Nursing Elites

1. Which best describes the social determinants of health?

• A. Factors such as genetics and individual behavior
• B. Conditions in which people are born, grow, live, work, and age
• C. Availability of health services and technology
• D. Access to health care services

Correct answer: B

Rationale: The social determinants of health refer to the conditions in which people are born, grow, live, work, and age, impacting their health outcomes. These factors include social, economic, and environmental influences that play a crucial role in shaping health disparities and overall well-being.

2. What is the MOST COMMON cause of vaginal bleeding immediately after birth?

• A. Uterine atony
• B. Genital lacerations
• C. Abnormal clotting mechanisms
• D. Endometritis

Correct answer: A

Rationale: Vaginal bleeding immediately after birth is most commonly due to uterine atony. Uterine atony is the failure of the uterine muscle to contract adequately after childbirth, leading to postpartum hemorrhage. This condition is more frequent than genital lacerations, abnormal clotting mechanisms, or endometritis as a cause of immediate postpartum bleeding.

3. How should a healthcare provider determine a client’s reading level?

• A. Ask the client how they would rate their ability to read.
• B. Have the client assess their own health literacy and provide examples.
• C. Determine the client's completed years of formal education.
• D. Utilize literacy assessment tools available in the literature.

Correct answer: A

Rationale: In assessing a client's reading level, asking the client to rate their own reading ability is a quick and straightforward method. It allows for a self-assessment that may provide insights into the individual's perception of their literacy skills. This approach can be efficient in initiating discussions about reading abilities and can serve as a starting point for further literacy evaluation if needed.

4. Which of the following are major veins commonly used in parenteral cannulation?

• A. Basilic vein
• B. Femoral vein
• C. Subclavian vein
• D. Aorta

Correct answer: D

Rationale: The aorta is not a vein; it is the main artery in the body that carries oxygenated blood from the heart to the rest of the body. In parenteral cannulation, major veins like the basilic vein, femoral vein, and subclavian vein are typically used for access. Therefore, the correct answer is the aorta, as it is an artery and not a vein used for cannulation.

5. Why is epidemiologic data useful in the planning phase of the community assessment process?

• A. Help discover the patterns of health and illness distribution in a population.
• B. Help construct benchmarks to gauge achievement of program objectives.
• C. Identify the population at risk.
• D. Explain the nature of the health problem.

Correct answer: A

Rationale: Epidemiologic data are valuable in the planning phase of community assessment as they provide insights into the distribution of health and illness within a population. By analyzing these patterns and trends, healthcare professionals can better understand the health needs of the community and tailor interventions accordingly. This information serves as a foundation for identifying priority areas and developing effective strategies to address health issues.

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