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. The RN working within the NFP model of care uses the Minnesota Health Wheel to describe what she does in her role to her own family. Which intervention is the RN likely to describe that is consistent with the public health nurse role of delegation:

• A. I administered IV antibiotics every 6 hours when the physician or nurse practitioner prescribed them.
• B. I conducted a full respiratory exam on a mother who might need asthma follow-up.
• C. I collaborated with the social work services team when I noted that my patient was unhoused.
• D. I taught the newly pregnant mom about necessary vaccinations to have at this time.

Correct answer: C

Rationale: Collaborating with social work services is a form of delegation, ensuring that clients receive comprehensive care.

3. One of the first steps in community assessment may involve the community health nurse driving or walking through an area and making observations about such things as environmental layout and location of agencies, hospitals, industries, and so forth. This is called a(n):

• A. Census survey.
• B. Needs survey.
• C. Informant survey.
• D. Windshield survey.

Correct answer: D

Rationale: A windshield survey involves observations made from a moving vehicle, allowing the community health nurse to gather information about the community's physical and social environment without direct interaction. This method helps in understanding the community's resources, potential hazards, and overall characteristics, which are essential for planning and implementing effective community health interventions.

4. What best describes the concept of social justice in health care?

• A. Ensuring that all individuals have access to the same health care services
• B. Providing the same level of care to everyone, regardless of their background
• C. Addressing the underlying social determinants that contribute to health disparities
• D. Offering free health services to underserved populations

Correct answer: C

Rationale: Social justice in health care goes beyond equal access and treatment for all individuals. It involves recognizing and addressing the underlying social determinants that lead to health disparities, aiming to achieve fairness and equity in healthcare outcomes.

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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