Nursing Elites

1. 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.

2. How can integration be best achieved in the community?

• A. Conversing with the people where they are and participating in social activities
• B. Bringing gifts to win acceptance from the community
• C. Engaging in household chores and cleaning the house
• D. Sponsoring a sports festival to meet more people

Correct answer: A

Rationale: The most effective way to achieve integration in a community is by conversing with people where they are and engaging in social activities. This approach fosters rapport-building and helps in understanding the community's dynamics and needs.

3. Which of the following is not considered one of the four cornerstones or pillars in primary health care?

• A. Active community participation
• B. Support mechanisms made available
• C. Use of appropriate technology
• D. Inter-sectoral linkages only

Correct answer: D

Rationale: The four cornerstones of primary health care are active community participation, support mechanisms made available, and the use of appropriate technology. Inter-sectoral linkages, while important, are not part of the four core pillars in primary health care.

4. What is the primary significance of community involvement in health promotion?

• A. Ensures cultural appropriateness of programs.
• B. Enhances program sustainability.
• C. Increases the relevance of health interventions.
• D. Builds trust within the community.

Correct answer: D

Rationale: Community involvement in health promotion is crucial as it helps build trust within the community. When community members are actively engaged, there is a higher level of trust in the interventions, leading to better acceptance and effectiveness of health programs.

5. How can health professionals address social determinants of health?

• A. Providing direct care to underserved populations
• B. Advocating for policy changes
• C. Conducting health screenings
• D. Educating about healthy lifestyle behaviors

Correct answer: B

Rationale: Advocating for policy changes is an effective way for health professionals to address social determinants of health. By influencing policies related to housing, education, employment, and healthcare access, health professionals can create systemic changes that benefit entire communities and address the root causes of health disparities.

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