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 role of community health nurses in disaster preparedness?

• A. Developing emergency response plans
• B. Providing direct patient care
• C. Coordinating care among various providers
• D. Conducting health screenings

Correct answer: A

Rationale: Community health nurses primarily focus on developing emergency response plans in disaster preparedness. This involves creating strategies to address various aspects of a disaster, such as evacuation procedures, resource management, and communication plans. While providing direct patient care and coordinating care among providers are important aspects of nursing, in the context of disaster preparedness, the emphasis is on planning and preparedness to ensure an effective response in times of crisis.

3. Which statement best describes a key aspect of sustainable community health programs?

• A. Ensuring continuous community involvement
• B. Allocating resources effectively
• C. Securing long-term funding
• D. Providing culturally relevant services

Correct answer: A

Rationale: Continuous community involvement is crucial for the sustainability of community health programs as it fosters ongoing engagement, support, and ownership within the community. This active participation can lead to better program outcomes, increased community trust, and long-term success by tailoring interventions to the community's specific needs and preferences.

4. 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.

5. The public health RN is working with a client who desires to quit smoking. The client says to the RN, 'I want to quit but I just don't think I have it in me to really make it happen.' According to the Health Belief Model, this response relates to which factor:

• A. Susceptibility
• B. Self-efficacy
• C. Severity
• D. Cue to action

Correct answer: B

Rationale: The correct answer is B, 'Self-efficacy.' In the Health Belief Model, self-efficacy refers to a person's belief in their capacity to execute behaviors necessary to achieve specific goals or outcomes. In this scenario, the client's statement reflects a lack of confidence in their ability to successfully quit smoking, indicating low self-efficacy. By addressing and enhancing the client's self-efficacy, the public health RN can help empower the client to take steps towards successful smoking cessation.

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