Nursing Elites

1. Which method is commonly used to evaluate community health programs?

• A. Conducting randomized controlled trials
• B. Using focus groups to gather feedback
• C. Measuring changes in health behaviors
• D. Surveying community health needs

Correct answer: C

Rationale: Measuring changes in health behaviors is a common method used to evaluate the effectiveness of community health programs. By assessing changes in health behaviors, such as dietary choices, exercise habits, or preventative care utilization, program evaluators can determine the impact of the intervention on the target population's health outcomes.

2. What action is essential for a community health nurse to assess environmental health risks?

• A. Collecting data on community health behaviors
• B. Conducting health screenings
• C. Assessing workplaces for potential hazards
• D. Monitoring air and water quality

Correct answer: D

Rationale: Community health nurses play a vital role in assessing environmental health risks by monitoring air and water quality. This action helps identify potential hazards that may impact the health of individuals in the community. By monitoring these environmental factors, nurses can gather important data to address and mitigate health risks associated with poor air or water quality.

3. Which of the following best describes epidemiology?

• A. The study of the distribution and determinants of health-related states or events in specified populations.
• B. The study of the distribution and determinants of health-related states or events in specified populations and the application of this study to control health problems.
• C. The study of how social factors influence health outcomes.
• D. The study of how health systems and services impact population health.

Correct answer: B

Rationale: Epidemiology is defined as the study of the distribution and determinants of health-related states or events in specified populations, as well as the application of this study to control health problems. This field focuses on identifying patterns and causes of health and disease in order to develop strategies for prevention and control.

4. 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.

5. A healthcare professional is working to improve the health of a community. Which action demonstrates this?

• A. Providing health education
• B. Conducting community assessments
• C. Advocating for health policy changes
• D. Developing health policies

Correct answer: C

Rationale: Advocating for health policy changes is a significant action that can impact the health of a community on a larger scale by influencing policies that affect the well-being of the population. While providing health education and conducting community assessments are valuable activities, advocating for policy changes can lead to systemic improvements in healthcare access, quality, and outcomes.

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