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. 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.

3. Which is an essential component of health literacy?

• A. Accessing health information
• B. Reading and comprehending health information
• C. Navigating the health care system
• D. Utilizing technology for health management

Correct answer: C

Rationale: An essential component of health literacy is the ability to navigate the health care system. This skill is crucial for individuals to access, understand, and effectively utilize health services available to them. Navigating the health care system involves understanding how to find appropriate healthcare providers, make appointments, understand insurance coverage, and follow through with treatment recommendations. Without this ability, individuals may struggle to access needed care, leading to potential negative health outcomes.

4. Conditions that promote disease or injury and prevent people from realizing their health potential are termed as:

• A. Aggregate of people
• B. Health threats
• C. Health need
• D. Foreseeable crisis

Correct answer: B

Rationale: The correct term for conditions that promote disease or injury and hinder people from achieving their health potential is 'health threats.' These are factors that pose a risk to an individual or community's health, such as environmental hazards, lifestyle choices, or infectious diseases.

5. The public health RN is engaging with a teen in his community who is concerned about how he will be able to stay part of his friend group when they are all vaping and your client does not want to take part but does not want to feel awkward. Using motivational interviewing techniques, the RN says to the client, 'I understand this concern. Please tell me more about this and how it feels awkward for you.' The RN's question is an example of:

• A. Moving the teen to find a new friend group.
• B. Addressing the problem of teen awkwardness.
• C. Agreeing that awkwardness is hard.
• D. Using open-ended questioning.

Correct answer: D

Rationale: The RN's question, 'Please tell me more about this and how it feels awkward for you,' is an example of using open-ended questioning. Open-ended questions encourage clients to share more about their feelings and thoughts, allowing for a deeper exploration of their concerns and experiences. It helps in building rapport, understanding the client's perspective, and facilitating a client-centered conversation.

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