Nursing Elites

1. When working with moms and babies from diverse backgrounds in the community, what is a necessary competence for a public health nurse to have self-awareness and humility?

• A. I am confident in my ability to teach the new mom about all the necessary aspects of evidence-based newborn care before the baby is born.
• B. I often notice that newly expectant moms underestimate the challenges of caring for a new baby, and I emphasize this to them.
• C. Sometimes, young moms lack knowledge about self-care, and I try to correct their behavior promptly.
• D. I understand that I may not always be perfect with my patients, but I acknowledge this openly and listen to their feedback.

Correct answer: D

Rationale: Self-awareness and humility are vital qualities for a public health nurse. Option D demonstrates these qualities by acknowledging personal fallibility and actively engaging with patients to address any shortcomings. This approach fosters trust and open communication, essential for providing effective care across diverse cultural backgrounds.

2. Which factor is most critical for the sustainability of health programs?

• A. Continuous community involvement
• B. Support from local government
• C. Availability of funding
• D. Regular program evaluation

Correct answer: A

Rationale: Continuous community involvement is the most critical factor for the sustainability of health programs. When the community is actively engaged and involved in health initiatives, there is a higher likelihood of long-term support and success. Community involvement fosters ownership, collaboration, and ensures that health programs are tailored to meet the specific needs of the community, leading to better outcomes and sustainability over time.

3. What is the primary goal of case management?

• A. Coordinating care among various providers
• B. Reducing health care costs
• C. Enhancing patients' quality of life
• D. Improving patient satisfaction

Correct answer: A

Rationale: The primary goal of case management is to coordinate care among various providers to ensure seamless and effective care delivery. By facilitating communication and collaboration between different healthcare professionals, case management aims to optimize patient outcomes and experiences.

4. Which action exemplifies secondary prevention?

• A. Administering vaccines
• B. Providing treatment for acute illnesses
• C. Teaching safe health practices
• D. Developing health policies

Correct answer: B

Rationale: The correct answer is B: Providing treatment for acute illnesses. Secondary prevention focuses on early detection and treatment of a disease to prevent its progression and complications. Administering vaccines (choice A) is an example of primary prevention aimed at preventing the onset of a disease. Teaching safe health practices (choice C) falls under health promotion and education, which is a form of primary prevention. Developing health policies (choice D) is more aligned with public health initiatives and may impact primary, secondary, or tertiary prevention strategies, depending on the specific policies enacted.

5. What is the most crucial factor in determining the health of a community?

• A. Access to health care services
• B. Socioeconomic status
• C. Environmental quality
• D. Genetic predisposition

Correct answer: B

Rationale: Socioeconomic status plays a vital role in determining the health of a community. It affects access to resources, education, employment opportunities, housing, and healthcare services. Individuals with higher socioeconomic status generally have better health outcomes due to their ability to afford healthier lifestyle choices, quality healthcare, and living environments. In contrast, individuals with lower socioeconomic status may face barriers to accessing essential healthcare services, nutritious food, safe housing, and education, leading to poorer health outcomes. Therefore, addressing socioeconomic disparities is crucial in promoting community health and well-being.

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