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. While using technique of motivational interviewing with a college student engaged in binge drinking several times per week, the public health RN should begin with which intervention:

• A. Discussing how the student is managing his overall academic studies since drinking has become a problem
• B. Explaining to the student the full range of harmful impacts binge drinking has on the body and mind
• C. Asking open-ended questions and actively listening to the student while trying to remove any judgement
• D. Asking the student to make a validated survey that reveals attitudes and knowledge about binge drinking

Correct answer: C

Rationale: Asking open-ended questions and actively listening without judgement is a key technique in motivational interviewing.

3. Which action exemplifies the role of a nurse in policy advocacy?

• A. Meeting with legislators to discuss health issues
• B. Administering vaccines in the community
• C. Conducting health screenings
• D. Providing direct care to underserved populations

Correct answer: A

Rationale: Meeting with legislators to discuss health issues exemplifies the role of a nurse in policy advocacy. Nurses engage in policy advocacy to influence decisions that impact health outcomes at the population level. By meeting with legislators, nurses can advocate for policies that support healthcare access, quality, and equity, ultimately contributing to improved health outcomes for individuals and communities.

4. Which of the following is the best intervention for a client with less than 6 months to live who is seeking comfort care?

• A. Set up a meeting with the hospice team
• B. Arrange a meeting with the client’s family
• C. Discuss advance directives (DNR & living will) with the patient
• D. Ask the provider to decrease the patient’s heart medications

Correct answer: A

Rationale: Setting up a meeting with the hospice team is the most appropriate intervention for a client with less than 6 months to live who is seeking comfort care. Hospice care focuses on providing comfort and support for individuals with terminal illnesses. By involving the hospice team, the client can receive specialized care aimed at improving their quality of life and managing symptoms effectively during this challenging time.

5. Which of the following is a critical component of a health promotion program?

• A. Community involvement
• B. Sufficient funding
• C. Effective leadership
• D. Transparent communication

Correct answer: A

Rationale: Community involvement is a critical component of a health promotion program as it ensures that the program aligns with the community's needs and fosters ownership and sustainability. Engaging the community in the planning, implementation, and evaluation of health promotion initiatives increases their effectiveness and relevance.

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