Nursing Elites

1. The classic definition of public health is:

• A. It is a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.
• B. It is the health of individuals and communities that are, to a large extent, affected by a combination of many factors.
• C. It refers to the overall health of individuals, families, and communities being influenced by various factors in the ecosystem.
• D. It is the science and art of preventing disease, prolonging life, and promoting health through organized community efforts for sanitation, disease control, and health education.

Correct answer: D

Rationale: The classic definition of public health is focused on the science and art of preventing disease, prolonging life, and promoting health through organized community efforts. This definition emphasizes the importance of community-based interventions to improve public health outcomes such as sanitation, disease control, and health education. Public health aims to address the health needs of populations rather than just individuals, highlighting the collective approach to enhancing the well-being of communities.

2. What is the primary role of community health nurses in disaster preparedness?

• A. Developing emergency response plans
• B. Providing direct patient care
• C. Coordinating care among various providers
• D. Conducting health screenings

Correct answer: A

Rationale: Community health nurses primarily focus on developing emergency response plans in disaster preparedness. This involves creating strategies to address various aspects of a disaster, such as evacuation procedures, resource management, and communication plans. While providing direct patient care and coordinating care among providers are important aspects of nursing, in the context of disaster preparedness, the emphasis is on planning and preparedness to ensure an effective response in times of crisis.

3. Which of the following is an example of a communicable disease?

• A. Diabetes
• B. Hypertension
• C. HIV/AIDS
• D. Cholera

Correct answer: D

Rationale: Cholera is caused by the bacterium Vibrio cholerae and is transmitted through contaminated water or food. It spreads rapidly in areas with poor sanitation and can lead to severe dehydration and even death if untreated. Unlike diabetes and hypertension, which are non-communicable diseases often influenced by lifestyle factors, HIV/AIDS and cholera are infectious diseases that can be transmitted from person to person.

4. What action is essential for a community health nurse to assess environmental health risks?

• A. Collecting data on community health behaviors
• B. Conducting health screenings
• C. Assessing workplaces for potential hazards
• D. Monitoring air and water quality

Correct answer: D

Rationale: Community health nurses play a vital role in assessing environmental health risks by monitoring air and water quality. This action helps identify potential hazards that may impact the health of individuals in the community. By monitoring these environmental factors, nurses can gather important data to address and mitigate health risks associated with poor air or water quality.

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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