Nursing Elites

1. Why is environmental health more challenging than other variables related to an individual’s health?

• A. Environmental health affects susceptible individuals more than groups.
• B. Environmental health demands that individuals be willing to change their beliefs.
• C. Environmental health is dependent on social neighborhoods and geography.
• D. Environmental health requires social, economic, and political changes to improve.

Correct answer: D

Rationale: Improving environmental health necessitates broader changes beyond individual actions, including social, economic, and political transformations to address root causes of environmental issues. These changes are crucial for sustainable improvements in environmental health outcomes.

2. The RN working within the NFP model of care uses the Minnesota Health Wheel to describe what she does in her role to her own family. Which intervention is the RN likely to describe that is consistent with the public health nurse role of delegation:

• A. I administered IV antibiotics every 6 hours when the physician or nurse practitioner prescribed them.
• B. I conducted a full respiratory exam on a mother who might need asthma follow-up.
• C. I collaborated with the social work services team when I noted that my patient was unhoused.
• D. I taught the newly pregnant mom about necessary vaccinations to have at this time.

Correct answer: C

Rationale: Collaborating with social work services is a form of delegation, ensuring that clients receive comprehensive care.

3. The public health nurse is reading information from a study that states that hypertension may be associated with an odds ratio of 2.49, meaning the patient is approximately 2.5 times more likely to have a severe form of COVID-19 than those without hypertension. The nurse describes the odds ratio as:

• A. a measure of association between an exposure and an outcome
• B. an absolute risk increase
• C. a measure of statistical significance
• D. a measure of precision

Correct answer: A

Rationale: The odds ratio is a measure of association between an exposure and an outcome. In this context, an odds ratio of 2.49 indicates that individuals with hypertension are approximately 2.5 times more likely to develop severe COVID-19 compared to those without hypertension. Therefore, choice A is correct as it accurately defines the role of odds ratio in assessing the relationship between an exposure (hypertension) and an outcome (severe COVID-19). Choices B, C, and D are incorrect as they do not describe the nature of odds ratio.

4. Which term refers to nurses in the local/national health departments or public schools?

• A. Public health nursing
• B. Public health nurse
• C. Registered midwives
• D. Registered nurses

Correct answer: B

Rationale: The correct term that refers to nurses in local/national health departments or public schools is 'Public health nurse.' Public health nursing (Choice A) is a broader term that encompasses the practice of nursing in the community to promote and protect the health of populations. Registered midwives (Choice C) specifically refers to a different role in healthcare related to childbirth and maternal care. Registered nurses (Choice D) are nurses who have completed specific education and training and are licensed to practice nursing.

5. Which best describes a primary role of nurses in promoting community health?

• A. Conducting individual health assessments
• B. Advocating for health policy changes
• C. Providing health education to groups
• D. Developing health policies

Correct answer: B

Rationale: A primary role of nurses in promoting community health involves advocating for health policy changes. By advocating for policy changes, nurses can address systemic issues that impact the health of the community as a whole, rather than focusing solely on individual assessments or education. This proactive approach allows nurses to influence broader health determinants and create sustainable improvements in community health outcomes.

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