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. What is the primary significance of community involvement in health promotion?

• A. Ensures cultural appropriateness of programs.
• B. Enhances program sustainability.
• C. Increases the relevance of health interventions.
• D. Builds trust within the community.

Correct answer: D

Rationale: Community involvement in health promotion is crucial as it helps build trust within the community. When community members are actively engaged, there is a higher level of trust in the interventions, leading to better acceptance and effectiveness of health programs.

3. What is a common challenge in community health nursing?

• A. Limited resources
• B. High patient caseloads
• C. Cultural barriers
• D. Changing health behaviors

Correct answer: A

Rationale: Limited resources are a common challenge in community health nursing as they can impact the ability to deliver comprehensive care. This challenge can include financial constraints, lack of supplies, and inadequate staffing levels, all of which can hinder the provision of effective healthcare services to the community.

4. Why is cultural competence important in community health nursing?

• A. It helps nurses provide care that is respectful and responsive to the health beliefs and practices of diverse patients.
• B. It mandates all health care providers to undergo cultural training.
• C. It ensures that nurses are knowledgeable about different medical practices.
• D. It prevents nurses from encountering cultural misunderstandings.

Correct answer: A

Rationale: Cultural competence is essential in community health nursing as it enables nurses to deliver care that respects and responds to the health beliefs and practices of patients from diverse cultural backgrounds. By understanding and incorporating cultural considerations into their practice, nurses can enhance communication, build trust, and improve health outcomes for all individuals within the community.

5. What is the primary focus of public health?

• A. Preventing disease and promoting health
• B. Providing health education
• C. Ensuring access to health care services
• D. Reducing health disparities

Correct answer: A

Rationale: The primary focus of public health is to prevent disease and promote health at the population level. This includes implementing interventions and policies that aim to improve the overall health of communities, rather than focusing solely on individual care or education. By addressing the root causes of health issues and promoting wellness, public health efforts strive to create healthier environments and populations.

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