Nursing Elites

1. A nurse who works on the surgical unit at the local hospital was asked by the home health unit to make a home visit to a patient who had been discharged the previous day and to give follow-up care (for overload pay). What kind of nursing would this nurse be doing?

• A. Acute care hospital nursing
• B. Community-based nursing
• C. Community health nursing
• D. Public health nursing

Correct answer: B

Rationale: The nurse is providing care to a patient at home, which falls under the realm of community-based nursing. Community-based nursing involves providing healthcare services outside of traditional healthcare facilities, such as in patients' homes or community settings, to promote health and wellness and prevent hospital readmissions.

2. Which best describes a community health assessment?

• A. A comprehensive evaluation of the health needs of a community
• B. An analysis of the effectiveness of health interventions
• C. A survey of individual health behaviors and outcomes
• D. A review of health care resources available in a community

Correct answer: A

Rationale: A community health assessment involves a thorough evaluation of the health needs of a community, taking into account various factors such as demographics, health behaviors, environmental factors, and existing health services. This assessment helps in identifying health disparities, determining priority areas for intervention, and developing strategies to address the identified health needs of the community.

3. Which best describes a primary prevention strategy in community health?

• A. Providing immunizations
• B. Conducting health screenings
• C. Offering rehabilitation services
• D. Providing treatment for acute illnesses

Correct answer: A

Rationale: The correct answer is A: Providing immunizations. This is a primary prevention strategy that focuses on preventing diseases before they occur. Immunizations help build immunity against specific diseases, reducing the likelihood of infection and transmission within the community. This proactive approach is essential in promoting public health and preventing the spread of communicable diseases.

4. Barriers to a patient’s engagement in self-care include all of the following except:

• A. Mental health issues
• B. Lack of knowledge
• C. High health literacy
• D. Financial issues

Correct answer: C

Rationale: High health literacy is not considered a barrier to patient engagement in self-care. In fact, individuals with high health literacy are more likely to understand health information, make informed decisions, and actively participate in their self-care, which can enhance health outcomes. Mental health issues, lack of knowledge, and financial issues are common barriers that can hinder a patient's ability to engage in self-care practices.

5. What best describes the importance of community partnerships in health promotion?

• A. They provide additional resources and support.
• B. They reduce the workload of healthcare professionals.
• C. They ensure compliance with regulations.
• D. They create competition among healthcare organizations.

Correct answer: A

Rationale: Community partnerships play a crucial role in health promotion by providing additional resources and support. These partnerships enhance the effectiveness of health promotion activities by leveraging diverse skills, knowledge, and resources from various community stakeholders. Collaborating with community partners can expand the reach and impact of health promotion initiatives beyond what could be achieved solely by healthcare professionals.

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