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 best describes the importance of evaluation in community health programs?

• A. Ensuring that programs meet their objectives
• B. Identifying areas for improvement
• C. Demonstrating the impact of interventions
• D. Securing future funding for programs

Correct answer: A

Rationale: Evaluation in community health programs is crucial as it ensures that programs are meeting their intended objectives. By evaluating these programs, organizations can determine whether they are effectively addressing community health issues and meeting their goals. Identifying areas for improvement is an essential part of the evaluation process to enhance program effectiveness and make necessary adjustments. While demonstrating the impact of interventions and securing future funding are also important aspects, the primary focus of evaluation in community health programs is to ensure that they are achieving their objectives.

3. What best describes the role of nurses in community health?

• A. Conducting research to find new treatments for diseases
• B. Providing direct care to individuals and families
• C. Collaborating with other health professionals to address community health issues
• D. Advocating for policy changes to improve health outcomes

Correct answer: D

Rationale: Nurses play a crucial role in community health by advocating for policy changes to enhance health outcomes and working on addressing community health issues. While research and direct care are essential aspects of healthcare, nurses in community health often focus on advocating for policies that positively impact the health of the community as a whole.

4. After organizing, follow-up visits are also necessary. What should you do first?

• A. Explain the purpose of the visit
• B. Wash your hands and perform the necessary procedure
• C. Conduct environmental surveillance
• D. Greet the patient/resident and introduce yourself

Correct answer: A

Rationale: Explaining the purpose of the visit is the first step in a follow-up visit as it establishes the reason for the interaction. This communication helps set expectations for both the provider and the patient/resident, ensuring that the visit is focused and productive. It allows the patient/resident to understand the goals of the follow-up and promotes a patient-centered approach to care.

5. The public health RN is engaging with a teen in his community who is concerned about how he will be able to stay part of his friend group when they are all vaping and your client does not want to take part but does not want to feel awkward. Using motivational interviewing techniques, the RN says to the client, 'I understand this concern. Please tell me more about this and how it feels awkward for you.' The RN's question is an example of:

• A. Moving the teen to find a new friend group.
• B. Addressing the problem of teen awkwardness.
• C. Agreeing that awkwardness is hard.
• D. Using open-ended questioning.

Correct answer: D

Rationale: The RN's question, 'Please tell me more about this and how it feels awkward for you,' is an example of using open-ended questioning. Open-ended questions encourage clients to share more about their feelings and thoughts, allowing for a deeper exploration of their concerns and experiences. It helps in building rapport, understanding the client's perspective, and facilitating a client-centered conversation.

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