Nursing Elites

1. One of the first steps in community assessment may involve the community health nurse driving or walking through an area and making observations about such things as environmental layout and location of agencies, hospitals, industries, and so forth. This is called a(n):

• A. Census survey.
• B. Needs survey.
• C. Informant survey.
• D. Windshield survey.

Correct answer: D

Rationale: A windshield survey involves observations made from a moving vehicle, allowing the community health nurse to gather information about the community's physical and social environment without direct interaction. This method helps in understanding the community's resources, potential hazards, and overall characteristics, which are essential for planning and implementing effective community health interventions.

2. The public health nurse is reading information from a study that states that hypertension may be associated with an odds ratio of 2.49, meaning the patient is approximately 2.5 times more likely to have a severe form of COVID-19 than those without hypertension. The nurse describes the odds ratio as:

• A. a measure of association between an exposure and an outcome
• B. an absolute risk increase
• C. a measure of statistical significance
• D. a measure of precision

Correct answer: A

Rationale: The odds ratio is a measure of association between an exposure and an outcome. In this context, an odds ratio of 2.49 indicates that individuals with hypertension are approximately 2.5 times more likely to develop severe COVID-19 compared to those without hypertension. Therefore, choice A is correct as it accurately defines the role of odds ratio in assessing the relationship between an exposure (hypertension) and an outcome (severe COVID-19). Choices B, C, and D are incorrect as they do not describe the nature of odds ratio.

3. Which best describes an outcome of successful health promotion?

• A. Reduced incidence of chronic diseases
• B. Increased health care costs
• C. Improved patient compliance
• D. Decreased use of emergency services

Correct answer: A

Rationale: The correct answer is A: Reduced incidence of chronic diseases. Successful health promotion aims to prevent diseases and improve health outcomes, leading to a decrease in the occurrence of chronic conditions. This outcome reflects positive changes in health behaviors and conditions, ultimately contributing to better overall health in populations.

4. As a community health nurse engaged in the process of community empowerment, what is essential for you to do?

• A. Gather data from the community
• B. Make decisions for people in the community
• C. Form partnerships with people in the community
• D. Accept responsibility for people's actions

Correct answer: C

Rationale: Forming partnerships with people in the community is crucial for community empowerment. It fosters collaboration, mutual support, and shared decision-making in health initiatives, empowering the community members to take charge of their own health.

5. Which best describes the role of a nurse in health policy development?

• A. Advocating for policy changes
• B. Providing direct patient care
• C. Conducting health screenings
• D. Developing new health technologies

Correct answer: A

Rationale: A nurse's role in health policy development involves advocating for policy changes that enhance health outcomes and increase access to care. Nurses contribute their expertise to influence policy decisions that impact patient care, healthcare systems, and public health initiatives. By participating in health policy development, nurses can address healthcare disparities, improve quality of care, and promote the well-being of individuals and communities.

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