Nursing Elites

1. What factor is most likely to improve health outcomes in a community?

• A. Access to affordable health care
• B. Community engagement and participation
• C. Implementing health education programs
• D. Strong leadership

Correct answer: B

Rationale: Community engagement and participation play a crucial role in improving health outcomes by ensuring that interventions are relevant and supported by the community. When individuals are actively involved and engaged in health initiatives, it promotes a sense of ownership, increases awareness, and fosters collaboration within the community, ultimately leading to more effective and sustainable health outcomes.

2. The appropriate order of steps in active management of the third stage of labor include:

• A. Cord clamping and cutting, controlled cord traction, ergometrine administration, and inspection to be sure the placenta is intact.
• B. Intravenous oxytocin, cord clamping and cutting, and fundal massage
• C. Intramuscular injection oxytocin, controlled cord traction with counter traction to the uterus, uterine massage
• D. Controlled cord traction, fundal massage and oxytocin

Correct answer: C

Rationale: Intramuscular injection of oxytocin, controlled cord traction with counter traction to the uterus, and uterine massage are the appropriate steps in active management of the third stage of labor.

3. Which best describes the role of a nurse in health policy development?

• A. Advocating for policy changes
• B. Providing direct patient care
• C. Conducting health screenings
• D. Developing new health technologies

Correct answer: A

Rationale: A nurse's role in health policy development involves advocating for policy changes that enhance health outcomes and increase access to care. Nurses contribute their expertise to influence policy decisions that impact patient care, healthcare systems, and public health initiatives. By participating in health policy development, nurses can address healthcare disparities, improve quality of care, and promote the well-being of individuals and communities.

4. Which best describes the concept of health promotion?

• A. Focusing on treating illness
• B. Encouraging healthy behaviors
• C. Ensuring access to care
• D. Focusing on disease prevention

Correct answer: B

Rationale: The correct answer is B: 'Encouraging healthy behaviors.' Health promotion focuses on empowering individuals and communities to take control of their health by promoting healthy behaviors and lifestyles. This approach involves education, creating supportive environments, and advocating for policies that enhance well-being. It goes beyond simply treating illness or preventing diseases, emphasizing a proactive and holistic approach to achieving and maintaining good health.

5. The C/PHN is supporting legislation that seeks tighter gun control laws in New York State. The nurse knows that a significant challenge to getting legislation passed relates to which of the following:

• A. A lack of interest in this topic by many citizens of the state.
• B. An inability to gather statistics to understand the magnitude of the problem.
• C. Special interest groups that exert influence on legislators.
• D. The idea that gun violence is not a significant public health concern in the US.

Correct answer: C

Rationale: Special interest groups often exert significant influence on legislators, making it challenging to pass tighter gun control laws. These groups may lobby against such legislation, impacting the decision-making process of lawmakers. This influence can hinder the progress of bills related to gun control, despite potential public support or health implications.

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