Nursing Elites

1. 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.

2. Which factor is most closely linked to health disparities?

• A. Access to health care
• B. Lifestyle choices
• C. Environmental factors
• D. Social support

Correct answer: A

Rationale: Access to health care is a critical factor closely linked to health disparities. Limited access to healthcare services can result in disparities in health outcomes, as individuals with restricted access may face challenges in receiving timely and adequate medical care, leading to poorer health outcomes compared to those with better access.

3. All of the following are objectives of FHSIS except:

• A. To complete the clinical picture of chronic diseases and describe their natural history
• B. To provide a standardized, facility-level database that can be accessed for more in-depth studies
• C. To minimize recording and reporting burden, allowing more time for patient care and promotive activities
• D. To ensure that reported data are useful, accurate, and disseminated in a timely and easy-to-use fashion

Correct answer: A

Rationale: The objective of FHSIS is not to complete the clinical picture of chronic diseases and describe their natural history. Instead, it focuses on providing standardized facility-level data, minimizing reporting burden to allow more time for patient care, and ensuring that reported data are useful, accurate, and disseminated effectively.

4. Why is health equity important in community health?

• A. It ensures all individuals have the opportunity to achieve their best health.
• B. It focuses on treating existing health conditions.
• C. It addresses the immediate health needs of the community.
• D. It eliminates health disparities among different populations.

Correct answer: A

Rationale: Health equity is crucial in community health as it ensures that all individuals have equal opportunities to achieve their best health outcomes. By addressing inequalities and barriers to care, health equity aims to create a level playing field where everyone can access the resources and support needed to lead healthy lives. This approach goes beyond simply treating existing health conditions or addressing immediate needs; it strives to eliminate systemic disparities and promote fairness in health outcomes for all members of the community.

5. Which factor is critical to the success of community health programs?

• A. Adequate funding
• B. Community involvement
• C. Strong leadership
• D. Comprehensive planning

Correct answer: B

Rationale: Community involvement plays a critical role in the success of community health programs. It ensures that programs are tailored to meet the specific needs of the community, fostering ownership and sustainability.

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