-dimer test, and blood clotting test are other laboratory tests that serve different purposes and are not specifically done to detect incompatibilities prior to blood transfusion.

2. Which of the following are core functions of public health?

• A. Assessment
• B. Policy development
• C. Assurance
• D. All of the above

Correct answer: D

Rationale: All the options listed - Assessment, Policy development, and Assurance - are core functions of public health. Assessment involves collecting and analyzing data to identify health problems, Policy development focuses on creating and implementing policies to address those problems, and Assurance ensures that necessary health services are provided to the community.

3. The public health RN is engaging with a teen in his community who is concerned about how he will be able to stay part of his friend group when they are all vaping and your client does not want to take part but does not want to feel awkward. Using motivational interviewing techniques, the RN says to the client, 'I understand this concern. Please tell me more about this and how it feels awkward for you.' The RN's question is an example of:

• A. Moving the teen to find a new friend group.
• B. Addressing the problem of teen awkwardness.
• C. Agreeing that awkwardness is hard.
• D. Using open-ended questioning.

Correct answer: D

Rationale: The RN's question, 'Please tell me more about this and how it feels awkward for you,' is an example of using open-ended questioning. Open-ended questions encourage clients to share more about their feelings and thoughts, allowing for a deeper exploration of their concerns and experiences. It helps in building rapport, understanding the client's perspective, and facilitating a client-centered conversation.

4. What action would promote health equity?

• A. Advocating for policy changes that address social determinants of health
• B. Providing direct care to underserved populations
• C. Conducting health education sessions
• D. Developing new health technologies

Correct answer: A

Rationale: Advocating for policy changes that address social determinants of health is a crucial strategy to promote health equity. By addressing systemic issues that contribute to health disparities, such as access to healthcare, education, and socioeconomic factors, it can help create a more equitable healthcare system and improve health outcomes for all individuals in the community.

5. Which of these is an example of a phenomenological community?

• A. Greenwich Village senior center
• B. NYC council district
• C. Gramercy Green residents
• D. Online support group for cancer survivors

Correct answer: D

Rationale: A phenomenological community is defined by shared experiences and interests, which are often found in online support groups for cancer survivors where individuals connect based on a common experience, fostering a sense of community and support.

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