Nursing Elites

1. Which best describes a primary role of nurses in promoting community health?

• A. Conducting individual health assessments
• B. Advocating for health policy changes
• C. Providing health education to groups
• D. Developing health policies

Correct answer: B

Rationale: A primary role of nurses in promoting community health involves advocating for health policy changes. By advocating for policy changes, nurses can address systemic issues that impact the health of the community as a whole, rather than focusing solely on individual assessments or education. This proactive approach allows nurses to influence broader health determinants and create sustainable improvements in community health outcomes.

2. When studying for an epidemiology quiz, what does public health nursing surveillance involve?

• A. Having all carriers transferred to one main facility for care
• B. Gathering data to work toward primary illness prevention
• C. Establishing the incubation period of a disease
• D. Determining the colonization rate of the disease

Correct answer: B

Rationale: Public health nursing surveillance involves the systematic collection, analysis, and interpretation of health-related data for the purpose of preventing and controlling diseases. By gathering data, public health nurses can identify trends, risks, and patterns to implement interventions aimed at preventing illnesses in communities. This process is essential for early detection, timely response, and effective prevention strategies.

3. What is a common challenge in community health nursing?

• A. Limited resources
• B. High patient caseloads
• C. Cultural barriers
• D. Changing health behaviors

Correct answer: A

Rationale: Limited resources are a common challenge in community health nursing as they can impact the ability to deliver comprehensive care. This challenge can include financial constraints, lack of supplies, and inadequate staffing levels, all of which can hinder the provision of effective healthcare services to the community.

4. Which action is an example of secondary prevention in public health?

• A. Administering vaccines to prevent disease
• B. Providing treatment for chronic diseases
• C. Screening for early signs of disease
• D. Offering health education workshops

Correct answer: C

Rationale: The correct answer is screening for early signs of disease (Choice C). Secondary prevention focuses on early detection and treatment of diseases to prevent their progression. By screening for early signs of disease, individuals can receive timely interventions, leading to better health outcomes. Administering vaccines (Choice A) falls under primary prevention by preventing the occurrence of diseases. Providing treatment for chronic diseases (Choice B) is part of tertiary prevention, which focuses on managing and reducing complications of established diseases. Offering health education workshops (Choice D) can be part of primary prevention by promoting healthy behaviors to prevent diseases.

5. Donna needs further teaching about the use of partograph if she said to her CI that:

• A. I will start using the partograph if the patient's cervix is already 4 cm dilated.
• B. I can use the partograph in all pregnant women.
• C. I will plot the cervical dilatation using 'x'.
• D. I need to refer my patient to the hospital if the cervical dilatation reaches the action line.

Correct answer: B

Rationale: Donna needs further teaching because using a partograph in all pregnant women is incorrect. The partograph is specifically used when labor is established to monitor the progress of labor and identify deviations from normal patterns. It is not meant to be used indiscriminately in all pregnant women, but rather in those who are in labor to enhance safe delivery practices.

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