Nursing Elites

1. 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.

2. Why is environmental health more challenging than other variables related to an individual’s health?

• A. Environmental health affects susceptible individuals more than groups.
• B. Environmental health demands that individuals be willing to change their beliefs.
• C. Environmental health is dependent on social neighborhoods and geography.
• D. Environmental health requires social, economic, and political changes to improve.

Correct answer: D

Rationale: Improving environmental health necessitates broader changes beyond individual actions, including social, economic, and political transformations to address root causes of environmental issues. These changes are crucial for sustainable improvements in environmental health outcomes.

3. What factor is most likely to improve health outcomes in a community?

• A. Access to affordable health care
• B. Community engagement and participation
• C. Implementing health education programs
• D. Strong leadership

Correct answer: B

Rationale: Community engagement and participation play a crucial role in improving health outcomes by ensuring that interventions are relevant and supported by the community. When individuals are actively involved and engaged in health initiatives, it promotes a sense of ownership, increases awareness, and fosters collaboration within the community, ultimately leading to more effective and sustainable health outcomes.

4. Which factor is most critical for the sustainability of health programs?

• A. Continuous community involvement
• B. Support from local government
• C. Availability of funding
• D. Regular program evaluation

Correct answer: A

Rationale: Continuous community involvement is the most critical factor for the sustainability of health programs. When the community is actively engaged and involved in health initiatives, there is a higher likelihood of long-term support and success. Community involvement fosters ownership, collaboration, and ensures that health programs are tailored to meet the specific needs of the community, leading to better outcomes and sustainability over time.

5. 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.

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