Nursing Elites

1. What is a critical element of a community health assessment?

• A. Engaging community members in the assessment process
• B. Collecting national health statistics
• C. Reviewing health policies
• D. Analyzing laboratory results

Correct answer: A

Rationale: Engaging community members in the assessment process is crucial as it ensures that the assessment captures the diverse needs and perspectives of the community. By involving community members, the assessment becomes more comprehensive, relevant, and effective in addressing the specific health issues and priorities of the community.

2. 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.

3. 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.

4. Which best describes an outcome of successful health promotion?

• A. Reduced incidence of chronic diseases
• B. Increased health care costs
• C. Improved patient compliance
• D. Decreased use of emergency services

Correct answer: A

Rationale: The correct answer is A: Reduced incidence of chronic diseases. Successful health promotion aims to prevent diseases and improve health outcomes, leading to a decrease in the occurrence of chronic conditions. This outcome reflects positive changes in health behaviors and conditions, ultimately contributing to better overall health in populations.

5. While using technique of motivational interviewing with a college student engaged in binge drinking several times per week, the public health RN should begin with which intervention:

• A. Discussing how the student is managing his overall academic studies since drinking has become a problem
• B. Explaining to the student the full range of harmful impacts binge drinking has on the body and mind
• C. Asking open-ended questions and actively listening to the student while trying to remove any judgement
• D. Asking the student to make a validated survey that reveals attitudes and knowledge about binge drinking

Correct answer: C

Rationale: Asking open-ended questions and actively listening without judgement is a key technique in motivational interviewing.

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