Nursing Elites

1. The C/PHN is supporting legislation that seeks tighter gun control laws in New York State. The nurse knows that a significant challenge to getting legislation passed relates to which of the following:

• A. A lack of interest in this topic by many citizens of the state.
• B. An inability to gather statistics to understand the magnitude of the problem.
• C. Special interest groups that exert influence on legislators.
• D. The idea that gun violence is not a significant public health concern in the US.

Correct answer: C

Rationale: Special interest groups often exert significant influence on legislators, making it challenging to pass tighter gun control laws. These groups may lobby against such legislation, impacting the decision-making process of lawmakers. This influence can hinder the progress of bills related to gun control, despite potential public support or health implications.

2. What best describes the primary goal of community health nursing?

• A. Promoting health and preventing disease
• B. Providing direct care to sick individuals
• C. Managing chronic conditions
• D. Evaluating health programs

Correct answer: A

Rationale: Community health nursing focuses on promoting health and preventing disease within the community. This approach emphasizes preventive care, health education, and community-based interventions to improve the overall health and well-being of individuals and populations. While providing care to sick individuals is part of nursing, the primary goal of community health nursing is broader and encompasses proactive strategies to enhance community health.

3. What is a health deficit?

• A. Conditions that promote disease or injury and prevent people from realizing their health potential
• B. A health problem that can be alleviated with medical or social technology
• C. A gap between actual and achievable health status
• D. Illness of a family member

Correct answer: C

Rationale: A health deficit refers to a gap between one's current health status and the health status that could be realistically achieved. It signifies the difference between where a person's health is currently and where it could potentially be with appropriate interventions or improvements. Therefore, the correct answer is option C.

4. What is the term for creating a surgical airway in the front of the neck (cervical region) to remove copious secretions?

• A. Bronchoscopy
• B. Tracheostomy
• C. Thoracentesis
• D. Underwater seal drainage

Correct answer: B

Rationale: Tracheostomy is the process of surgically creating an airway in the front of the neck to aid in breathing or remove secretions from the airway. Bronchoscopy involves visualizing the airways using a scope, not creating an airway. Thoracentesis is the procedure to remove fluid or air from the pleural space around the lungs, not related to creating an airway. Underwater seal drainage is a method used in chest drainage systems to remove air or fluid from the pleural space, not the creation of an airway.

5. Which is an essential component of health literacy?

• A. Accessing health information
• B. Reading and comprehending health information
• C. Navigating the health care system
• D. Utilizing technology for health management

Correct answer: C

Rationale: An essential component of health literacy is the ability to navigate the health care system. This skill is crucial for individuals to access, understand, and effectively utilize health services available to them. Navigating the health care system involves understanding how to find appropriate healthcare providers, make appointments, understand insurance coverage, and follow through with treatment recommendations. Without this ability, individuals may struggle to access needed care, leading to potential negative health outcomes.

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