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. Which best describes an example of health advocacy?

• A. Educating policymakers about health issues
• B. Providing direct patient care
• C. Organizing community health fairs
• D. Developing new health technologies

Correct answer: A

Rationale: The correct answer is A: 'Educating policymakers about health issues.' Health advocacy involves advocating for improved health outcomes by influencing policy changes through educating policymakers about health issues. This can lead to systemic changes that benefit public health on a broader scale. Providing direct patient care (Choice B) is important but falls under healthcare delivery rather than advocacy. Organizing community health fairs (Choice C) is a community health promotion activity rather than advocacy. Developing new health technologies (Choice D) is related to innovation and research, not advocacy efforts focused on policy change.

3. During secondary prevention activities, what action is a healthcare professional performing?

• A. Conducting health screenings
• B. Providing early treatment for disease
• C. Administering medications
• D. Referral to specialized care

Correct answer: B

Rationale: During secondary prevention, healthcare professionals focus on providing early treatment for disease to prevent its progression or complications. Health screenings fall under the realm of primary prevention by detecting diseases early or identifying risk factors before they lead to illness.

4. The C/PHN reviews the process of how a bill becomes a federal law. They note that which of the following statements is true?

• A. The bill will go to the appropriate committee to be discussed, research, and expert testimony heard.
• B. The bill will first be reviewed by the President to see if it aligns with the country's goals.
• C. The bill must have a complete consensus in both houses of the legislature.
• D. A bill cannot be vetoed by the President if the Senate supports it 100%.

Correct answer: A

Rationale: When a bill is introduced, it is sent to the appropriate committee where it is discussed, research is conducted, and expert testimony is heard. This is an essential step in the legislative process to evaluate the bill's merits and potential impact before it moves forward for consideration by the full legislative body.

5. 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.

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