Nursing Elites

1. Which of the following statements can motivate a couple to practice family planning?

• A. Family planning helps families improve their standard of living.
• B. Family planning reduces or eliminates fear of unwanted pregnancies.
• C. Family planning affords family members time to study or pursue personal interests.
• D. All of the above

Correct answer: D

Rationale: The correct answer is D because all the listed statements provide valid reasons to motivate couples to practice family planning. Option A highlights how family planning can lead to an improvement in the standard of living by allowing families to better manage their resources. Option B emphasizes the importance of family planning in reducing or eliminating the fear of unwanted pregnancies, which can have significant emotional and financial implications for couples. Option C points out that family planning can also afford family members time to focus on personal development, such as studying or pursuing personal interests, without the added responsibilities of unplanned pregnancies. Therefore, all these factors combined can serve as strong motivators for couples to consider and practice family planning. Choices A, B, and C are incorrect because each of them individually provides a valid reason to motivate couples, making the comprehensive answer D the most appropriate.

2. What does the term 'health disparity' refer to?

• A. Equal access to healthcare for all individuals
• B. Differences in health outcomes between different population groups
• C. High-quality healthcare for everyone
• D. Providing the same treatments to everyone

Correct answer: B

Rationale: The correct answer is B. 'Health disparity' refers to differences in health outcomes between different population groups. This term highlights variations in health status or in the distribution of health determinants between different population groups. Choice A is incorrect as health disparity is about health outcomes, not just access to healthcare. Choice C is too broad and not specific to the concept of health disparity. Choice D is incorrect as health disparity recognizes that different populations may need tailored or different treatments based on their specific health needs.

3. The RN at a migrant health center notes an increased incidence of dermatitis in seasonal farm workers at a local fruit farm. In response to this finding, what is the most important information for the RN to obtain as part of the community assessment?

• A. Availability of clean fresh water to wash hands after work.
• B. Proper housing
• C. Access to health care services
• D. Access to transportation

Correct answer: A

Rationale: The correct answer is A: Availability of clean fresh water to wash hands after work. Proper hand hygiene, including washing hands with clean water, is crucial in preventing dermatitis, especially in farm workers who are exposed to potential irritants in their work environment. While proper housing (choice B), access to health care services (choice C), and access to transportation (choice D) are important factors in overall community health, they are not directly linked to preventing dermatitis in this scenario.

4. The Food Fortification Act of 2000 provides for the mandatory fortification of staple foods, which includes:

• A. Flour with iron
• B. Refined sugar with iron
• C. Cooking oil with vitamin A
• D. Rice with vitamin A

Correct answer: A

Rationale: The correct answer is A: Flour with iron. The Food Fortification Act of 2000 mandates the fortification of flour with iron to address iron deficiency in the population. Refined sugar is not typically fortified with iron, making choice B incorrect. While cooking oil fortification with vitamin A is common in some regions, it is not specified under the Food Fortification Act of 2000, rendering choice C incorrect. Similarly, rice fortification with vitamin A is not included in the mandatory fortification list according to the act, making choice D incorrect.

5. In which of the following settings would a community health nurse be less likely to be involved?

• A. neighborhood clinic, community clinic, or senior center
• B. physician's office with a focus on individual client care
• C. home-based care
• D. neighborhood planning board

Correct answer: B

Rationale: Community health nurses are less likely to be involved in a physician's office with a focus on individual client care because their role primarily revolves around promoting and maintaining the health of populations and communities rather than providing direct care to individual clients. Options A, C, and D are more aligned with the community health nurse's role as they involve working in community-based settings, providing home-based care, and participating in community planning and advocacy.

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