Nursing Elites

1. Which of the following is an example of a social determinant of health?

• A. Genetic predisposition
• B. Personal health behaviors
• C. Biological factors
• D. Economic stability

Correct answer: D

Rationale: Economic stability, like having a stable income, is a crucial social determinant of health that can significantly influence an individual's overall well-being. Access to economic resources can affect a person's ability to afford healthcare, nutritious food, safe housing, and other essentials that are vital for good health outcomes.

2. 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.

3. 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.

4. Which of the following is the best intervention for a client with less than 6 months to live who is seeking comfort care?

• A. Set up a meeting with the hospice team
• B. Arrange a meeting with the client’s family
• C. Discuss advance directives (DNR & living will) with the patient
• D. Ask the provider to decrease the patient’s heart medications

Correct answer: A

Rationale: Setting up a meeting with the hospice team is the most appropriate intervention for a client with less than 6 months to live who is seeking comfort care. Hospice care focuses on providing comfort and support for individuals with terminal illnesses. By involving the hospice team, the client can receive specialized care aimed at improving their quality of life and managing symptoms effectively during this challenging time.

5. What are the steps involved in the community assessment process for community health nurses? (Select all that apply.)

• A. Writing a community diagnosis
• B. Evaluating the outcomes
• C. Collecting assessment data
• D. Identifying the cause of the problem, planning community interventions

Correct answer: D

Rationale: The steps in the community assessment process for community health nurses involve collecting assessment data, identifying the cause of the problem, and planning community interventions. These steps are crucial for a comprehensive assessment and effective intervention planning in community health nursing.

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