Nursing Elites

1. What factor most influences health disparities?

• A. Genetic factors
• B. Lifestyle choices
• C. Access to health care services
• D. Cultural beliefs

Correct answer: C

Rationale: Access to health care services plays a significant role in influencing health disparities as it determines individuals' ability to access necessary medical care and services. Disparities in access to healthcare can lead to differences in health outcomes and contribute to overall health disparities within populations.

2. What is a primary responsibility of a community health nurse?

• A. Providing direct patient care
• B. Conducting health education sessions
• C. Advocating for policy changes
• D. Developing health policies

Correct answer: C

Rationale: A primary responsibility of a community health nurse is advocating for policy changes that positively impact health outcomes within the community. By advocating for policy changes, community health nurses can address social determinants of health and help create sustainable improvements in the overall health and well-being of the community.

3. 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.

4. The public health RN is working with a client who desires to quit smoking. The client says to the RN, 'I want to quit but I just don't think I have it in me to really make it happen.' According to the Health Belief Model, this response relates to which factor:

• A. Susceptibility
• B. Self-efficacy
• C. Severity
• D. Cue to action

Correct answer: B

Rationale: The correct answer is B, 'Self-efficacy.' In the Health Belief Model, self-efficacy refers to a person's belief in their capacity to execute behaviors necessary to achieve specific goals or outcomes. In this scenario, the client's statement reflects a lack of confidence in their ability to successfully quit smoking, indicating low self-efficacy. By addressing and enhancing the client's self-efficacy, the public health RN can help empower the client to take steps towards successful smoking cessation.

5. A rural sanitary inspector falls under which level of primary health care workers?

• A. Village health workers
• B. Intermediate level health workers
• C. Barangay health workers
• D. All of the above

Correct answer: B

Rationale: Rural sanitary inspectors are categorized as intermediate level health workers within the primary health care system. They typically have more specialized training and responsibilities compared to village health workers and barangay health workers.

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