Nursing Elites

1. What is the primary significance of community involvement in health promotion?

• A. Ensures cultural appropriateness of programs.
• B. Enhances program sustainability.
• C. Increases the relevance of health interventions.
• D. Builds trust within the community.

Correct answer: D

Rationale: Community involvement in health promotion is crucial as it helps build trust within the community. When community members are actively engaged, there is a higher level of trust in the interventions, leading to better acceptance and effectiveness of health programs.

2. How should contaminated instruments used during delivery be handled?

• A. Wash with soap and water and soak in 0.5% chlorine solution for 10 minutes
• B. Soak in 0.5% chlorine solution for 30 minutes
• C. Wash with soap and water and boil for 2 hours
• D. Soak in 0.5% chlorine solution for 10 minutes

Correct answer: B

Rationale: When dealing with contaminated instruments used during delivery, it is crucial to soak them in a 0.5% chlorine solution for 30 minutes to ensure proper disinfection. This practice helps eliminate potential pathogens and ensures the safety of both the healthcare provider and the patient.

3. A patient in Mindanao was diagnosed with Dengue Hemorrhagic Fever. The therapeutic regimen for the patient includes the following EXCEPT:

• A. Rapid replacement of plasma loss
• B. Aspirin for high fever
• C. Rapid fluid and electrolyte replacement
• D. Oxygen therapy

Correct answer: B

Rationale: In cases of Dengue Hemorrhagic Fever, aspirin is contraindicated due to the risk of bleeding. The therapeutic regimen focuses on rapid replacement of plasma loss, rapid fluid and electrolyte replacement, and oxygen therapy to manage the condition effectively.

4. The public health RN is engaging with a teen in his community who is concerned about how he will be able to stay part of his friend group when they are all vaping and your client does not want to take part but does not want to feel awkward. Using motivational interviewing techniques, the RN says to the client, 'I understand this concern. Please tell me more about this and how it feels awkward for you.' The RN's question is an example of:

• A. Moving the teen to find a new friend group.
• B. Addressing the problem of teen awkwardness.
• C. Agreeing that awkwardness is hard.
• D. Using open-ended questioning.

Correct answer: D

Rationale: The RN's question, 'Please tell me more about this and how it feels awkward for you,' is an example of using open-ended questioning. Open-ended questions encourage clients to share more about their feelings and thoughts, allowing for a deeper exploration of their concerns and experiences. It helps in building rapport, understanding the client's perspective, and facilitating a client-centered conversation.

5. What is a primary responsibility of a community health nurse?

• A. Providing direct patient care
• B. Conducting health education sessions
• C. Advocating for policy changes
• D. Developing health policies

Correct answer: C

Rationale: A primary responsibility of a community health nurse is advocating for policy changes that positively impact health outcomes within the community. By advocating for policy changes, community health nurses can address social determinants of health and help create sustainable improvements in the overall health and well-being of the community.

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