Nursing Elites

1. What best describes the role of cultural competence in health promotion?

• A. Respecting and incorporating diverse cultural practices
• B. Avoiding cultural stereotypes
• C. Providing care that is free from cultural biases
• D. Ensuring language access services

Correct answer: A

Rationale: Cultural competence in health promotion encompasses respecting and incorporating diverse cultural practices. This involves understanding and valuing the beliefs, customs, and traditions of different cultural groups to provide effective and inclusive care and education.

2. Which best describes a primary prevention strategy in community health?

• A. Providing immunizations
• B. Conducting health screenings
• C. Offering rehabilitation services
• D. Providing treatment for acute illnesses

Correct answer: A

Rationale: The correct answer is A: Providing immunizations. This is a primary prevention strategy that focuses on preventing diseases before they occur. Immunizations help build immunity against specific diseases, reducing the likelihood of infection and transmission within the community. This proactive approach is essential in promoting public health and preventing the spread of communicable diseases.

3. A nurse who works on the surgical unit at the local hospital was asked by the home health unit to make a home visit to a patient who had been discharged the previous day and to give follow-up care (for overload pay). What kind of nursing would this nurse be doing?

• A. Acute care hospital nursing
• B. Community-based nursing
• C. Community health nursing
• D. Public health nursing

Correct answer: B

Rationale: The nurse is providing care to a patient at home, which falls under the realm of community-based nursing. Community-based nursing involves providing healthcare services outside of traditional healthcare facilities, such as in patients' homes or community settings, to promote health and wellness and prevent hospital readmissions.

4. 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.

5. How do social determinants impact health?

• A. They directly affect health behaviors and outcomes.
• B. They primarily influence genetic predisposition.
• C. They have minimal impact on overall health.
• D. They determine access to health resources.

Correct answer: A

Rationale: Social determinants play a significant role in impacting health by directly influencing health behaviors and outcomes. These determinants include factors such as socioeconomic status, education, neighborhood, and access to healthcare, which shape the conditions in which individuals live, work, and age, ultimately affecting their health status.

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