Nursing Elites

1. 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.

2. State whether each of the following statement is true (T) or false (F): I. Epilepsy has a genetic predisposition and can be inherited II. Old age is a risk factor for Parkinson's disease

• A. TT
• B. FT
• C. TF
• D. FF

Correct answer: A

Rationale: The correct answer is TT. I. Epilepsy does have a genetic predisposition, and in some cases, it can be inherited. Genetic factors play a role in the development of epilepsy. II. Old age is indeed a risk factor for Parkinson's disease. The incidence and prevalence of Parkinson's disease increase with age, making it more common in older individuals.

3. 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.

4. Which best describes the impact of social support on health?

• A. It enhances recovery and improves outcomes.
• B. It provides emotional and practical support.
• C. It reduces stress and promotes well-being.
• D. It improves adherence to treatment plans.

Correct answer: B

Rationale: Social support provides emotional and practical support, which can enhance recovery, improve outcomes, and promote well-being.

5. Which statement best describes the concept of health equity?

• A. Ensuring equal access to health services for all individuals
• B. Eliminating health disparities among different populations
• C. Focusing on individual health behaviors
• D. Providing high-quality health care

Correct answer: A

Rationale: Health equity is achieved when all individuals have equal access to health services, regardless of their background or circumstances. This means removing barriers to healthcare access and addressing social determinants of health to ensure everyone has the opportunity to attain their highest level of health.

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