Nursing Elites

1. The World Health Organization defines health as:

• A. The health of individuals and communities is, to a large extent, affected by a combination of many factors.
• B. A state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.
• C. Refers to the well-being of individuals, families, and communities being influenced by several factors in the ecosystem.
• D. The science and art of preventing disease, prolonging life, promoting health, and efficiency through organized community effort for the sanitation of the environment, control of communicable diseases, education of individuals in personal hygiene, and organizing these benefits to enable every citizen to realize their birthright of health and longevity.

Correct answer: B

Rationale: The World Health Organization defines health as a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity. This definition emphasizes that health encompasses more than just the absence of illness; it includes physical, mental, and social well-being.

2. What action is essential for a community health nurse to assess environmental health risks?

• A. Collecting data on community health behaviors
• B. Conducting health screenings
• C. Assessing workplaces for potential hazards
• D. Monitoring air and water quality

Correct answer: D

Rationale: Community health nurses play a vital role in assessing environmental health risks by monitoring air and water quality. This action helps identify potential hazards that may impact the health of individuals in the community. By monitoring these environmental factors, nurses can gather important data to address and mitigate health risks associated with poor air or water quality.

3. A community health nurse is overwhelmed with all that needs to be done in one day. Which task could most easily be postponed?

• A. Reviewing the most recent hospital patient data collected by the local college of nursing
• B. Deciding which of several possible new clinic options would be most effective in better meeting the needs of the local community
• C. Evaluating the results of the most recent community-wide screening program before planning for the next community health program
• D. Giving testimony to the state legislature on a new health and safety bill

Correct answer: A

Rationale: The most easily postponed task among the options provided is reviewing the most recent hospital patient data collected by the local college of nursing. This task focuses on data collection and analysis, which can be delayed without immediate impact on decision-making related to new clinic options, community-wide screening program evaluation, or legislative testimony on health and safety bills.

4. What is the FIRST STEP for thermal protection of a newborn?

• A. Drying the baby thoroughly immediately after birth
• B. Covering the baby with a clean, dry cloth after the cord has been cut
• C. Drying the baby thoroughly after the cord has been cut
• D. Covering the baby with a clean, dry cloth immediately after birth

Correct answer: A

Rationale: The first step in thermal protection of a newborn is to dry the baby thoroughly immediately after birth. This helps prevent heat loss and maintain the newborn's body temperature, which is crucial for their well-being. By drying the baby promptly, you can reduce the risk of hypothermia and provide a comfortable environment for the newborn.

5. The healthcare provider should consider the following when assessing the child for chest indrawing EXCEPT

• A. Chest indrawing should be present at all times
• B. The lower chest wall does not move in when the child breathes in
• C. The lower chest moves in when the child breathes in
• D. The child should be calm

Correct answer: A

Rationale: When assessing a child for chest indrawing, it is important to note that chest indrawing should NOT be present at all times, as this would suggest a significant respiratory distress. Chest indrawing is an abnormal inward movement of the lower chest wall during inhalation, indicating increased work of breathing. Therefore, the absence of chest indrawing during normal breathing is a normal finding. The healthcare provider should observe for the lower chest moving in with each breath, which is abnormal, while ensuring that the child is calm during the assessment.

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