Nursing Elites

1. Which of the following is an indication for tracheostomy?

• A. Drainage of pleural effusion
• B. Hemorrhage
• C. Infections
• D. Acute respiratory failure

Correct answer: D

Rationale: Tracheostomy is a surgical procedure where an incision is made in the windpipe to help with breathing. Acute respiratory failure, which can occur due to various reasons such as upper airway obstruction, is a common indication for tracheostomy. While drainage of pleural effusion, hemorrhage, and infections may require medical intervention, they are not direct indications for a tracheostomy like acute respiratory failure.

2. Barriers to a patient’s engagement in self-care include all of the following except:

• A. Mental health issues
• B. Lack of knowledge
• C. High health literacy
• D. Financial issues

Correct answer: C

Rationale: High health literacy is not considered a barrier to patient engagement in self-care. In fact, individuals with high health literacy are more likely to understand health information, make informed decisions, and actively participate in their self-care, which can enhance health outcomes. Mental health issues, lack of knowledge, and financial issues are common barriers that can hinder a patient's ability to engage in self-care practices.

3. Which group is an example of a community of solution?

• A. That lives within a specific geographic location.
• B. Concerned with reducing teenage suicides.
• C. With the same ethnic background.
• D. In which all members enjoy hiking.

Correct answer: B

Rationale: A community of solution is formed by individuals who are united to address a common issue. In this case, the group concerned with reducing teenage suicides is an example of a community of solution as they are coming together to tackle a specific problem.

4. What best describes the role of health education in community health?

• A. To inform and empower individuals to make healthy choices
• B. To provide clinical care to patients
• C. To advocate for policy changes
• D. To reduce healthcare costs

Correct answer: A

Rationale: The primary role of health education in community health is to inform and empower individuals to make healthy choices. By providing knowledge and resources, individuals can make informed decisions that lead to better health outcomes and contribute to the overall well-being of the community.

5. 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.

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