Nursing Elites

1. The C/PHN reviews the process of how a bill becomes a federal law. They note that which of the following statements is true?

• A. The bill will go to the appropriate committee to be discussed, research, and expert testimony heard.
• B. The bill will first be reviewed by the President to see if it aligns with the country's goals.
• C. The bill must have a complete consensus in both houses of the legislature.
• D. A bill cannot be vetoed by the President if the Senate supports it 100%.

Correct answer: A

Rationale: When a bill is introduced, it is sent to the appropriate committee where it is discussed, research is conducted, and expert testimony is heard. This is an essential step in the legislative process to evaluate the bill's merits and potential impact before it moves forward for consideration by the full legislative body.

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. A patient in Mindanao was diagnosed with Dengue Hemorrhagic Fever. The therapeutic regimen for the patient includes the following EXCEPT:

• A. Rapid replacement of plasma loss
• B. Aspirin for high fever
• C. Rapid fluid and electrolyte replacement
• D. Oxygen therapy

Correct answer: B

Rationale: In cases of Dengue Hemorrhagic Fever, aspirin is contraindicated due to the risk of bleeding. The therapeutic regimen focuses on rapid replacement of plasma loss, rapid fluid and electrolyte replacement, and oxygen therapy to manage the condition effectively.

4. Identifying that numerous factors influence chronic illnesses such as hypertension, which of the following would be an upstream factor to enhance health outcomes for adults with hypertension in the community?

• A. Nutritional classes featuring low-fat and low-carb choices.
• B. Motivational interviewing sessions for smoking cessation.
• C. Working with the public health department to restrict smoking in public.
• D. Initiating chair yoga classes for seniors in the community.

Correct answer: C

Rationale: Working with the public health department to restrict smoking in public is an upstream factor that focuses on implementing population-level interventions to prevent health issues such as hypertension. By creating policies to limit smoking in public spaces, it can help reduce the overall exposure to tobacco smoke, thereby positively impacting the health outcomes of adults with hypertension in the community.

5. What factor most influences health disparities?

• A. Genetic factors
• B. Lifestyle choices
• C. Access to health care services
• D. Cultural beliefs

Correct answer: C

Rationale: Access to health care services plays a significant role in influencing health disparities as it determines individuals' ability to access necessary medical care and services. Disparities in access to healthcare can lead to differences in health outcomes and contribute to overall health disparities within populations.

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