Nursing Elites

1. Which is a key component of program evaluation in community health?

• A. Identifying program goals and objectives
• B. Ensuring program sustainability
• C. Monitoring program implementation
• D. Evaluating health outcomes

Correct answer: D

Rationale: Evaluating health outcomes is a crucial component of program evaluation in community health. It allows for assessing the effectiveness of the program and identifying areas that require improvement. By analyzing health outcomes, organizations can determine the impact of their interventions and make data-driven decisions to enhance community health initiatives.

2. What action is essential for a community health nurse to assess environmental health risks?

• A. Collecting data on community health behaviors
• B. Conducting health screenings
• C. Assessing workplaces for potential hazards
• D. Monitoring air and water quality

Correct answer: D

Rationale: Community health nurses play a vital role in assessing environmental health risks by monitoring air and water quality. This action helps identify potential hazards that may impact the health of individuals in the community. By monitoring these environmental factors, nurses can gather important data to address and mitigate health risks associated with poor air or water quality.

3. Which of the following is NOT a part of the community assessment process?

• A. Identifying available resources such as time, money, and team skills
• B. Setting action priorities based on the needs of the community and available resources
• C. Withholding results from the community until they can be statistically confirmed to avoid alarming people
• D. Collecting and analyzing information

Correct answer: C

Rationale: In the community assessment process, it is essential to involve the community and share information transparently. Withholding results until they are statistically confirmed can lead to misinformation or unnecessary delays in addressing community needs. Therefore, option C, which suggests withholding results, is NOT a standard practice in the community assessment process.

4. Which is an example of a policy-level intervention in community health?

• A. Implementing new treatment protocols
• B. Educating individuals about healthy behaviors
• C. Establishing community health clinics
• D. Advocating for legislative changes

Correct answer: D

Rationale: Advocating for legislative changes is a policy-level intervention that can bring about significant improvements in community health. This involves influencing laws and regulations to create a healthier environment for the community as a whole, impacting a larger population than individual-level interventions. Implementing new treatment protocols, educating individuals about healthy behaviors, and establishing community health clinics are important interventions but are more focused on the individual or community level rather than policy-level changes.

5. The public health RN is working with a client who desires to quit smoking. The client says to the RN, 'I want to quit but I just don't think I have it in me to really make it happen.' According to the Health Belief Model, this response relates to which factor:

• A. Susceptibility
• B. Self-efficacy
• C. Severity
• D. Cue to action

Correct answer: B

Rationale: The correct answer is B, 'Self-efficacy.' In the Health Belief Model, self-efficacy refers to a person's belief in their capacity to execute behaviors necessary to achieve specific goals or outcomes. In this scenario, the client's statement reflects a lack of confidence in their ability to successfully quit smoking, indicating low self-efficacy. By addressing and enhancing the client's self-efficacy, the public health RN can help empower the client to take steps towards successful smoking cessation.

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