Nursing Elites

1. What is an essential skill for nurses in community health?

• A. Providing direct patient care
• B. Advocating for patients' health needs
• C. Educating about health promotion
• D. Managing chronic conditions

Correct answer: B

Rationale: Advocating for patients' health needs is a crucial skill for nurses in community health as it involves standing up for and promoting the well-being and rights of individuals within the community. While providing direct patient care, educating about health promotion, and managing chronic conditions are important aspects of nursing in community health, advocacy plays a vital role in ensuring that patients receive the necessary care, support, and resources to improve their health outcomes.

2. 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.

3. What is the most crucial factor in determining the health of a community?

• A. Access to health care services
• B. Socioeconomic status
• C. Environmental quality
• D. Genetic predisposition

Correct answer: B

Rationale: Socioeconomic status plays a vital role in determining the health of a community. It affects access to resources, education, employment opportunities, housing, and healthcare services. Individuals with higher socioeconomic status generally have better health outcomes due to their ability to afford healthier lifestyle choices, quality healthcare, and living environments. In contrast, individuals with lower socioeconomic status may face barriers to accessing essential healthcare services, nutritious food, safe housing, and education, leading to poorer health outcomes. Therefore, addressing socioeconomic disparities is crucial in promoting community health and well-being.

4. Which statement best describes an effective method to evaluate community health programs?

• A. Conducting randomized controlled trials
• B. Using focus groups to gather feedback
• C. Measuring changes in health outcomes
• D. Comparing program costs and benefits

Correct answer: C

Rationale: Measuring changes in health outcomes is a crucial method to evaluate community health programs. By assessing the impact on health outcomes, such as reduced disease rates or improved wellness indicators, the effectiveness of the program can be determined. This approach provides concrete evidence of the program's success in promoting community health.

5. 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.

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