Nursing Elites

1. Which best describes the role of a community health nurse in promoting health?

• A. Advocating for health policy changes
• B. Providing direct care to individuals and families
• C. Educating the community about healthy lifestyles
• D. Conducting research on community health issues

Correct answer: A

Rationale: A community health nurse plays a vital role in promoting health by advocating for health policy changes. By advocating for policy changes that support healthy environments, access to care, and addressing social determinants of health, community health nurses work towards improving the overall health and well-being of the community they serve. While providing direct care to individuals and families, educating the community about healthy lifestyles, and conducting research on community health issues are important aspects of nursing practice, advocating for health policy changes has a broader impact on population health outcomes.

2. Which option best describes an effective way to engage the community in health promotion activities?

• A. Developing culturally appropriate materials
• B. Organizing community events
• C. Creating partnerships with local organizations
• D. Utilizing social media for outreach

Correct answer: C

Rationale: Creating partnerships with local organizations is a highly effective strategy for engaging the community in health promotion activities. By partnering with local organizations, health promotion efforts can leverage existing community connections, resources, and expertise, leading to more comprehensive and sustainable initiatives. These partnerships help in reaching a wider audience, building trust within the community, and fostering collaboration towards shared health goals.

3. The client diagnosed with a mild concussion is being discharged from the emergency department. Which discharge instruction should the nurse teach the client's significant other?

• A. Awaken the client every two (2) hours.
• B. Monitor for increased intracranial pressure.
• C. Observe frequently for hypervigilance.
• D. Offer the client food every three (3) to four (4) hours.

Correct answer: A

Rationale: In a client with a mild concussion, it is important to monitor for signs of deterioration, which includes changes in the client's level of consciousness. Waking the client every two hours helps in assessing their neurological status, ensuring they can awaken and respond appropriately. This intervention aids in detecting any worsening symptoms promptly and seeking medical assistance if needed.

4. Which of the following are major veins commonly used in parenteral cannulation?

• A. Basilic vein
• B. Femoral vein
• C. Subclavian vein
• D. Aorta

Correct answer: D

Rationale: The aorta is not a vein; it is the main artery in the body that carries oxygenated blood from the heart to the rest of the body. In parenteral cannulation, major veins like the basilic vein, femoral vein, and subclavian vein are typically used for access. Therefore, the correct answer is the aorta, as it is an artery and not a vein used for cannulation.

5. Which action demonstrates primary prevention?

• A. Administering immunizations
• B. Screening for early signs of disease
• C. Providing rehabilitation services
• D. Offering smoking cessation programs

Correct answer: A

Rationale: Administering immunizations is a prime example of primary prevention because it focuses on preventing diseases before they occur. By administering vaccines, individuals are protected from various infectious diseases, thereby reducing the risk of illness and transmission to others. This proactive approach aligns with the primary prevention goal of promoting health and preventing the onset of diseases.

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