Nursing Elites

1. Which best describes a key principle of public health?

• A. Focusing on individual health behaviors
• B. Addressing the social determinants of health
• C. Reducing health care costs
• D. Increasing access to health services

Correct answer: B

Rationale: A key principle of public health is addressing the social determinants of health, which include factors like socioeconomic status, education, and environment. By focusing on these determinants, public health initiatives aim to improve overall health outcomes for entire populations, rather than just individual health behaviors. This approach helps in creating a healthier society and preventing diseases at a broader level.

2. What is a common challenge in community health nursing?

• A. Limited resources
• B. High patient caseloads
• C. Cultural barriers
• D. Changing health behaviors

Correct answer: A

Rationale: Limited resources are a common challenge in community health nursing as they can impact the ability to deliver comprehensive care. This challenge can include financial constraints, lack of supplies, and inadequate staffing levels, all of which can hinder the provision of effective healthcare services to the community.

3. Which action represents tertiary prevention?

• A. Providing support groups for chronic illness
• B. Administering antibiotics for infections
• C. Teaching safe injection practices
• D. Conducting follow-up visits

Correct answer: A

Rationale: Tertiary prevention aims to support individuals in managing and coping with long-term conditions. Providing support groups for chronic illness falls under tertiary prevention by helping individuals deal with the impacts of their conditions and improve their quality of life.

4. While using technique of motivational interviewing with a college student engaged in binge drinking several times per week, the public health RN should begin with which intervention:

• A. Discussing how the student is managing his overall academic studies since drinking has become a problem
• B. Explaining to the student the full range of harmful impacts binge drinking has on the body and mind
• C. Asking open-ended questions and actively listening to the student while trying to remove any judgement
• D. Asking the student to make a validated survey that reveals attitudes and knowledge about binge drinking

Correct answer: C

Rationale: Asking open-ended questions and actively listening without judgement is a key technique in motivational interviewing.

5. Which action exemplifies the role of a nurse in policy advocacy?

• A. Meeting with legislators to discuss health issues
• B. Administering vaccines in the community
• C. Conducting health screenings
• D. Providing direct care to underserved populations

Correct answer: A

Rationale: Meeting with legislators to discuss health issues exemplifies the role of a nurse in policy advocacy. Nurses engage in policy advocacy to influence decisions that impact health outcomes at the population level. By meeting with legislators, nurses can advocate for policies that support healthcare access, quality, and equity, ultimately contributing to improved health outcomes for individuals and communities.

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