Nokea
Which action exemplifies a policy-level intervention in community health?
- A. Providing health education to the community
- B. Advocating for legislative changes
- C. Implementing new treatment protocols
- D. Developing health policies
Correct Answer: B
Rationale: The correct answer is B: Advocating for legislative changes. Policy-level interventions focus on creating systemic change through laws or regulations. Advocating for legislative changes involves influencing policies that impact community health on a broader scale. This action can address underlying social determinants of health and create sustainable improvements. Providing health education (A) is important but is at an individual or community level, not policy-level. Implementing new treatment protocols (C) and developing health policies (D) are important but are specific actions within the healthcare system, not overarching policy-level interventions like advocating for legislative changes.
You may also like to solve these questions
The community health nurse is involved in public health work. Which of these statements by the nurse reflects an understanding of upstream interventions?
- A. I will engage in policy initiatives in my urban area.
- B. I will administer the flu shot to interested seniors.
- C. I will help manage a senior's diabetes needs at home.
- D. I will work with a local school to provide asthma education.
Correct Answer: A
Rationale: Rationale: Option A is correct as it involves engaging in policy initiatives which are considered upstream interventions in public health. Upstream interventions target the root causes of health issues at a population level. Policy initiatives can lead to systemic changes that impact the health of entire communities. Options B, C, and D are more focused on individual or downstream interventions, which address health issues after they have already occurred and do not target the underlying causes on a larger scale.
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: The correct answer is D because self-awareness and humility are crucial competencies for a public health nurse working with diverse populations. By acknowledging imperfections openly and listening to patient feedback, the nurse demonstrates an understanding of their own limitations and a willingness to learn and improve. This approach fosters trust and communication with clients, leading to better outcomes.
A is incorrect because it focuses on the nurse's confidence rather than self-awareness and humility. B is incorrect as it highlights a judgmental attitude towards expectant moms instead of promoting understanding and support. C is incorrect as it emphasizes correcting behavior rather than listening and understanding the individual's needs.
Which of these is an example of a phenomenological community?
- A. Greenwich Village senior center
- B. NYC council district
- C. Gramercy Green residents
- D. Online support group for cancer survivors
Correct Answer: D
Rationale: The correct answer is D because an online support group for cancer survivors represents a phenomenological community where individuals share similar lived experiences and perspectives related to cancer. This community is based on subjective interpretations and meanings attached to their shared experiences, fostering a sense of belonging and understanding among members. In contrast, choices A, B, and C are not phenomenological communities as they are based on geographical proximity (Greenwich Village senior center, NYC council district) or residential location (Gramercy Green residents), which do not necessarily imply shared lived experiences or subjective interpretations.
While using technique of motivational interviewing with a college student engaged in binge drinking several times per week, the public health RN should begin with which intervention:
- A. Discussing how the student is managing his overall academic studies since drinking has become a problem
- B. Explaining to the student the full range of harmful impacts binge drinking has on the body and mind
- C. Asking open-ended questions and actively listening to the student while trying to remove any judgement
- D. Asking the student to make a validated survey that reveals attitudes and knowledge about binge drinking
Correct Answer: C
Rationale: The correct answer is C because in motivational interviewing, it is crucial to establish a non-judgmental, empathetic, and supportive environment. By asking open-ended questions and actively listening, the RN can understand the student's perspective, build rapport, and help the student explore ambivalence about their behavior. This approach aligns with the spirit of motivational interviewing, which aims to evoke the student's intrinsic motivation for change.
Choice A is incorrect because focusing on academic performance may not be the student's priority at the moment. Choice B is incorrect as providing information on harmful impacts may trigger resistance or defensiveness in the student. Choice D is incorrect as starting with a survey may feel impersonal and does not prioritize building a therapeutic alliance.
The Filipino Food Guide Pyramid strongly emphasizes which of the following?
- A. Ensuring a variety of foods every day
- B. Eating a diet low in fats and sugar
- C. Maintaining specific daily servings of food groups
- D. Avoiding poor eating habits
Correct Answer: C
Rationale: The correct answer is C: Maintaining specific daily servings of food groups. The Filipino Food Guide Pyramid emphasizes this to ensure a balanced and nutritious diet. By following specific daily servings of food groups, individuals can meet their nutritional needs and maintain overall health. Choice A is too general and does not address the importance of specific food group servings. Choice B focuses only on fats and sugar, neglecting other essential nutrients. Choice D is vague and does not provide actionable guidance for healthy eating.