Nursing Elites

1. Which factor is most likely to enhance the success of health promotion activities?

• A. Adequate funding
• B. Support from local government
• C. Community involvement
• D. Strong leadership

Correct answer: C

Rationale: Community involvement is essential for the success of health promotion activities as it ensures that the initiatives are relevant and supported by the community. When the community actively participates in planning and implementing health promotion activities, it increases the chances of long-term success and sustainability. Community involvement fosters a sense of ownership and empowerment, leading to greater engagement and positive health outcomes.

2. Identifying that numerous factors influence chronic illnesses such as hypertension, which of the following would be an upstream factor to enhance health outcomes for adults with hypertension in the community?

• A. Nutritional classes featuring low-fat and low-carb choices.
• B. Motivational interviewing sessions for smoking cessation.
• C. Working with the public health department to restrict smoking in public.
• D. Initiating chair yoga classes for seniors in the community.

Correct answer: C

Rationale: Working with the public health department to restrict smoking in public is an upstream factor that focuses on implementing population-level interventions to prevent health issues such as hypertension. By creating policies to limit smoking in public spaces, it can help reduce the overall exposure to tobacco smoke, thereby positively impacting the health outcomes of adults with hypertension in the community.

3. What is the most crucial factor in determining the health of a community?

• A. Access to health care services
• B. Socioeconomic status
• C. Environmental quality
• D. Genetic predisposition

Correct answer: B

Rationale: Socioeconomic status plays a vital role in determining the health of a community. It affects access to resources, education, employment opportunities, housing, and healthcare services. Individuals with higher socioeconomic status generally have better health outcomes due to their ability to afford healthier lifestyle choices, quality healthcare, and living environments. In contrast, individuals with lower socioeconomic status may face barriers to accessing essential healthcare services, nutritious food, safe housing, and education, leading to poorer health outcomes. Therefore, addressing socioeconomic disparities is crucial in promoting community health and well-being.

4. Which fluid is used in the management of gastrointestinal tract (GIT) loss and burns?

• A. Ringer's lactate
• B. Normal saline
• C. Dextrose
• D. Blood

Correct answer: A

Rationale: Ringer's lactate is the preferred fluid for managing gastrointestinal tract (GIT) losses and burns due to its balanced electrolyte composition. It helps replace lost fluids and electrolytes, making it an ideal choice for resuscitation in such scenarios. Normal saline is commonly used for volume resuscitation but may not be the best choice for these specific conditions. Dextrose is a source of glucose and is not typically used as the primary fluid for GIT losses and burns. Blood transfusion is indicated for specific situations like severe hemorrhage or anemia but is not the primary fluid for GIT losses and burns.

5. As a community health nurse engaged in the process of community empowerment, what is essential for you to do?

• A. Gather data from the community
• B. Make decisions for people in the community
• C. Form partnerships with people in the community
• D. Accept responsibility for people's actions

Correct answer: C

Rationale: Forming partnerships with people in the community is crucial for community empowerment. It fosters collaboration, mutual support, and shared decision-making in health initiatives, empowering the community members to take charge of their own health.

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