Nursing Elites

1. Which best describes a primary goal of community health nursing?

• A. Promoting health and preventing disease
• B. Providing direct patient care
• C. Reducing health care costs
• D. Ensuring access to health care services

Correct answer: A

Rationale: The primary goal of community health nursing is to promote health and prevent disease within the community. Community health nursing focuses on improving the overall health of the population by implementing strategies that prevent illnesses and promote well-being. While providing direct patient care, reducing healthcare costs, and ensuring access to services are important aspects of nursing, the main emphasis of community health nursing is on proactive health promotion and disease prevention for the community at large.

2. Which best describes a tertiary prevention strategy?

• A. Providing rehabilitation services
• B. Screening for early signs of disease
• C. Educating the public about healthy lifestyles
• D. Offering health education workshops

Correct answer: A

Rationale: The correct answer is A: Providing rehabilitation services. Tertiary prevention involves interventions that focus on managing and improving the outcomes of existing conditions. Rehabilitation services fall under tertiary prevention as they aim to help individuals recover and manage long-term health issues. Screening for early signs of disease (Choice B) is part of secondary prevention, while educating the public about healthy lifestyles (Choice C) and offering health education workshops (Choice D) typically fall under primary prevention strategies.

3. The public health nurse is reading information from a study that states that hypertension may be associated with an odds ratio of 2.49, meaning the patient is approximately 2.5 times more likely to have a severe form of COVID-19 than those without hypertension. The nurse describes the odds ratio as:

• A. a measure of association between an exposure and an outcome
• B. an absolute risk increase
• C. a measure of statistical significance
• D. a measure of precision

Correct answer: A

Rationale: The odds ratio is a measure of association between an exposure and an outcome. In this context, an odds ratio of 2.49 indicates that individuals with hypertension are approximately 2.5 times more likely to develop severe COVID-19 compared to those without hypertension. Therefore, choice A is correct as it accurately defines the role of odds ratio in assessing the relationship between an exposure (hypertension) and an outcome (severe COVID-19). Choices B, C, and D are incorrect as they do not describe the nature of odds ratio.

4. The public health nurse is working with a client who desires to move away from eating take-out and fatty foods to maintain a healthier lifestyle. The client mentions eliminating processed foods from her diet most days of the week but still struggles to consistently add fruits and vegetables to her meals. According to the Transtheoretical Model of health behavior change, this client is in which stage:

• A. Pre-contemplation
• B. Contemplation
• C. Preparation
• D. Action

Correct answer: C

Rationale: The client is in the Preparation stage as they are actively taking steps towards behavior change by eliminating processed foods from their diet most days of the week. While they still struggle to consistently add fruits and vegetables, their efforts to make small changes indicate that they are in the Preparation stage, where individuals are getting ready to take action to change their behavior.

5. What is the most critical factor for the success of a community health intervention?

• A. Availability of funding
• B. Community involvement
• C. Support from local government
• D. Strong leadership

Correct answer: B

Rationale: Community involvement is the most critical factor for the success of a community health intervention. When the community actively participates, it ensures that the intervention aligns with their needs, values, and preferences. This involvement fosters ownership and sustainability, leading to better outcomes and long-term success. Without community involvement, interventions may lack acceptance, relevance, and support, hindering their effectiveness.

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