Nursing Elites

1. A nurse who works on the surgical unit at the local hospital was asked by the home health unit to make a home visit to a patient who had been discharged the previous day and to give follow-up care (for overload pay). What kind of nursing would this nurse be doing?

• A. Acute care hospital nursing
• B. Community-based nursing
• C. Community health nursing
• D. Public health nursing

Correct answer: B

Rationale: The nurse is providing care to a patient at home, which falls under the realm of community-based nursing. Community-based nursing involves providing healthcare services outside of traditional healthcare facilities, such as in patients' homes or community settings, to promote health and wellness and prevent hospital readmissions.

2. 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.

3. As an important tool for planning a community health survey was conducted, the first tangible outcome of collaboration and teamwork with the Local Health Department and its Rural Health Units (RHUs) was observed. This later led to case findings activities via collection and examination of stools from children for suspected parasitism. Which of the following community nursing diagnoses will guide the Parish Health Team for concrete action?

• A. Parasitism as a foreseeable crisis
• B. Malnutrition as a health deficit
• C. Parasitism as a health deficit
• D. Parasitism as a health threat

Correct answer: D

Rationale: The correct answer is 'Parasitism as a health threat' as it is the most appropriate diagnosis that focuses on the immediate and significant health threat posed by parasitic infections, which can have widespread implications in a community setting. This diagnosis would guide the Parish Health Team to take concrete actions to address and mitigate the health risks associated with parasitism.

4. Which is a key aspect of the Health Belief Model?

• A. Perceived susceptibility
• B. Perceived severity
• C. Perceived barriers
• D. Perceived benefits

Correct answer: A

Rationale: Perceived susceptibility is a fundamental aspect of the Health Belief Model as it refers to an individual's belief about their risk of developing a health condition or experiencing a negative health outcome. This perception plays a crucial role in influencing individuals' willingness to engage in health-promoting behaviors. When individuals perceive themselves as susceptible to a health threat, they are more likely to take preventive actions to protect their health.

5. Which of the following is not a common causative agent of bacterial meningitis?

• A. Streptococcus pneumoniae
• B. Neisseria meningitidis
• C. Staphylococcus aureus
• D. Haemophilus influenzae

Correct answer: C

Rationale: Bacterial meningitis is commonly caused by Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Staphylococcus aureus is not a typical causative agent of bacterial meningitis. This bacterium is more commonly associated with skin and soft tissue infections rather than meningitis.

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