Nursing Elites

1. Which statement best describes a key aspect of sustainable community health programs?

• A. Ensuring continuous community involvement
• B. Allocating resources effectively
• C. Securing long-term funding
• D. Providing culturally relevant services

Correct answer: A

Rationale: Continuous community involvement is crucial for the sustainability of community health programs as it fosters ongoing engagement, support, and ownership within the community. This active participation can lead to better program outcomes, increased community trust, and long-term success by tailoring interventions to the community's specific needs and preferences.

2. 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.

3. Which action would engage the community in health promotion activities?

• A. Distributing health brochures
• B. Conducting health screenings
• C. Organizing community health fairs
• D. Hosting educational workshops

Correct answer: C

Rationale: Organizing community health fairs is an effective way to engage the community in health promotion activities. These fairs bring together community members, healthcare providers, and organizations to provide health education, screenings, resources, and promote healthy behaviors. They help raise awareness, encourage participation, and foster a sense of community well-being.

4. Which of the following is an example of a communicable disease?

• A. Diabetes
• B. Hypertension
• C. HIV/AIDS
• D. Cholera

Correct answer: D

Rationale: Cholera is caused by the bacterium Vibrio cholerae and is transmitted through contaminated water or food. It spreads rapidly in areas with poor sanitation and can lead to severe dehydration and even death if untreated. Unlike diabetes and hypertension, which are non-communicable diseases often influenced by lifestyle factors, HIV/AIDS and cholera are infectious diseases that can be transmitted from person to person.

5. Which task will be most helpful in meeting the public health agency’s goals?

• A. Complete staff evaluations in preparation for individual meetings to plan their agency and individual goals for the next year.
• B. Actively participate in community agencies’ collaborative action plan to meet the community’s health goals for the year.
• C. Meet with the college of nursing faculty to finalize student objectives and schedules for the next semester.
• D. Teach a free course on healthful living for community residents.

Correct answer: B

Rationale: Actively participating in community agencies’ collaborative action plan to meet the community’s health goals is the most helpful task in meeting the public health agency’s goals. By engaging with external partners and working towards the health goals of the community as a whole, the agency can have a more significant impact on public health outcomes.

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