Nursing Elites

1. 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.

2. Match the following terms in column A with the correct definition in Column B:

• A. I. Topical anesthesia C. The agent is applied directly to the skin and mucous membranes of the skin. II. Epidural anesthesia D. Injecting the anesthesia in the epidural mater of the spinal cord.
• B. II. Epidural anesthesia B. Anesthesia is introduced in the subarachnoid space at the lumbar area L4 and L5. I. Topical anesthesia C. The agent is applied directly to the skin and mucous membranes of the skin.
• C. I. Topical anesthesia C. The agent is applied directly to the skin and mucous membranes of the skin. II. Epidural anesthesia D. Injecting the anesthesia in the epidural mater of the spinal cord.
• D. I. Topical anesthesia C. The agent is applied directly to the skin and mucous membranes of the skin. II. Epidural anesthesia B. Anesthesia is introduced in the subarachnoid space at the lumbar area L4 and L5.

Correct answer: A

Rationale: Topical anesthesia involves applying the anesthetic agent directly to the skin and mucous membranes to numb the area. On the other hand, epidural anesthesia involves injecting the anesthetic into the epidural space surrounding the spinal cord. Therefore, the correct matches are: I. Topical anesthesia with the definition of applying the agent directly to the skin and mucous membranes (Choice C), and II. Epidural anesthesia with the definition of injecting the anesthesia in the epidural space around the spinal cord (Choice D).

3. All of the following are objectives of FHSIS except:

• A. To complete the clinical picture of chronic diseases and describe their natural history
• B. To provide a standardized, facility-level database that can be accessed for more in-depth studies
• C. To minimize recording and reporting burden, allowing more time for patient care and promotive activities
• D. To ensure that reported data are useful, accurate, and disseminated in a timely and easy-to-use fashion

Correct answer: A

Rationale: The objective of FHSIS is not to complete the clinical picture of chronic diseases and describe their natural history. Instead, it focuses on providing standardized facility-level data, minimizing reporting burden to allow more time for patient care, and ensuring that reported data are useful, accurate, and disseminated effectively.

4. The World Health Organization defines health as:

• A. The health of individuals and communities is, to a large extent, affected by a combination of many factors.
• B. A state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.
• C. Refers to the well-being of individuals, families, and communities being influenced by several factors in the ecosystem.
• D. The science and art of preventing disease, prolonging life, promoting health, and efficiency through organized community effort for the sanitation of the environment, control of communicable diseases, education of individuals in personal hygiene, and organizing these benefits to enable every citizen to realize their birthright of health and longevity.

Correct answer: B

Rationale: The World Health Organization defines health as a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity. This definition emphasizes that health encompasses more than just the absence of illness; it includes physical, mental, and social well-being.

5. 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.

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