Nursing Elites

1. Which best describes a primary prevention strategy in community health?

• A. Providing immunizations
• B. Conducting health screenings
• C. Offering rehabilitation services
• D. Providing treatment for acute illnesses

Correct answer: A

Rationale: The correct answer is A: Providing immunizations. This is a primary prevention strategy that focuses on preventing diseases before they occur. Immunizations help build immunity against specific diseases, reducing the likelihood of infection and transmission within the community. This proactive approach is essential in promoting public health and preventing the spread of communicable diseases.

2. What is a health deficit?

• A. Conditions that promote disease or injury and prevent people from realizing their health potential
• B. A health problem that can be alleviated with medical or social technology
• C. A gap between actual and achievable health status
• D. Illness of a family member

Correct answer: C

Rationale: A health deficit refers to a gap between one's current health status and the health status that could be realistically achieved. It signifies the difference between where a person's health is currently and where it could potentially be with appropriate interventions or improvements. Therefore, the correct answer is option C.

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 MOST COMMON cause of vaginal bleeding immediately after birth?

• A. Uterine atony
• B. Genital lacerations
• C. Abnormal clotting mechanisms
• D. Endometritis

Correct answer: A

Rationale: Vaginal bleeding immediately after birth is most commonly due to uterine atony. Uterine atony is the failure of the uterine muscle to contract adequately after childbirth, leading to postpartum hemorrhage. This condition is more frequent than genital lacerations, abnormal clotting mechanisms, or endometritis as a cause of immediate postpartum bleeding.

5. 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.

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