Nursing Elites

1. One of the first steps in community assessment may involve the community health nurse driving or walking through an area and making observations about such things as environmental layout and location of agencies, hospitals, industries, and so forth. This is called a(n):

• A. Census survey.
• B. Needs survey.
• C. Informant survey.
• D. Windshield survey.

Correct answer: D

Rationale: A windshield survey involves observations made from a moving vehicle, allowing the community health nurse to gather information about the community's physical and social environment without direct interaction. This method helps in understanding the community's resources, potential hazards, and overall characteristics, which are essential for planning and implementing effective community health interventions.

2. Fee-for-service care is best characterized by which statement:

• A. Fees are scaled based on the patient’s ability to pay and are capped.
• B. Fees reflect the fair market value of health care services being provided.
• C. Adequate fee schedules enable hospitals and clinics to function properly.
• D. Fees are not uniform throughout most states as they are fairly unregulated.

Correct answer: D

Rationale: Fee-for-service care is a payment model where providers are paid for each service performed, leading to non-uniform fees that vary by service and provider. This system is not highly regulated, resulting in differing fee structures across states and regions. Therefore, the statement that 'Fees are not uniform throughout most states as they are fairly unregulated' best characterizes fee-for-service care.

3. When working with moms and babies from diverse backgrounds in the community, what is a necessary competence for a public health nurse to have self-awareness and humility?

• A. I am confident in my ability to teach the new mom about all the necessary aspects of evidence-based newborn care before the baby is born.
• B. I often notice that newly expectant moms underestimate the challenges of caring for a new baby, and I emphasize this to them.
• C. Sometimes, young moms lack knowledge about self-care, and I try to correct their behavior promptly.
• D. I understand that I may not always be perfect with my patients, but I acknowledge this openly and listen to their feedback.

Correct answer: D

Rationale: Self-awareness and humility are vital qualities for a public health nurse. Option D demonstrates these qualities by acknowledging personal fallibility and actively engaging with patients to address any shortcomings. This approach fosters trust and open communication, essential for providing effective care across diverse cultural backgrounds.

4. Which of the following is a characteristic of a healthy work environment?

• A. High turnover rate and lack of communication
• B. Lack of teamwork and frequent conflicts
• C. Open communication and collaboration
• D. Micromanagement and strict hierarchy

Correct answer: C

Rationale: A healthy work environment is characterized by open communication and collaboration among team members. This fosters a positive atmosphere where ideas can be freely shared, conflicts resolved constructively, and teamwork thrives. High turnover rates, lack of communication, micromanagement, and strict hierarchy are detrimental to a healthy work environment as they can lead to low morale, decreased productivity, and a negative workplace culture.

5. What is an essential factor for effective health education?

• A. Ensuring access to care
• B. Using clear and understandable language
• C. Engaging community leaders
• D. Providing written materials

Correct answer: B

Rationale: Using clear and understandable language is crucial for effective health education as it ensures that the information is accessible and comprehensible to all individuals, promoting better understanding and application of health-related knowledge.

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