Nursing Elites

1. In population health management, a nurse overseeing a panel of 1,500 patients will primarily engage in which of the following activities?

• A. Proactively assessing the health needs of the entire panel and planning accordingly
• B. Focusing on providing care to young and seemingly vulnerable patients
• C. Spending most time with patients who regularly attend their visits
• D. Prioritizing care by responding to the oldest patients first

Correct answer: A

Rationale: In population health management, a nurse overseeing a large panel of patients needs to proactively assess the health needs of the entire panel to plan and provide appropriate care effectively. This approach ensures that all patients receive necessary attention and interventions, contributing to better health outcomes for the population as a whole.

2. Which action demonstrates primary prevention?

• A. Administering immunizations
• B. Screening for early signs of disease
• C. Providing rehabilitation services
• D. Offering smoking cessation programs

Correct answer: A

Rationale: Administering immunizations is a prime example of primary prevention because it focuses on preventing diseases before they occur. By administering vaccines, individuals are protected from various infectious diseases, thereby reducing the risk of illness and transmission to others. This proactive approach aligns with the primary prevention goal of promoting health and preventing the onset of diseases.

3. Paralysis of all or part of the trunk, legs, and pelvic organs is referred to as:

• A. Hemiplegia
• B. Tetraplegia
• C. Paraplegia
• D. Hemiparesis

Correct answer: C

Rationale: Paraplegia is the paralysis of the lower half of the body, including both legs and often the trunk and pelvic organs. Hemiplegia refers to paralysis affecting one side of the body, while tetraplegia involves paralysis of all four limbs and the trunk. Hemiparesis is a partial weakness affecting one side of the body.

4. While using technique of motivational interviewing with a college student engaged in binge drinking several times per week, the public health RN should begin with which intervention:

• A. Discussing how the student is managing his overall academic studies since drinking has become a problem
• B. Explaining to the student the full range of harmful impacts binge drinking has on the body and mind
• C. Asking open-ended questions and actively listening to the student while trying to remove any judgement
• D. Asking the student to make a validated survey that reveals attitudes and knowledge about binge drinking

Correct answer: C

Rationale: Asking open-ended questions and actively listening without judgement is a key technique in motivational interviewing.

5. Which best describes a benefit of using health informatics in community health?

• A. Reducing the risk of medical errors
• B. Improving patient satisfaction
• C. Facilitating access to health services
• D. Enhancing coordination of care

Correct answer: D

Rationale: The correct answer is D, enhancing coordination of care. Health informatics in community health ensures accurate and timely sharing of patient information among healthcare providers, leading to improved collaboration and continuity of care for patients across different settings.

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