Nursing Elites

1. Which is a major focus of community health nursing?

• A. Providing care to individuals and families
• B. Improving access to health care
• C. Implementing health policies
• D. Promoting community partnerships

Correct answer: A

Rationale: A major focus of community health nursing is providing care to individuals and families within the community setting. Community health nurses often work directly with individuals and families to promote health, prevent disease, and provide education and support tailored to their specific needs. This direct care approach is a fundamental aspect of community health nursing practice.

2. Why is cultural competence important in community health nursing?

• A. It helps nurses provide care that is respectful and responsive to the health beliefs and practices of diverse patients.
• B. It mandates all health care providers to undergo cultural training.
• C. It ensures that nurses are knowledgeable about different medical practices.
• D. It prevents nurses from encountering cultural misunderstandings.

Correct answer: A

Rationale: Cultural competence is essential in community health nursing as it enables nurses to deliver care that respects and responds to the health beliefs and practices of patients from diverse cultural backgrounds. By understanding and incorporating cultural considerations into their practice, nurses can enhance communication, build trust, and improve health outcomes for all individuals within the community.

3. The healthcare provider should consider the following when assessing the child for chest indrawing EXCEPT

• A. Chest indrawing should be present at all times
• B. The lower chest wall does not move in when the child breathes in
• C. The lower chest moves in when the child breathes in
• D. The child should be calm

Correct answer: A

Rationale: When assessing a child for chest indrawing, it is important to note that chest indrawing should NOT be present at all times, as this would suggest a significant respiratory distress. Chest indrawing is an abnormal inward movement of the lower chest wall during inhalation, indicating increased work of breathing. Therefore, the absence of chest indrawing during normal breathing is a normal finding. The healthcare provider should observe for the lower chest moving in with each breath, which is abnormal, while ensuring that the child is calm during the assessment.

4. Which best describes a primary role of nurses in promoting community health?

• A. Conducting individual health assessments
• B. Advocating for health policy changes
• C. Providing health education to groups
• D. Developing health policies

Correct answer: B

Rationale: A primary role of nurses in promoting community health involves advocating for health policy changes. By advocating for policy changes, nurses can address systemic issues that impact the health of the community as a whole, rather than focusing solely on individual assessments or education. This proactive approach allows nurses to influence broader health determinants and create sustainable improvements in community health outcomes.

5. What is the drug of choice for progressive multiple sclerosis?

• A. Ocrelizumab
• B. Dimethyl fumarate
• C. Teriflunomide
• D. Fluoroquinolones

Correct answer: A: Ocrelizumab

Rationale: Ocrelizumab is the drug of choice for progressive multiple sclerosis due to its efficacy in reducing disease activity and progression in patients with this form of the disease. Dimethyl fumarate, Teriflunomide, and Fluoroquinolones are not typically used as first-line treatments for progressive MS.

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