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. When caring for a first-time mom and baby, the community RN would focus on which of the following as the first priority when developing appropriate interventions?

• A. Education
• B. Safety
• C. Policy-making
• D. Vaccination

Correct answer: B

Rationale: The primary priority when caring for a first-time mom and baby is ensuring safety. Safety encompasses various aspects such as preventing accidents, promoting a safe environment for both the mother and baby, and reducing risks of harm. By prioritizing safety, the community RN can address immediate concerns and create a foundation for the well-being of the mother and baby.

3. Which of the following is a characteristic of a healthy work environment?

• A. High turnover rate and lack of communication
• B. Lack of teamwork and frequent conflicts
• C. Open communication and collaboration
• D. Micromanagement and strict hierarchy

Correct answer: C

Rationale: A healthy work environment is characterized by open communication and collaboration among team members. This fosters a positive atmosphere where ideas can be freely shared, conflicts resolved constructively, and teamwork thrives. High turnover rates, lack of communication, micromanagement, and strict hierarchy are detrimental to a healthy work environment as they can lead to low morale, decreased productivity, and a negative workplace culture.

4. Which best describes an example of an environmental health intervention?

• A. Providing clean drinking water
• B. Administering medications
• C. Conducting health education sessions
• D. Developing health policies

Correct answer: A

Rationale: Providing clean drinking water is a crucial environmental health intervention as it helps prevent waterborne diseases and promotes overall health. Access to clean drinking water is essential for maintaining public health, especially in preventing illnesses caused by contaminated water sources. Administering medications, conducting health education sessions, and developing health policies are important interventions but are not directly related to environmental health like providing clean drinking water.

5. 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.

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