Nursing Elites

1. What is a critical element of program implementation in community health?

• A. Engaging community stakeholders
• B. Ensuring program sustainability
• C. Monitoring health outcomes
• D. Providing training for healthcare providers

Correct answer: A

Rationale: Engaging community stakeholders is a critical element of program implementation in community health because it ensures that the program is accepted and supported by the community. By involving stakeholders, the program can be tailored to meet the specific needs of the community, leading to better implementation and 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 statements about TB treatment is INCORRECT?

• A. Combination of 3-4 anti-TB drugs is the treatment of choice
• B. Single drug therapy is appropriate
• C. Treatment renders patients non-infectious and cured
• D. Tuberculosis is a curable disease

Correct answer: B

Rationale: The statement that single drug therapy is appropriate for TB treatment is incorrect because it is essential to use a combination of 3-4 anti-TB drugs to prevent drug resistance and ensure successful treatment outcomes.

4. When assisting clients in changing their behavior, what would be the most effective approach?

• A. Counseling through the Ask, Advise, Assess, Assist, and Arrange approach
• B. Encouraging them to interact with others who also need to change their behavior
• C. Showing them how the inappropriate behavior is hurting their friends and family
• D. Using subtle rewards when small steps are taken toward the appropriate behavior

Correct answer: A

Rationale: The most effective approach in helping clients to change their behavior is to utilize the Ask, Advise, Assess, Assist, and Arrange approach. This comprehensive counseling strategy is commonly employed in various programs, such as smoking cessation, to guide individuals through behavior change by systematically addressing their needs and providing support at each stage of the process.

5. Which action represents a primary prevention strategy?

• A. Educating children on the importance of handwashing
• B. Administering vaccines to prevent disease
• C. Screening for early signs of disease
• D. Providing treatment for acute illnesses

Correct answer: B

Rationale: Administering vaccines is a primary prevention strategy because it aims to prevent diseases before they occur by providing immunity against specific pathogens. Educating children on handwashing is important for preventing infections but falls under health promotion rather than primary prevention. Screening for early signs of disease and providing treatment for acute illnesses are considered secondary and tertiary prevention strategies, respectively, as they aim to detect and treat diseases that have already developed to prevent further complications.

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