Nursing Elites

1. What is the most important factor in planning a community health intervention?

• A. Availability of funding
• B. Understanding the community’s needs
• C. Identifying health trends
• D. Engaging health professionals

Correct answer: B

Rationale: Understanding the community’s needs is the most important factor in planning a community health intervention. It ensures that the intervention is tailored to address the specific health concerns and requirements of the community, leading to more effective and sustainable outcomes.

2. Which of the following nursing interventions are appropriate to address parasitism issues?

• A. Administering broad-spectrum antihelminthic treatment to patients
• B. Emphasizing the importance of thoroughly washing vegetables, especially if consumed raw
• C. Instructing on proper stool disposal and emphasizing not to use it as fertilizer
• D. Promoting hand washing before and after meals

Correct answer: C

Rationale: In addressing parasitism issues, it is crucial to educate individuals on the proper disposal of stools and emphasize that they should not be used as fertilizer to prevent the spread of parasites. Administering antihelminthic treatment, emphasizing vegetable washing, and promoting hand hygiene are all important interventions in managing parasitism, making them inappropriate choices for exceptions.

3. 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.

4. Which type of facilities are capable of performing minor surgeries and simple laboratory examinations?

• A. Secondary level health care
• B. Tertiary level of care
• C. Intermediate level of care
• D. Primary health care

Correct answer: C

Rationale: Intermediate level of care facilities are equipped to perform minor surgeries and conduct basic laboratory tests. These facilities bridge the gap between primary health care centers and hospitals offering specialized tertiary care services.

5. Fee-for-service care is best characterized by which statement:

• A. Fees are scaled based on the patient’s ability to pay and are capped.
• B. Fees reflect the fair market value of health care services being provided.
• C. Adequate fee schedules enable hospitals and clinics to function properly.
• D. Fees are not uniform throughout most states as they are fairly unregulated.

Correct answer: D

Rationale: Fee-for-service care is a payment model where providers are paid for each service performed, leading to non-uniform fees that vary by service and provider. This system is not highly regulated, resulting in differing fee structures across states and regions. Therefore, the statement that 'Fees are not uniform throughout most states as they are fairly unregulated' best characterizes fee-for-service care.

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