Nursing Elites

1. What is a common challenge in community health nursing?

• A. Limited resources
• B. High patient caseloads
• C. Cultural barriers
• D. Changing health behaviors

Correct answer: A

Rationale: Limited resources are a common challenge in community health nursing as they can impact the ability to deliver comprehensive care. This challenge can include financial constraints, lack of supplies, and inadequate staffing levels, all of which can hinder the provision of effective healthcare services to the community.

2. When writing a community diagnosis, the community health nurse notes that the 'among' phrase:

• A. Presents a synthesis of all assessment data.
• B. Provides the supporting data.
• C. Specifies the aggregate that will benefit from the nurse's plan.
• D. Describes the cause of the health problem and directs focus of interventions.

Correct answer: C

Rationale: In community diagnosis, the 'among' phrase is used to specify the particular population group that will benefit from the nurse's plan. It helps in targeting interventions and tailoring healthcare activities to the identified group within the community.

3. Which term describes the absence of regular health check-ups?

• A. Health deficit
• B. Health threats
• C. Health problem
• D. Foreseeable crisis

Correct answer: A

Rationale: A health deficit refers to the lack or absence of something essential for maintaining good health, in this case, regular health check-ups. Not undergoing regular health check-ups can lead to undiagnosed health issues and prevent timely interventions, resulting in a health deficit.

4. Which best describes an outcome of successful health promotion?

• A. Reduced incidence of chronic diseases
• B. Increased health care costs
• C. Improved patient compliance
• D. Decreased use of emergency services

Correct answer: A

Rationale: The correct answer is A: Reduced incidence of chronic diseases. Successful health promotion aims to prevent diseases and improve health outcomes, leading to a decrease in the occurrence of chronic conditions. This outcome reflects positive changes in health behaviors and conditions, ultimately contributing to better overall health in populations.

5. 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.

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