Nursing Elites

1. 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.

2. Failure of muscle coordination, including unsteady movements and staggering walk due to disorders in the cerebellum is called:

• A. Anoxia
• B. Dyslexia
• C. Paraplegia
• D. Ataxia

Correct answer: D

Rationale: Ataxia is the correct term for the failure of muscle coordination, resulting in unsteady movements and a staggering walk due to disorders in the cerebellum. Anoxia refers to a lack of oxygen supply to tissues, Dyslexia is a learning disorder related to reading, and Paraplegia is paralysis of the lower half of the body.

3. Which term refers to the personal characteristics and risks of a group within a community?

• A. Aggregate of people
• B. Location in space and time
• C. Social system
• D. Census tract

Correct answer: A

Rationale: An aggregate of people refers to a group within a community that shares common personal characteristics and risks. This term is used to describe a specific dimension of a community focusing on the characteristics and risks of a group rather than geographical or structural aspects (choices B, C, and D). Therefore, the correct answer is 'Aggregate of people.'

4. What is a primary responsibility of a community health nurse?

• A. Providing direct patient care
• B. Conducting health education sessions
• C. Advocating for policy changes
• D. Developing health policies

Correct answer: C

Rationale: A primary responsibility of a community health nurse is advocating for policy changes that positively impact health outcomes within the community. By advocating for policy changes, community health nurses can address social determinants of health and help create sustainable improvements in the overall health and well-being of the community.

5. During a health education program, a facilitator continues to ask questions and encourages attendees to contribute examples from their own lives relevant to the discussion. Which best describes the rationale for the facilitator’s action?

• A. To avoid having to prepare more material related to the topic
• B. To let the participants feel appreciated and knowledgeable
• C. To allow the participants to learn by doing through active participation
• D. To apply Freire’s principles of learning

Correct answer: C

Rationale: The facilitator's action of encouraging active participation, where attendees contribute examples from their own lives, is aimed at facilitating learning through doing. This approach engages participants directly in the learning process, enhancing understanding and retention by connecting theoretical concepts to real-life experiences. Active participation promotes a deeper understanding of the material and increases the likelihood of behavior and attitude change.

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