Nursing Elites

1. How can health professionals address social determinants of health?

• A. Providing direct care to underserved populations
• B. Advocating for policy changes
• C. Conducting health screenings
• D. Educating about healthy lifestyle behaviors

Correct answer: B

Rationale: Advocating for policy changes is an effective way for health professionals to address social determinants of health. By influencing policies related to housing, education, employment, and healthcare access, health professionals can create systemic changes that benefit entire communities and address the root causes of health disparities.

2. Which of the following nursing interventions are appropriate to address parasitism issues?

• A. Administering broad-spectrum antihelminthic treatment to patients
• B. Emphasizing the importance of thoroughly washing vegetables, especially if consumed raw
• C. Instructing on proper stool disposal and emphasizing not to use it as fertilizer
• D. Promoting hand washing before and after meals

Correct answer: C

Rationale: In addressing parasitism issues, it is crucial to educate individuals on the proper disposal of stools and emphasize that they should not be used as fertilizer to prevent the spread of parasites. Administering antihelminthic treatment, emphasizing vegetable washing, and promoting hand hygiene are all important interventions in managing parasitism, making them inappropriate choices for exceptions.

3. If bleeding continues after delivery of the placenta using management, the FIRST thing you should do is call for help and:

• A. Massage the uterus
• B. Insert a urinary catheter
• C. Start an IV
• D. Check the placenta to ensure completeness

Correct answer: A

Rationale: In postpartum hemorrhage, massaging the uterus is the initial step to promote uterine contractions, which can help control bleeding by compressing the blood vessels. This action can help prevent further blood loss and stabilize the patient's condition. Calling for help is essential to ensure timely assistance, but taking immediate action by massaging the uterus is crucial in managing postpartum bleeding.

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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