Nursing Elites

1. Which is a key component of program evaluation in community health?

• A. Identifying program goals and objectives
• B. Ensuring program sustainability
• C. Monitoring program implementation
• D. Evaluating health outcomes

Correct answer: D

Rationale: Evaluating health outcomes is a crucial component of program evaluation in community health. It allows for assessing the effectiveness of the program and identifying areas that require improvement. By analyzing health outcomes, organizations can determine the impact of their interventions and make data-driven decisions to enhance community health initiatives.

2. 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.

3. Which statement best describes the focus of community health nursing?

• A. Providing care to individuals and families within the community
• B. Improving the overall health of the community
• C. Ensuring access to health care for all community members
• D. Addressing the social determinants of health

Correct answer: B

Rationale: The correct answer is B because community health nursing focuses on improving the health of the entire community rather than just individuals or families. By addressing health issues at the population level, community health nurses work towards enhancing the overall well-being and health outcomes of the community.

4. What is an essential factor for community health planning?

• A. Availability of funding
• B. Understanding the community’s needs
• C. Analyzing health data trends
• D. Ensuring health care access

Correct answer: B

Rationale: Understanding the community’s needs is a critical factor in community health planning. It allows planners to tailor interventions to address specific issues identified within the community, leading to more effective and impactful health initiatives.

5. What factor is most likely to improve health outcomes in a community?

• A. Access to affordable health care
• B. Community engagement and participation
• C. Implementing health education programs
• D. Strong leadership

Correct answer: B

Rationale: Community engagement and participation play a crucial role in improving health outcomes by ensuring that interventions are relevant and supported by the community. When individuals are actively involved and engaged in health initiatives, it promotes a sense of ownership, increases awareness, and fosters collaboration within the community, ultimately leading to more effective and sustainable health outcomes.

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