Nursing Elites

1. During which phase of the community organizing process are the leaders or groups given training to develop their knowledge, skills, and attitudes in managing their own programs?

• A. Sustenance and strengthening phase
• B. Pre-entry phase
• C. Organizing-building phase
• D. Entry phase

Correct answer: C

Rationale: The correct answer is C, the organizing-building phase. This phase involves providing training to leaders and groups to develop their knowledge, skills, and attitudes in managing their own programs. Choice A, the sustenance and strengthening phase, focuses more on maintaining and enhancing existing programs rather than training. Choice B, the pre-entry phase, occurs before actual organizing and training take place. Choice D, the entry phase, is about initiating the community organizing process, not specifically about training leaders and groups.

2. The Healthy People project is designed to:

• A. track health care trends to anticipate insurance liabilities, especially for poor and urban populations
• B. demonstrate that social factors have a significant impact on individual and community health
• C. follow health indicators such as activity, substance use, mental health, and environmental issues
• D. demonstrate that access to health care in the United States is adequate for all populations

Correct answer: C

Rationale: The Healthy People project is designed to follow health indicators such as activity, substance use, mental health, and environmental issues to improve public health outcomes. Choice A is incorrect because the project focuses on public health indicators rather than insurance liabilities. Choice B is incorrect as the project actually acknowledges the significant impact of social factors on health. Choice D is incorrect because one of the main goals of the Healthy People project is to identify and address disparities in access to healthcare, not to demonstrate that access is adequate for all populations.

3. A nurse manager is using the technique of brainstorming to help solve a problem. One nurse criticizes another nurse’s contribution and begins to find objections to the suggestion. The nurse manager's best response is to

• A. Let’s move on to a new action that deals with the problem.
• B. I think you need to reserve judgment until after all suggestions are offered.
• C. Very well thought out. Your analytic skills and interest are incredible.
• D. Let’s move to the ‘what if…’ as related to these objections for an exploration of spin-off ideas.

Correct answer: D

Rationale: Encouraging the group to explore 'what if' scenarios based on the objections helps to maintain a positive and creative brainstorming atmosphere, while also validating the concerns raised by the nurse. Choice A is dismissive and does not address the issue at hand. Choice B suggests postponing judgment, which may not resolve the tension caused by the criticism. Choice C is complimentary but does not address the critical feedback provided by the nurse, missing an opportunity to turn objections into opportunities for further exploration.

4. Epidemiology is directly concerned with which of the following?

• A. factors influencing occurrence and distribution of diseases, defects, disability, or death of groups of individuals
• B. vital health statistics
• C. environmental sanitation
• D. treatment of a communicable disease

Correct answer: A

Rationale: Corrected Rationale: Epidemiology is the study of the distribution and determinants of health-related states or events in specified populations and the application of this study to the control of health problems. It focuses on identifying and understanding the factors that influence the occurrence and distribution of diseases, defects, disability, or death of groups of individuals. Therefore, the correct answer is A. Choice B, vital health statistics, is not the primary focus of epidemiology. While vital health statistics may be used in epidemiological studies, it is not the direct concern of epidemiology. Choice C, environmental sanitation, although important for public health, is not the main focus of epidemiology. Epidemiology is more concerned with the factors influencing disease occurrence and distribution, rather than environmental sanitation. Choice D, treatment of a communicable disease, is more related to clinical medicine rather than epidemiology. Epidemiology is more focused on prevention, control, and understanding the patterns and causes of diseases rather than their treatment.

5. Which of the following measures the proportion of the population that exhibits a particular disease at a particular time and includes both new and old cases?

• A. proportionate morbidity rate
• B. case fatality rate
• C. incidence ratio
• D. prevalence ratio

Correct answer: D

Rationale: The correct answer is D, prevalence ratio. Prevalence ratio measures the proportion of the population with a particular disease at a specific time, including both new and existing cases. Choice A, proportionate morbidity rate, is not a standard term and might confuse students. Choice B, case fatality rate, measures the proportion of deaths from a specific disease compared to the total number of cases but does not include both new and old cases. Choice C, incidence ratio, measures the rate of new cases of a disease in a specific population over a defined period, not considering existing cases.

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