Nursing Elites

1. What is the FIRST STEP for thermal protection of a newborn?

• A. Drying the baby thoroughly immediately after birth
• B. Covering the baby with a clean, dry cloth after the cord has been cut
• C. Drying the baby thoroughly after the cord has been cut
• D. Covering the baby with a clean, dry cloth immediately after birth

Correct answer: A

Rationale: The first step in thermal protection of a newborn is to dry the baby thoroughly immediately after birth. This helps prevent heat loss and maintain the newborn's body temperature, which is crucial for their well-being. By drying the baby promptly, you can reduce the risk of hypothermia and provide a comfortable environment for the newborn.

2. Which best describes an effective approach to community health assessment?

• A. Using standardized assessment tools
• B. Collecting qualitative and quantitative data
• C. Engaging community members in the assessment process
• D. Analyzing health trends over time

Correct answer: C

Rationale: Engaging community members in the assessment process is crucial for an effective community health assessment. By involving community members, the assessment becomes more comprehensive, inclusive, and reflective of the actual needs and priorities of the community. This approach helps in gathering insights, perspectives, and first-hand experiences that may not be captured through standardized tools or data analysis alone. Community engagement fosters trust, collaboration, and empowerment within the community, leading to more meaningful and sustainable health interventions.

3. What action would a community health nurse take to address health disparities?

• A. Providing health education to individuals
• B. Advocating for policies that promote health equity
• C. Conducting community health assessments
• D. Offering free health screenings

Correct answer: B

Rationale: Advocating for policies that promote health equity is a crucial action for community health nurses to address health disparities. While providing health education, conducting assessments, and offering free screenings are important interventions, advocating for policies that promote health equity can have a broader and more sustainable impact on reducing health disparities within communities.

4. What is the most critical factor for the success of a community health intervention?

• A. Availability of funding
• B. Community involvement
• C. Support from local government
• D. Strong leadership

Correct answer: B

Rationale: Community involvement is the most critical factor for the success of a community health intervention. When the community actively participates, it ensures that the intervention aligns with their needs, values, and preferences. This involvement fosters ownership and sustainability, leading to better outcomes and long-term success. Without community involvement, interventions may lack acceptance, relevance, and support, hindering their effectiveness.

5. The public health RN is engaging with a teen in his community who is concerned about how he will be able to stay part of his friend group when they are all vaping and your client does not want to take part but does not want to feel awkward. Using motivational interviewing techniques, the RN says to the client, 'I understand this concern. Please tell me more about this and how it feels awkward for you.' The RN's question is an example of:

• A. Moving the teen to find a new friend group.
• B. Addressing the problem of teen awkwardness.
• C. Agreeing that awkwardness is hard.
• D. Using open-ended questioning.

Correct answer: D

Rationale: The RN's question, 'Please tell me more about this and how it feels awkward for you,' is an example of using open-ended questioning. Open-ended questions encourage clients to share more about their feelings and thoughts, allowing for a deeper exploration of their concerns and experiences. It helps in building rapport, understanding the client's perspective, and facilitating a client-centered conversation.

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