Nursing Elites

1. The public health nurse partners with the American Heart Association to develop NYS public policy priority statements to promote the expansion of the Double Up Food Bucks program. Which area and intervention on the Minnesota Public Health Wheel do these actions most closely align?

• A. Counseling - Blue wedge
• B. Advocacy - Yellow wedge
• C. Outreach - Red wedge
• D. Screening - Red wedge

Correct answer: B

Rationale: In this scenario, the public health nurse is engaging in advocacy by partnering with an organization to influence public policy through the development of public policy priority statements. Advocacy, represented by the yellow wedge on the Minnesota Public Health Wheel, aligns most closely with these actions as it involves working to influence public policy.

2. Which of the following is not considered one of the four cornerstones or pillars in primary health care?

• A. Active community participation
• B. Support mechanisms made available
• C. Use of appropriate technology
• D. Inter-sectoral linkages only

Correct answer: D

Rationale: The four cornerstones of primary health care are active community participation, support mechanisms made available, and the use of appropriate technology. Inter-sectoral linkages, while important, are not part of the four core pillars in primary health care.

3. Which statement is incorrect regarding an informed consent signed by a patient?

• A. The nurse is responsible for obtaining the consent for surgery
• B. Patients under 18 years of age may need a parent or legal guardian to sign a consent form
• C. The nurse can witness the client signing the consent form
• D. It is the nurse's responsibility to ensure the patient has been educated by the physician about the procedure before informed consent is obtained

Correct answer: A

Rationale: The statement 'The nurse is responsible for obtaining the consent for surgery' is incorrect. The responsibility of obtaining informed consent for surgery lies with the physician or surgeon performing the procedure. Nurses can assist in the process by witnessing the client signing the consent form, ensuring the patient is educated about the procedure by the physician, and verifying that the consent process is voluntary and informed. For patients under 18 years of age, a parent or legal guardian typically needs to sign the consent form on behalf of the minor, as they are not legally able to provide consent themselves.

4. In a community with competencies, what characteristic demonstrates their ability effectively?

• A. Identify their needs, achieve consensus, and plan and implement goals
• B. Delegate community processes to an outside expert
• C. Conduct their own cross-sectional epidemiological studies
• D. Predict morbidity and mortality rates

Correct answer: A

Rationale: A community with competencies can identify its needs, achieve consensus, and effectively plan and implement goals. This showcases their self-sufficiency and collaborative problem-solving skills, enabling them to address community issues efficiently.

5. 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.

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