Nursing Elites

1. Which action demonstrates primary prevention?

• A. Administering immunizations
• B. Teaching healthy lifestyle behaviors
• C. Educating about the importance of regular check-ups
• D. Screening for early signs of disease

Correct answer: A

Rationale: Administering immunizations is a primary prevention strategy aimed at preventing diseases before they occur. By administering immunizations, the nurse helps individuals develop immunity against specific diseases, reducing the likelihood of them getting sick in the first place. This proactive approach aligns with primary prevention efforts to promote health and prevent illnesses.

2. Which strategy can improve teamwork in community health settings?

• A. Clearly defining roles and responsibilities
• B. Increasing funding for team activities
• C. Holding regular team meetings
• D. Delegating tasks to appropriate team members

Correct answer: A

Rationale: Clear communication within a team is crucial for effective teamwork. By clearly defining roles and responsibilities, team members have a better understanding of their individual contributions, which can lead to improved collaboration. This clarity helps avoid confusion, reduces duplication of efforts, and enhances overall team performance in community health settings.

3. 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.

4. 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.

5. Which action exemplifies primary prevention in a community setting?

• A. Administering vaccines to children
• B. Screening for early signs of disease
• C. Offering support groups for chronic illness management
• D. Providing treatment for infectious diseases

Correct answer: A

Rationale: Administering vaccines to children is a primary prevention strategy that focuses on preventing the development of diseases before they occur. By administering vaccines, the aim is to protect individuals and the community from infectious diseases by building immunity against them. This proactive approach targets the root causes of illnesses, contributing to overall community health and well-being.

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