Nursing Elites

1. Which best describes a primary role of nurses in promoting community health?

• A. Conducting individual health assessments
• B. Advocating for health policy changes
• C. Providing health education to groups
• D. Developing health policies

Correct answer: B

Rationale: A primary role of nurses in promoting community health involves advocating for health policy changes. By advocating for policy changes, nurses can address systemic issues that impact the health of the community as a whole, rather than focusing solely on individual assessments or education. This proactive approach allows nurses to influence broader health determinants and create sustainable improvements in community health outcomes.

2. 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.

3. Which of the following is NOT an example of public health services?

• A. Control of communicable diseases
• B. Environmental sanitation
• C. Hospital management
• D. Health education

Correct answer: C

Rationale: Public health services focus on promoting and protecting the health of communities. Control of communicable diseases, environmental sanitation, and health education directly impact the overall well-being of populations. However, hospital management is typically associated with the administration and operations of healthcare facilities rather than public health initiatives.

4. What action would a community health nurse take to address health disparities?

• A. Providing health education to individuals
• B. Advocating for policies that promote health equity
• C. Conducting community health assessments
• D. Offering free health screenings

Correct answer: B

Rationale: Advocating for policies that promote health equity is a crucial action for community health nurses to address health disparities. While providing health education, conducting assessments, and offering free screenings are important interventions, advocating for policies that promote health equity can have a broader and more sustainable impact on reducing health disparities within communities.

5. In a community with competencies, what characteristic demonstrates their ability effectively?

• A. Identify their needs, achieve consensus, and plan and implement goals
• B. Delegate community processes to an outside expert
• C. Conduct their own cross-sectional epidemiological studies
• D. Predict morbidity and mortality rates

Correct answer: A

Rationale: A community with competencies can identify its needs, achieve consensus, and effectively plan and implement goals. This showcases their self-sufficiency and collaborative problem-solving skills, enabling them to address community issues efficiently.

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