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 of the following is an example of a health disparity?

• A. Differences in health outcomes based on geographic location
• B. Differences in health outcomes based on socioeconomic status
• C. Differences in health outcomes based on age
• D. Differences in health outcomes based on genetic factors

Correct answer: B

Rationale: A health disparity refers to differences in health outcomes based on socioeconomic status, indicating unequal access to healthcare services and variations in health outcomes due to economic factors.

3. Which term refers to trained community health workers or health auxiliary volunteers?

• A. Village health workers
• B. Barangay health workers
• C. All of the above
• D. None of the above

Correct answer: A

Rationale: Village health workers are individuals who have received training to provide health services within their community. Therefore, the correct term that refers to trained community health workers or health auxiliary volunteers is 'Village health workers.' Barangay health workers may also exist, but the specific term mentioned in the question is 'Village health workers,' making option A the correct choice.

4. 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.

5. The healthcare provider should consider the following when assessing the child for chest indrawing EXCEPT

• A. Chest indrawing should be present at all times
• B. The lower chest wall does not move in when the child breathes in
• C. The lower chest moves in when the child breathes in
• D. The child should be calm

Correct answer: A

Rationale: When assessing a child for chest indrawing, it is important to note that chest indrawing should NOT be present at all times, as this would suggest a significant respiratory distress. Chest indrawing is an abnormal inward movement of the lower chest wall during inhalation, indicating increased work of breathing. Therefore, the absence of chest indrawing during normal breathing is a normal finding. The healthcare provider should observe for the lower chest moving in with each breath, which is abnormal, while ensuring that the child is calm during the assessment.

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