Nursing Elites

1. What are the steps involved in the community assessment process for community health nurses? (Select all that apply.)

• A. Writing a community diagnosis
• B. Evaluating the outcomes
• C. Collecting assessment data
• D. Identifying the cause of the problem, planning community interventions

Correct answer: D

Rationale: The steps in the community assessment process for community health nurses involve collecting assessment data, identifying the cause of the problem, and planning community interventions. These steps are crucial for a comprehensive assessment and effective intervention planning in community health nursing.

2. Which best describes a primary role of nurses in promoting community health?

• A. Conducting individual health assessments
• B. Advocating for health policy changes
• C. Providing health education to groups
• D. Developing health policies

Correct answer: B

Rationale: A primary role of nurses in promoting community health involves advocating for health policy changes. By advocating for policy changes, nurses can address systemic issues that impact the health of the community as a whole, rather than focusing solely on individual assessments or education. This proactive approach allows nurses to influence broader health determinants and create sustainable improvements in community health outcomes.

3. 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.

4. Community organizing is an important part of the community nursing function. Given the following elements - choosing an organizational structure, identifying and recruiting members, defining mission, vision, and goals, clarifying roles and responsibilities - at which stage do these elements belong?

• A. Program maintenance-consolidation
• B. Dissemination-Reassessment
• C. Community Analysis/diagnosis
• D. Design and initiation

Correct answer: D

Rationale: These elements of choosing an organizational structure, identifying and recruiting members, defining mission, vision, and goals, and clarifying roles and responsibilities are part of the initial stage of community organizing, which is the design and initiation stage. During this phase, the framework and groundwork for the community organizing efforts are established, setting the direction and structure for the subsequent implementation and maintenance of the program.

5. Which method of gathering data is most effective for remote and vulnerable segments of a community and for those communities with underdeveloped opinions?

• A. Interviewing community informants
• B. Community forum
• C. Focus groups
• D. Telephone surveys

Correct answer: A

Rationale: Interviewing community informants is the most effective method for gathering data from remote and vulnerable segments of a community and for communities with underdeveloped opinions. This approach allows for obtaining in-depth information from key individuals who have a deep understanding of the community dynamics and can provide valuable insights that might not be captured through other methods like community forums, focus groups, or telephone surveys.

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