Nursing Elites

1. 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.

2. A patient who has multiple health issues is discharged after a recent hospitalization. Which of the following comprehensive programs would a community health nurse refer the patient to if the patient is not under medical supervision but does have insurance?

• A. private health care practitioner
• B. a patient-centered medical home
• C. hospital clinic
• D. subacute facility

Correct answer: B

Rationale: A patient-centered medical home is a comprehensive care model that provides coordinated healthcare services across various settings. It is an ideal referral for a patient with multiple health issues who is not under medical supervision but has insurance, as it offers a patient-focused approach to managing the patient's overall health needs.

3. Which source of information about a community's health would give the community health nurse information about births, deaths, and marriages and aid in providing indicators of population growth or reduction?

• A. Census tracts
• B. Vital statistics
• C. National Health Survey data
• D. Needs assessment

Correct answer: B

Rationale: Vital statistics are records of births, deaths, and marriages. They provide crucial data that help in understanding population dynamics, growth, and reduction trends within a community. By analyzing vital statistics, community health nurses can identify health needs, plan interventions, and allocate resources effectively to address the specific health challenges of the population.

4. 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.

5. In evaluating the healthcare provided, which of the following vital statistics in the communities served will BEST indicate their health status?

• A. 0 crude death rate for the year 2012
• B. 50% (Swaroop's) index for the year 2011
• C. 0 infant mortality rate for the year 2011
• D. 0 crude birth rate for the year 2011

Correct answer: C

Rationale: The infant mortality rate is a critical indicator of a community's health status as it reflects the impact of economic and social conditions on the health of mothers and infants, as well as the effectiveness of healthcare systems. A low infant mortality rate signifies better overall health outcomes and healthcare access within a community.

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