Nursing Elites

1. Why is cultural competence important in community health nursing?

• A. It helps nurses provide care that is respectful and responsive to the health beliefs and practices of diverse patients.
• B. It mandates all health care providers to undergo cultural training.
• C. It ensures that nurses are knowledgeable about different medical practices.
• D. It prevents nurses from encountering cultural misunderstandings.

Correct answer: A

Rationale: Cultural competence is essential in community health nursing as it enables nurses to deliver care that respects and responds to the health beliefs and practices of patients from diverse cultural backgrounds. By understanding and incorporating cultural considerations into their practice, nurses can enhance communication, build trust, and improve health outcomes for all individuals within the community.

2. Malnutrition continues to be a public health concern in the country. The common nutritional deficiencies are the following, except:

• A. Vitamin A
• B. Iron
• C. Iodine
• D. Calcium

Correct answer: D

Rationale: The question addresses common nutritional deficiencies, except for one. Vitamin A, Iron, and Iodine are often cited as common deficiencies in populations facing malnutrition. However, Calcium deficiency is not typically considered one of the common nutritional deficiencies in such contexts. Calcium deficiency can occur but is not as prevalent as the other options listed in populations with malnutrition.

3. A community hospital is an example of which level of health care?

• A. Secondary level of care
• B. Tertiary level of care
• C. Primary level of care
• D. Intermediate level of care

Correct answer: A

Rationale: Community hospitals are considered part of the secondary level of health care. They provide acute care services, including emergency care, surgeries, and specialized diagnostic services. Primary care is typically provided in outpatient settings such as clinics and doctor's offices, while tertiary care involves highly specialized services like organ transplants and neurosurgery. Intermediate care usually refers to services that are more intensive than what is provided at the primary care level but less specialized than tertiary care.

4. What is the term for creating a surgical airway in the front of the neck (cervical region) to remove copious secretions?

• A. Bronchoscopy
• B. Tracheostomy
• C. Thoracentesis
• D. Underwater seal drainage

Correct answer: B

Rationale: Tracheostomy is the process of surgically creating an airway in the front of the neck to aid in breathing or remove secretions from the airway. Bronchoscopy involves visualizing the airways using a scope, not creating an airway. Thoracentesis is the procedure to remove fluid or air from the pleural space around the lungs, not related to creating an airway. Underwater seal drainage is a method used in chest drainage systems to remove air or fluid from the pleural space, not the creation of an airway.

5. 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.

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