Nursing Elites

1. What action would promote health equity?

• A. Advocating for policy changes that address social determinants of health
• B. Providing direct care to underserved populations
• C. Conducting health education sessions
• D. Developing new health technologies

Correct answer: A

Rationale: Advocating for policy changes that address social determinants of health is a crucial strategy to promote health equity. By addressing systemic issues that contribute to health disparities, such as access to healthcare, education, and socioeconomic factors, it can help create a more equitable healthcare system and improve health outcomes for all individuals in the community.

2. Barriers to a patient’s engagement in self-care include all of the following except:

• A. Mental health issues
• B. Lack of knowledge
• C. High health literacy
• D. Financial issues

Correct answer: C

Rationale: High health literacy is not considered a barrier to patient engagement in self-care. In fact, individuals with high health literacy are more likely to understand health information, make informed decisions, and actively participate in their self-care, which can enhance health outcomes. Mental health issues, lack of knowledge, and financial issues are common barriers that can hinder a patient's ability to engage in self-care practices.

3. The public health RN is engaging with a teen in his community who is concerned about how he will be able to stay part of his friend group when they are all vaping and your client does not want to take part but does not want to feel awkward. Using motivational interviewing techniques, the RN says to the client, 'I understand this concern. Please tell me more about this and how it feels awkward for you.' The RN's question is an example of:

• A. Moving the teen to find a new friend group.
• B. Addressing the problem of teen awkwardness.
• C. Agreeing that awkwardness is hard.
• D. Using open-ended questioning.

Correct answer: D

Rationale: The RN's question, 'Please tell me more about this and how it feels awkward for you,' is an example of using open-ended questioning. Open-ended questions encourage clients to share more about their feelings and thoughts, allowing for a deeper exploration of their concerns and experiences. It helps in building rapport, understanding the client's perspective, and facilitating a client-centered conversation.

4. Why is it difficult to get others interested in environmental health?

• A. Environmental problems are not perceived as interesting or dramatic.
• B. It is difficult to get the media interested.
• C. People respond more to an acute crisis than chronic environmental problems.
• D. People respond more to an individual asking for help than a community asking for help.

Correct answer: C

Rationale: The difficulty in getting others interested in environmental health is due to the fact that people tend to respond more to acute crises that receive dramatic media coverage, as opposed to chronic environmental problems that require sustained attention and action. Immediate and dramatic events capture attention more effectively than ongoing, less visible issues.

5. Which best describes an example of primary prevention in maternal newborn care?

• A. Providing prenatal education classes
• B. Screening for gestational diabetes
• C. Providing postpartum support groups
• D. Offering breastfeeding support

Correct answer: A

Rationale: Providing prenatal education classes is a prime example of primary prevention in maternal newborn care. These classes aim to educate expectant mothers about healthy practices, nutrition, and prenatal care to prevent potential health issues for both the mother and the newborn before they occur. By providing education and promoting healthy behaviors during pregnancy, the goal is to avoid complications and promote overall well-being.

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