Nursing Elites

1. Which is an example of a community-level intervention?

• A. Developing health policies
• B. Conducting health education programs
• C. Offering immunizations at a local clinic
• D. Implementing community-wide health campaigns

Correct answer: D

Rationale: Implementing community-wide health campaigns is the correct answer as it involves interventions that target the entire community to address health issues on a broader scale. These campaigns aim to promote health and well-being across various segments of the community by implementing strategies that can reach a larger population and have a significant impact on public health outcomes.

2. Which is an essential aspect of developing a community health intervention?

• A. Assessing the availability of local health resources
• B. Engaging policymakers in the planning process
• C. Developing culturally appropriate health materials
• D. Allocating funding for health services

Correct answer: A

Rationale: Assessing the availability of local health resources is a crucial step in the development of a community health intervention. By understanding the resources already present in the community, intervention strategies can be tailored to effectively address the specific health needs of the population. This assessment helps in identifying gaps, strengths, and areas for improvement, ensuring that the intervention is well-informed and targeted towards improving community health outcomes.

3. If bleeding continues after delivery of the placenta using management, the FIRST thing you should do is call for help and:

• A. Massage the uterus
• B. Insert a urinary catheter
• C. Start an IV
• D. Check the placenta to ensure completeness

Correct answer: A

Rationale: In postpartum hemorrhage, massaging the uterus is the initial step to promote uterine contractions, which can help control bleeding by compressing the blood vessels. This action can help prevent further blood loss and stabilize the patient's condition. Calling for help is essential to ensure timely assistance, but taking immediate action by massaging the uterus is crucial in managing postpartum bleeding.

4. The public health RN is working with a client who desires to quit smoking. The client says to the RN, 'I want to quit but I just don't think I have it in me to really make it happen.' According to the Health Belief Model, this response relates to which factor:

• A. Susceptibility
• B. Self-efficacy
• C. Severity
• D. Cue to action

Correct answer: B

Rationale: The correct answer is B, 'Self-efficacy.' In the Health Belief Model, self-efficacy refers to a person's belief in their capacity to execute behaviors necessary to achieve specific goals or outcomes. In this scenario, the client's statement reflects a lack of confidence in their ability to successfully quit smoking, indicating low self-efficacy. By addressing and enhancing the client's self-efficacy, the public health RN can help empower the client to take steps towards successful smoking cessation.

5. Which best describes a key component of community health assessment?

• A. Engaging community stakeholders in the process
• B. Collecting quantitative data on health outcomes
• C. Analyzing national health data
• D. Reviewing local health policies

Correct answer: A

Rationale: Engaging community stakeholders in the process of community health assessment is crucial as it ensures that the assessment reflects the unique needs, perspectives, and priorities of the community. This involvement helps in gathering comprehensive and accurate information, fostering community ownership, and increasing the likelihood of successful implementation of health initiatives based on the assessment findings.

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