Nursing Elites

1. Which best describes a community-based participatory approach to health?

• A. Engaging community members in the planning process
• B. Conducting research on community health issues
• C. Implementing health policies
• D. Focusing on individual health behaviors

Correct answer: A

Rationale: A community-based participatory approach involves engaging community members in the planning and implementation of health initiatives. This approach values the active involvement of community members in decision-making processes related to health programs and initiatives, emphasizing collaboration and shared decision-making between community members and health professionals.

2. Which is a major focus of community health nursing?

• A. Providing care to individuals and families
• B. Improving access to health care
• C. Implementing health policies
• D. Promoting community partnerships

Correct answer: A

Rationale: A major focus of community health nursing is providing care to individuals and families within the community setting. Community health nurses often work directly with individuals and families to promote health, prevent disease, and provide education and support tailored to their specific needs. This direct care approach is a fundamental aspect of community health nursing practice.

3. Identifying that numerous factors influence chronic illnesses such as hypertension, which of the following would be an upstream factor to enhance health outcomes for adults with hypertension in the community?

• A. Nutritional classes featuring low-fat and low-carb choices.
• B. Motivational interviewing sessions for smoking cessation.
• C. Working with the public health department to restrict smoking in public.
• D. Initiating chair yoga classes for seniors in the community.

Correct answer: C

Rationale: Working with the public health department to restrict smoking in public is an upstream factor that focuses on implementing population-level interventions to prevent health issues such as hypertension. By creating policies to limit smoking in public spaces, it can help reduce the overall exposure to tobacco smoke, thereby positively impacting the health outcomes of adults with hypertension in the community.

4. Which best describes a benefit of using health informatics in community health?

• A. Reducing the risk of medical errors
• B. Improving patient satisfaction
• C. Facilitating access to health services
• D. Enhancing coordination of care

Correct answer: D

Rationale: The correct answer is D, enhancing coordination of care. Health informatics in community health ensures accurate and timely sharing of patient information among healthcare providers, leading to improved collaboration and continuity of care for patients across different settings.

5. Which action demonstrates secondary prevention?

• A. Screening for early signs of disease
• B. Providing rehabilitation services
• C. Administering medications
• D. Providing health education

Correct answer: A

Rationale: The correct answer is A: Screening for early signs of disease. Secondary prevention involves activities that aim to detect health issues early to provide timely treatment. Screening for early signs of disease falls under secondary prevention as it helps identify diseases in their early stages, allowing for prompt intervention and management.

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