Nursing Elites

1. 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.

2. Why is interdisciplinary collaboration important in community health?

• A. It enhances the quality of care by integrating different perspectives.
• B. It reduces the workload of individual health professionals.
• C. It ensures that all community health needs are met.
• D. It facilitates access to more resources and services.

Correct answer: A

Rationale: Interdisciplinary collaboration is crucial in community health as it brings together professionals from different fields to provide a holistic approach to patient care. By integrating various perspectives and expertise, it enhances the quality of care, leading to better health outcomes for the community. This teamwork allows for comprehensive assessments, innovative solutions, and improved coordination of services, ultimately benefiting the overall health and well-being of individuals in the community.

3. What factor is most likely to enhance the effectiveness of health education?

• A. Using culturally relevant materials
• B. Using medical jargon
• C. Providing lengthy written materials
• D. Distributing generic brochures

Correct answer: A

Rationale: The most effective factor to enhance health education is using culturally relevant materials. This approach makes the information more accessible and relatable to the target audience, leading to better understanding and engagement.

4. Which is an important consideration when conducting a community health assessment?

• A. Using standardized assessment tools
• B. Collecting both qualitative and quantitative data
• C. Engaging community stakeholders
• D. Analyzing health trends

Correct answer: C

Rationale: Engaging community stakeholders is crucial when conducting a community health assessment as it helps ensure that the assessment captures the diverse perspectives and needs of the community. Involving stakeholders promotes community buy-in, enhances the validity of the data collected, and increases the likelihood of implementing effective interventions based on the assessment findings.

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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