Nursing Elites

1. Which action exemplifies the role of a nurse in policy advocacy?

• A. Meeting with legislators to discuss health issues
• B. Administering vaccines in the community
• C. Conducting health screenings
• D. Providing direct care to underserved populations

Correct answer: A

Rationale: Meeting with legislators to discuss health issues exemplifies the role of a nurse in policy advocacy. Nurses engage in policy advocacy to influence decisions that impact health outcomes at the population level. By meeting with legislators, nurses can advocate for policies that support healthcare access, quality, and equity, ultimately contributing to improved health outcomes for individuals and communities.

2. What are the steps involved in the community assessment process for community health nurses? (Select all that apply.)

• A. Writing a community diagnosis
• B. Evaluating the outcomes
• C. Collecting assessment data
• D. Identifying the cause of the problem, planning community interventions

Correct answer: D

Rationale: The steps in the community assessment process for community health nurses involve collecting assessment data, identifying the cause of the problem, and planning community interventions. These steps are crucial for a comprehensive assessment and effective intervention planning in community health nursing.

3. After 3 days, the nurse notes that James has chest indrawing and stridor. His mother returned him to the health center immediately. The nurse should:

• A. Change the medication to the second-line antibiotics
• B. Advise the mother to observe the child and continue giving the antibiotics
• C. Give the first dose of antibiotics and refer urgently
• D. Observe the child at the center

Correct answer: C

Rationale: In the scenario described, the presence of chest indrawing and stridor indicates respiratory distress, which requires immediate attention. Giving the first dose of antibiotics and referring urgently is the correct course of action to ensure prompt and appropriate management of the child's condition.

4. 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.

5. Which is a primary focus of health promotion activities?

• A. Preventing the onset of disease
• B. Detecting diseases early to improve outcomes
• C. Managing chronic conditions to improve quality of life
• D. Providing treatment for existing health conditions

Correct answer: A

Rationale: The correct answer is A: Preventing the onset of disease. Health promotion activities aim to prevent the occurrence of diseases by promoting healthy behaviors and creating supportive environments. By encouraging preventive measures such as vaccination, healthy eating, regular exercise, and stress management, individuals can reduce their risk of developing various illnesses. Detecting diseases early (choice B) focuses more on screening and early diagnosis rather than prevention. Managing chronic conditions (choice C) and providing treatment for existing health conditions (choice D) are important aspects of healthcare but are not the primary focus of health promotion activities, which emphasize disease prevention.

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