Nursing Elites

1. What refers to the systematic study of vital events such as births, illnesses, marriages, divorce, separation, and deaths?

• A. Vital statistics
• B. Statistics
• C. Morbidity
• D. Mortality

Correct answer: A

Rationale: Vital statistics encompass the systematic study of vital events such as births, illnesses, marriages, divorce, separation, and deaths. It provides essential data for understanding population health trends and informing public health policies.

2. When assisting clients in changing their behavior, what would be the most effective approach?

• A. Counseling through the Ask, Advise, Assess, Assist, and Arrange approach
• B. Encouraging them to interact with others who also need to change their behavior
• C. Showing them how the inappropriate behavior is hurting their friends and family
• D. Using subtle rewards when small steps are taken toward the appropriate behavior

Correct answer: A

Rationale: The most effective approach in helping clients to change their behavior is to utilize the Ask, Advise, Assess, Assist, and Arrange approach. This comprehensive counseling strategy is commonly employed in various programs, such as smoking cessation, to guide individuals through behavior change by systematically addressing their needs and providing support at each stage of the process.

3. Which of the following is NOT a part of the community assessment process?

• A. Identifying available resources such as time, money, and team skills
• B. Setting action priorities based on the needs of the community and available resources
• C. Withholding results from the community until they can be statistically confirmed to avoid alarming people
• D. Collecting and analyzing information

Correct answer: C

Rationale: In the community assessment process, it is essential to involve the community and share information transparently. Withholding results until they are statistically confirmed can lead to misinformation or unnecessary delays in addressing community needs. Therefore, option C, which suggests withholding results, is NOT a standard practice in the community assessment process.

4. A community hospital is an example of which level of health care?

• A. Secondary level of care
• B. Tertiary level of care
• C. Primary level of care
• D. Intermediate level of care

Correct answer: A

Rationale: Community hospitals are considered part of the secondary level of health care. They provide acute care services, including emergency care, surgeries, and specialized diagnostic services. Primary care is typically provided in outpatient settings such as clinics and doctor's offices, while tertiary care involves highly specialized services like organ transplants and neurosurgery. Intermediate care usually refers to services that are more intensive than what is provided at the primary care level but less specialized than tertiary care.

5. How do social determinants impact health?

• A. They directly affect health behaviors and outcomes.
• B. They primarily influence genetic predisposition.
• C. They have minimal impact on overall health.
• D. They determine access to health resources.

Correct answer: A

Rationale: Social determinants play a significant role in impacting health by directly influencing health behaviors and outcomes. These determinants include factors such as socioeconomic status, education, neighborhood, and access to healthcare, which shape the conditions in which individuals live, work, and age, ultimately affecting their health status.

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