Nursing Elites

1. A community health nurse is overwhelmed with all that needs to be done in one day. Which task could most easily be postponed?

• A. Reviewing the most recent hospital patient data collected by the local college of nursing
• B. Deciding which of several possible new clinic options would be most effective in better meeting the needs of the local community
• C. Evaluating the results of the most recent community-wide screening program before planning for the next community health program
• D. Giving testimony to the state legislature on a new health and safety bill

Correct answer: A

Rationale: The most easily postponed task among the options provided is reviewing the most recent hospital patient data collected by the local college of nursing. This task focuses on data collection and analysis, which can be delayed without immediate impact on decision-making related to new clinic options, community-wide screening program evaluation, or legislative testimony on health and safety bills.

2. After organizing, follow-up visits are also necessary. What should you do first?

• A. Explain the purpose of the visit
• B. Wash your hands and perform the necessary procedure
• C. Conduct environmental surveillance
• D. Greet the patient/resident and introduce yourself

Correct answer: A

Rationale: Explaining the purpose of the visit is the first step in a follow-up visit as it establishes the reason for the interaction. This communication helps set expectations for both the provider and the patient/resident, ensuring that the visit is focused and productive. It allows the patient/resident to understand the goals of the follow-up and promotes a patient-centered approach to care.

3. Which is an example of tertiary prevention?

• A. Providing rehabilitation services
• B. Diagnosing and treating disease
• C. Health education to prevent complications
• D. Screening for complications

Correct answer: A

Rationale: Tertiary prevention aims to manage long-term health problems and prevent complications in individuals who already have a disease or condition. Providing rehabilitation services falls under tertiary prevention as it helps individuals recover and improve their quality of life after the initial treatment of a health issue.

4. Which action demonstrates health advocacy?

• A. Providing direct patient care
• B. Working to change policies that affect health care access
• C. Educating patients about their health conditions
• D. Conducting health screenings in underserved areas

Correct answer: B

Rationale: Health advocacy involves advocating for policies that positively impact health care access for all individuals. By working to change policies, a person promotes equitable access to necessary care and resources, which aligns with the principles of health advocacy.

5. When assisting clients in changing their behavior, what would be the most effective approach?

• A. Counseling through the Ask, Advise, Assess, Assist, and Arrange approach
• B. Encouraging them to interact with others who also need to change their behavior
• C. Showing them how the inappropriate behavior is hurting their friends and family
• D. Using subtle rewards when small steps are taken toward the appropriate behavior

Correct answer: A

Rationale: The most effective approach in helping clients to change their behavior is to utilize the Ask, Advise, Assess, Assist, and Arrange approach. This comprehensive counseling strategy is commonly employed in various programs, such as smoking cessation, to guide individuals through behavior change by systematically addressing their needs and providing support at each stage of the process.

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