Nursing Elites

1. Identifying that numerous factors influence chronic illnesses such as hypertension, which of the following would be an upstream factor to enhance health outcomes for adults with hypertension in the community?

• A. Nutritional classes featuring low-fat and low-carb choices.
• B. Motivational interviewing sessions for smoking cessation.
• C. Working with the public health department to restrict smoking in public.
• D. Initiating chair yoga classes for seniors in the community.

Correct answer: C

Rationale: Working with the public health department to restrict smoking in public is an upstream factor that focuses on implementing population-level interventions to prevent health issues such as hypertension. By creating policies to limit smoking in public spaces, it can help reduce the overall exposure to tobacco smoke, thereby positively impacting the health outcomes of adults with hypertension in the community.

2. What is a common barrier to effective health education?

• A. Lack of funding for educational programs
• B. Cultural differences
• C. Complex medical terminology
• D. Resistance to behavior change

Correct answer: D

Rationale: Resistance to behavior change is a common barrier to effective health education because individuals may be resistant or hesitant to change their behaviors even when presented with health education interventions.

3. When working with moms and babies from diverse backgrounds in the community, what is a necessary competence for a public health nurse to have self-awareness and humility?

• A. I am confident in my ability to teach the new mom about all the necessary aspects of evidence-based newborn care before the baby is born.
• B. I often notice that newly expectant moms underestimate the challenges of caring for a new baby, and I emphasize this to them.
• C. Sometimes, young moms lack knowledge about self-care, and I try to correct their behavior promptly.
• D. I understand that I may not always be perfect with my patients, but I acknowledge this openly and listen to their feedback.

Correct answer: D

Rationale: Self-awareness and humility are vital qualities for a public health nurse. Option D demonstrates these qualities by acknowledging personal fallibility and actively engaging with patients to address any shortcomings. This approach fosters trust and open communication, essential for providing effective care across diverse cultural backgrounds.

4. Diabetes has become a major health problem. How can healthcare professionals help to reduce the incidence of diabetes?

• A. Conducting extensive screening of individuals with diabetes risk factors
• B. Facilitating the implementation of Republic Act 8191 - National Diabetes Act
• C. Establishing support groups for individuals with diabetes
• D. Increasing community awareness of diabetes prevention

Correct answer: D

Rationale: Increasing community awareness of diabetes prevention is essential in reducing the incidence of diabetes. By educating the community about prevention strategies such as healthy lifestyle choices, regular exercise, and balanced diet, healthcare professionals can empower individuals to make informed decisions to lower their risk of developing diabetes.

5. When caring for a first-time mom and baby, the community RN would focus on which of the following as the first priority when developing appropriate interventions?

• A. Education
• B. Safety
• C. Policy-making
• D. Vaccination

Correct answer: B

Rationale: The primary priority when caring for a first-time mom and baby is ensuring safety. Safety encompasses various aspects such as preventing accidents, promoting a safe environment for both the mother and baby, and reducing risks of harm. By prioritizing safety, the community RN can address immediate concerns and create a foundation for the well-being of the mother and baby.

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