Nursing Elites

1. When asked to help develop interventions to combat obesity among children, the community health nurse should stress the importance of implementing which activity?

• A. Set goals that are focused on developing healthier lifestyles.
• B. Develop strict diet plans for school-aged children.
• C. Provide diet classes for obese children during school hours.
• D. Require all children to participate in organized team sports.

Correct answer: A

Rationale: The correct answer is A: Setting goals that are focused on developing healthier lifestyles. This approach is essential in combating childhood obesity as it promotes sustainable habits and behaviors. Option B, developing strict diet plans, may not be effective in the long term and could lead to unhealthy relationships with food. Option C, providing diet classes during school hours, may not address the root causes of obesity and could potentially stigmatize the children. Option D, requiring all children to participate in organized team sports, may not be feasible for all children and might not address dietary habits and sedentary behaviors.

2. A person with no known illness whose daily routine consists of walking and following a healthy diet would be best characterized as engaging in which kind of activities?

• A. health balance
• B. disease prevention
• C. health promotion
• D. self-fulfillment

Correct answer: C

Rationale: The correct answer is C: health promotion. Health promotion activities involve maintaining a healthy lifestyle to prevent illness. In this scenario, the person is actively engaging in behaviors that promote their overall health and well-being, such as walking and following a healthy diet. Choice A, 'health balance,' is vague and does not specifically address the proactive nature of the person's actions. Choice B, 'disease prevention,' while related, focuses more on specific actions taken to prevent diseases rather than the broader concept of promoting overall health. Choice D, 'self-fulfillment,' does not directly relate to the activities described in the question.

3. Which of the following is a key component of community-based participatory research?

• A. Conducting research in a laboratory setting
• B. Involving community members in the research process
• C. Focusing solely on quantitative data
• D. Ignoring community input

Correct answer: B

Rationale: The correct answer is B: 'Involving community members in the research process.' Community-based participatory research emphasizes the active involvement of community members in all aspects of the research process, from identifying research questions to interpreting and disseminating results. Choice A is incorrect because community-based participatory research typically takes place in real-world settings, not in laboratories. Choice C is incorrect because community-based participatory research values a mix of quantitative and qualitative data. Choice D is incorrect because community input is essential in this research approach.

4. The new graduate nurse interviews for a position in a nursing department of a large health care agency, described by the interviewer as having shared governance. Which of these statements best illustrates the shared governance model?

• A. An appointed board oversees any administrative decisions
• B. Nursing departments share responsibility for client outcomes
• C. Staff groups are appointed to discuss nursing practice and client education issues
• D. Non-nurse managers supervise nursing staff in groups of units

Correct answer: B

Rationale: The correct answer is B because shared governance involves nurses and other staff sharing responsibility for decisions related to patient care and outcomes, promoting collaborative practice and shared accountability. Choice A is incorrect as shared governance includes active participation of frontline staff, not just an appointed board. Choice C is incorrect because shared governance goes beyond just discussing issues to actively sharing responsibility for decision-making. Choice D is incorrect as shared governance encourages nurses to have a significant role in decision-making rather than being supervised by non-nurse managers.

5. A nurse manager is using the technique of brainstorming to help solve a problem. One nurse criticizes another nurse’s contribution and begins to find objections to the suggestion. The nurse manager's best response is to

• A. Let’s move on to a new action that deals with the problem.
• B. I think you need to reserve judgment until after all suggestions are offered.
• C. Very well thought out. Your analytic skills and interest are incredible.
• D. Let’s move to the ‘what if…’ as related to these objections for an exploration of spin-off ideas.

Correct answer: D

Rationale: Encouraging the group to explore 'what if' scenarios based on the objections helps to maintain a positive and creative brainstorming atmosphere, while also validating the concerns raised by the nurse. Choice A is dismissive and does not address the issue at hand. Choice B suggests postponing judgment, which may not resolve the tension caused by the criticism. Choice C is complimentary but does not address the critical feedback provided by the nurse, missing an opportunity to turn objections into opportunities for further exploration.

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