Nursing Elites

1. What is the most influential factor in determining health outcomes?

• A. Genetic predisposition to diseases
• B. Socioeconomic status
• C. Access to health care services
• D. Lifestyle choices

Correct answer: B

Rationale: Socioeconomic status plays a crucial role in determining health outcomes as it impacts access to resources, education, living conditions, and healthcare services. Individuals with higher socioeconomic status generally have better health outcomes due to easier access to quality healthcare, healthier living environments, and resources to make healthier lifestyle choices.

2. 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.

3. What is a common barrier to effective health education?

• A. Lack of funding for educational programs
• B. Cultural differences
• C. Complex medical terminology
• D. Resistance to behavior change

Correct answer: D

Rationale: Resistance to behavior change is a common barrier to effective health education because individuals may be resistant or hesitant to change their behaviors even when presented with health education interventions.

4. Which factor is most critical for the sustainability of health programs?

• A. Continuous community involvement
• B. Support from local government
• C. Availability of funding
• D. Regular program evaluation

Correct answer: A

Rationale: Continuous community involvement is the most critical factor for the sustainability of health programs. When the community is actively engaged and involved in health initiatives, there is a higher likelihood of long-term support and success. Community involvement fosters ownership, collaboration, and ensures that health programs are tailored to meet the specific needs of the community, leading to better outcomes and sustainability over time.

5. You are preparing a patient for surgery and completing the preoperative checklist. Which of the following is not typically part of the preoperative checklist?

• A. Assessing for allergies
• B. Conducting the Time Out
• C. Ensuring that informed consent is signed
• D. Ensuring that the history and physical examination have been completed

Correct answer: B

Rationale: Conducting the Time Out is a crucial safety step that occurs immediately before the start of the procedure, but it is not usually part of the preoperative checklist. The Time Out involves verifying patient identity, correct procedure, correct site, and addressing any concerns or questions with the surgical team before proceeding. The other options, such as assessing for allergies, ensuring informed consent, and completing the history and physical examination, are typically included in the preoperative checklist to ensure patient safety and readiness for surgery.

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