Nursing Elites

1. The classic definition of public health is:

• A. It is a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.
• B. It is the health of individuals and communities that are, to a large extent, affected by a combination of many factors.
• C. It refers to the overall health of individuals, families, and communities being influenced by various factors in the ecosystem.
• D. It is the science and art of preventing disease, prolonging life, and promoting health through organized community efforts for sanitation, disease control, and health education.

Correct answer: D

Rationale: The classic definition of public health is focused on the science and art of preventing disease, prolonging life, and promoting health through organized community efforts. This definition emphasizes the importance of community-based interventions to improve public health outcomes such as sanitation, disease control, and health education. Public health aims to address the health needs of populations rather than just individuals, highlighting the collective approach to enhancing the well-being of communities.

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 best describes the goal of health advocacy?

• A. To influence health policies for better health outcomes
• B. To educate patients about their health conditions
• C. To provide clinical care to patients
• D. To reduce health care costs

Correct answer: A

Rationale: The correct answer is A. The goal of health advocacy is to influence health policies for better health outcomes, addressing broader determinants of health. Health advocacy focuses on promoting policies and practices that result in healthier communities and individuals by addressing social, economic, and environmental factors that impact health outcomes.

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. A patient who has multiple health issues is discharged after a recent hospitalization. Which of the following comprehensive programs would a community health nurse refer the patient to if the patient is not under medical supervision but does have insurance?

• A. private health care practitioner
• B. a patient-centered medical home
• C. hospital clinic
• D. subacute facility

Correct answer: B

Rationale: A patient-centered medical home is a comprehensive care model that provides coordinated healthcare services across various settings. It is an ideal referral for a patient with multiple health issues who is not under medical supervision but has insurance, as it offers a patient-focused approach to managing the patient's overall health needs.

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