Nursing Elites

1. When caring for a first-time mom and baby, the community RN would focus on which of the following as the first priority when developing appropriate interventions?

• A. Education
• B. Safety
• C. Policy-making
• D. Vaccination

Correct answer: B

Rationale: The primary priority when caring for a first-time mom and baby is ensuring safety. Safety encompasses various aspects such as preventing accidents, promoting a safe environment for both the mother and baby, and reducing risks of harm. By prioritizing safety, the community RN can address immediate concerns and create a foundation for the well-being of the mother and baby.

2. 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.

3. Why is interdisciplinary collaboration important in community health?

• A. It enhances the quality of care by integrating different perspectives.
• B. It reduces the workload of individual health professionals.
• C. It ensures that all community health needs are met.
• D. It facilitates access to more resources and services.

Correct answer: A

Rationale: Interdisciplinary collaboration is crucial in community health as it brings together professionals from different fields to provide a holistic approach to patient care. By integrating various perspectives and expertise, it enhances the quality of care, leading to better health outcomes for the community. This teamwork allows for comprehensive assessments, innovative solutions, and improved coordination of services, ultimately benefiting the overall health and well-being of individuals in the community.

4. Identifying that numerous factors influence chronic illnesses such as hypertension, which of the following would be an upstream factor to enhance health outcomes for adults with hypertension in the community?

• A. Nutritional classes featuring low-fat and low-carb choices.
• B. Motivational interviewing sessions for smoking cessation.
• C. Working with the public health department to restrict smoking in public.
• D. Initiating chair yoga classes for seniors in the community.

Correct answer: C

Rationale: Working with the public health department to restrict smoking in public is an upstream factor that focuses on implementing population-level interventions to prevent health issues such as hypertension. By creating policies to limit smoking in public spaces, it can help reduce the overall exposure to tobacco smoke, thereby positively impacting the health outcomes of adults with hypertension in the community.

5. Which action represents tertiary prevention?

• A. Providing support groups for chronic illness
• B. Administering antibiotics for infections
• C. Teaching safe injection practices
• D. Conducting follow-up visits

Correct answer: A

Rationale: Tertiary prevention aims to support individuals in managing and coping with long-term conditions. Providing support groups for chronic illness falls under tertiary prevention by helping individuals deal with the impacts of their conditions and improve their quality of life.

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