Nursing Elites

1. The RN working within the NFP model of care uses the Minnesota Health Wheel to describe what she does in her role to her own family. Which intervention is the RN likely to describe that is consistent with the public health nurse role of delegation:

• A. I administered IV antibiotics every 6 hours when the physician or nurse practitioner prescribed them.
• B. I conducted a full respiratory exam on a mother who might need asthma follow-up.
• C. I collaborated with the social work services team when I noted that my patient was unhoused.
• D. I taught the newly pregnant mom about necessary vaccinations to have at this time.

Correct answer: C

Rationale: Collaborating with social work services is a form of delegation, ensuring that clients receive comprehensive care.

2. Identifying that numerous factors influence chronic illnesses such as hypertension, which of the following would be an upstream factor to enhance health outcomes for adults with hypertension in the community?

• A. Nutritional classes featuring low-fat and low-carb choices.
• B. Motivational interviewing sessions for smoking cessation.
• C. Working with the public health department to restrict smoking in public.
• D. Initiating chair yoga classes for seniors in the community.

Correct answer: C

Rationale: Working with the public health department to restrict smoking in public is an upstream factor that focuses on implementing population-level interventions to prevent health issues such as hypertension. By creating policies to limit smoking in public spaces, it can help reduce the overall exposure to tobacco smoke, thereby positively impacting the health outcomes of adults with hypertension in the community.

3. How do social determinants impact health?

• A. They directly affect health behaviors and outcomes.
• B. They primarily influence genetic predisposition.
• C. They have minimal impact on overall health.
• D. They determine access to health resources.

Correct answer: A

Rationale: Social determinants play a significant role in impacting health by directly influencing health behaviors and outcomes. These determinants include factors such as socioeconomic status, education, neighborhood, and access to healthcare, which shape the conditions in which individuals live, work, and age, ultimately affecting their health status.

4. Which action demonstrates primary prevention?

• A. Administering immunizations
• B. Screening for early signs of disease
• C. Providing rehabilitation services
• D. Offering smoking cessation programs

Correct answer: A

Rationale: Administering immunizations is a prime example of primary prevention because it focuses on preventing diseases before they occur. By administering vaccines, individuals are protected from various infectious diseases, thereby reducing the risk of illness and transmission to others. This proactive approach aligns with the primary prevention goal of promoting health and preventing the onset of diseases.

5. What is the primary purpose of health education?

• A. To empower individuals to make informed health decisions
• B. To reduce healthcare costs
• C. To provide health information
• D. To comply with legal requirements

Correct answer: A

Rationale: The primary purpose of health education is to empower individuals with the knowledge and skills to make informed health decisions. By providing individuals with the necessary information and tools, they can take control of their health, leading to better health outcomes and overall well-being. While reducing healthcare costs may be an indirect benefit of health education, the core focus is on empowering individuals rather than cost reduction, simply providing health information or meeting legal requirements.

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