Nursing Elites

1. James' illness can be classified as:

• A. Pneumonia
• B. Very severe illness
• C. Severe pneumonia
• D. No pneumonia

Correct answer: D

Rationale: James' illness can be classified as 'No pneumonia' because there are no general danger signs present, and his breathing rate is normal, indicating the absence of pneumonia.

2. What is the most important factor in planning a community health intervention?

• A. Availability of funding
• B. Understanding the community’s needs
• C. Identifying health trends
• D. Engaging health professionals

Correct answer: B

Rationale: Understanding the community’s needs is the most important factor in planning a community health intervention. It ensures that the intervention is tailored to address the specific health concerns and requirements of the community, leading to more effective and sustainable outcomes.

3. Which of the following is an example of a health disparity?

• A. Differences in health outcomes based on geographic location
• B. Differences in health outcomes based on socioeconomic status
• C. Differences in health outcomes based on age
• D. Differences in health outcomes based on genetic factors

Correct answer: B

Rationale: A health disparity refers to differences in health outcomes based on socioeconomic status, indicating unequal access to healthcare services and variations in health outcomes due to economic factors.

4. When writing a community diagnosis, the community health nurse notes that the 'among' phrase:

• A. Presents a synthesis of all assessment data.
• B. Provides the supporting data.
• C. Specifies the aggregate that will benefit from the nurse's plan.
• D. Describes the cause of the health problem and directs focus of interventions.

Correct answer: C

Rationale: In community diagnosis, the 'among' phrase is used to specify the particular population group that will benefit from the nurse's plan. It helps in targeting interventions and tailoring healthcare activities to the identified group within the community.

5. The public health nurse is working with a client who desires to move away from eating take-out and fatty foods to maintain a healthier lifestyle. The client mentions eliminating processed foods from her diet most days of the week but still struggles to consistently add fruits and vegetables to her meals. According to the Transtheoretical Model of health behavior change, this client is in which stage:

• A. Pre-contemplation
• B. Contemplation
• C. Preparation
• D. Action

Correct answer: C

Rationale: The client is in the Preparation stage as they are actively taking steps towards behavior change by eliminating processed foods from their diet most days of the week. While they still struggle to consistently add fruits and vegetables, their efforts to make small changes indicate that they are in the Preparation stage, where individuals are getting ready to take action to change their behavior.

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