Nokea
As a community health nurse engaged in the process of community empowerment, what is essential for you to do?
- A. Gather data from the community
- B. Make decisions for people in the community
- C. Form partnerships with people in the community
- D. Accept responsibility for people's actions
Correct Answer: C
Rationale: The correct answer is C: Form partnerships with people in the community. As a community health nurse, forming partnerships is essential for community empowerment as it involves collaboration, sharing of resources, and building trust. This approach ensures that the community members are actively involved in decision-making processes, leading to sustainable improvements in health outcomes. Gathering data (A) is important, but forming partnerships is crucial for effective collaboration. Making decisions for people (B) goes against empowerment principles as it disempowers the community. Accepting responsibility for people's actions (D) is not the role of a nurse in community empowerment, as it focuses on supporting individuals to take responsibility for their own health.
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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.
What is the FIRST STEP for thermal protection of a newborn?
- A. Drying the baby thoroughly immediately after birth
- B. Covering the baby with a clean, dry cloth after the cord has been cut
- C. Drying the baby thoroughly after the cord has been cut
- D. Covering the baby with a clean, dry cloth immediately after birth
Correct Answer: A
Rationale: The correct answer is A: Drying the baby thoroughly immediately after birth. This is the first step for thermal protection as it helps prevent heat loss and hypothermia in the newborn. By drying the baby immediately after birth, any amniotic fluid on the skin is removed, allowing the baby's body temperature to stabilize. Covering the baby with a clean, dry cloth after drying would be the next step to maintain warmth. Choices B, C, and D are incorrect because they do not address the crucial initial step of drying the baby immediately after birth to prevent hypothermia.
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. Self-efficacy in the Health Belief Model refers to an individual's belief in their ability to successfully perform a behavior, such as quitting smoking. In this scenario, the client expressing doubt in their ability to quit indicates a lack of self-efficacy. This belief can greatly impact their motivation and likelihood of success in behavior change.
Summary:
A: Susceptibility relates to the individual's belief in their vulnerability to a health condition, not their confidence in behavior change.
C: Severity pertains to the individual's perception of the seriousness of the health condition, not their belief in their ability to make a change.
D: Cue to action refers to external stimuli triggering behavior change, not the individual's confidence in their ability to perform the behavior.
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.
A patient who has multiple health issues is discharged after a recent hospitalization. Which of the following comprehensive programs would a community health nurse refer the patient to if the patient is not under medical supervision but does have insurance?
- A. private health care practitioner
- B. a patient-centered medical home
- C. hospital clinic
- D. subacute facility
Correct Answer: B
Rationale: The correct answer is B: a patient-centered medical home. A patient-centered medical home provides comprehensive, coordinated care for patients with multiple health issues. It offers a team-based approach to managing care, including primary care, specialists, and other services. The patient does not need to be under medical supervision, but having insurance is beneficial for accessing the services offered. Referring the patient to a private health care practitioner (A) may not provide the level of coordination needed. Hospital clinics (C) typically focus on acute care, not comprehensive management. Subacute facilities (D) are for patients who need ongoing medical supervision and rehabilitation, which may not be necessary in this case.