Nursing Elites

1. Which of the following is NOT an example of public health services?

• A. Control of communicable diseases
• B. Environmental sanitation
• C. Hospital management
• D. Health education

Correct answer: C

Rationale: Public health services focus on promoting and protecting the health of communities. Control of communicable diseases, environmental sanitation, and health education directly impact the overall well-being of populations. However, hospital management is typically associated with the administration and operations of healthcare facilities rather than public health initiatives.

2. What is the most effective method for preventing the spread of disease?

• A. Hand hygiene
• B. Vaccination
• C. Quarantine
• D. Use of personal protective equipment

Correct answer: A

Rationale: Hand hygiene is considered the most effective method for preventing the spread of diseases. Regular handwashing with soap and water for at least 20 seconds can help remove germs and reduce the risk of infections. While vaccination, quarantine, and the use of personal protective equipment are also important in disease control, hand hygiene is fundamental and easily accessible for everyone to practice in daily life.

3. The public health RN is working with a client who desires to quit smoking. The client says to the RN, 'I want to quit but I just don't think I have it in me to really make it happen.' According to the Health Belief Model, this response relates to which factor:

• A. Susceptibility
• B. Self-efficacy
• C. Severity
• D. Cue to action

Correct answer: B

Rationale: The correct answer is B, 'Self-efficacy.' In the Health Belief Model, self-efficacy refers to a person's belief in their capacity to execute behaviors necessary to achieve specific goals or outcomes. In this scenario, the client's statement reflects a lack of confidence in their ability to successfully quit smoking, indicating low self-efficacy. By addressing and enhancing the client's self-efficacy, the public health RN can help empower the client to take steps towards successful smoking cessation.

4. What is a primary objective of public health?

• A. Lowering the prevalence of chronic diseases
• B. Eliminating health disparities among populations
• C. Delivering health education
• D. Extending life expectancy

Correct answer: B

Rationale: A fundamental goal of public health is to address and eliminate health disparities among different populations, aiming to ensure that everyone has equal access to resources and opportunities for good health outcomes.

5. In population health management, a nurse overseeing a panel of 1,500 patients will primarily engage in which of the following activities?

• A. Proactively assessing the health needs of the entire panel and planning accordingly
• B. Focusing on providing care to young and seemingly vulnerable patients
• C. Spending most time with patients who regularly attend their visits
• D. Prioritizing care by responding to the oldest patients first

Correct answer: A

Rationale: In population health management, a nurse overseeing a large panel of patients needs to proactively assess the health needs of the entire panel to plan and provide appropriate care effectively. This approach ensures that all patients receive necessary attention and interventions, contributing to better health outcomes for the population as a whole.

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