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What best describes the goal of health advocacy?
- A. To influence health policies for better health outcomes
- B. To educate patients about their health conditions
- C. To provide clinical care to patients
- D. To reduce health care costs
Correct Answer: A
Rationale: The correct answer is A because health advocacy aims to influence health policies for better health outcomes at a population level. It involves advocating for changes in policies, regulations, and practices to address health disparities and improve public health. Choice B is incorrect as educating patients is more related to patient education. Choice C is incorrect as providing clinical care is the role of healthcare providers, not health advocates. Choice D is incorrect as the primary goal of health advocacy is not to reduce healthcare costs, but rather to promote health equity and access to quality care.
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What is the primary role of community health nurses in disaster preparedness?
- A. Developing emergency response plans
- B. Providing direct patient care
- C. Coordinating care among various providers
- D. Conducting health screenings
Correct Answer: A
Rationale: The primary role of community health nurses in disaster preparedness is developing emergency response plans. This is because they play a crucial role in planning and organizing community resources to effectively respond to disasters. Providing direct patient care (B) and conducting health screenings (D) are important activities but not the primary role in disaster preparedness. Coordinating care among various providers (C) is also significant, but developing emergency response plans takes precedence in ensuring a coordinated and efficient response during disasters.
What is the MOST COMMON cause of vaginal bleeding immediately after birth?
- A. Uterine atony
- B. Genital lacerations
- C. Abnormal clotting mechanisms
- D. Endometritis
Correct Answer: A
Rationale: The correct answer is A: Uterine atony. After birth, the uterus may not contract properly, leading to excessive bleeding known as postpartum hemorrhage. Uterine atony is the most common cause, as the uterus fails to remain contracted after delivery. This results in inadequate compression of blood vessels, leading to bleeding. Genital lacerations can cause bleeding but are less common than uterine atony. Abnormal clotting mechanisms and endometritis are less likely causes of immediate postpartum bleeding compared to uterine atony.
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 correct answer is D: Using open-ended questioning. The RN's question is open-ended, allowing the teen to express thoughts and feelings freely. This technique helps the client explore their concerns and motivations, fostering self-reflection and problem-solving. This approach aligns with motivational interviewing principles, aiming to evoke the client's own reasons for change.
Choices A, B, and C are incorrect:
A: Moving the teen to find a new friend group - This option involves a directive approach, which is contrary to motivational interviewing's collaborative and client-centered nature.
B: Addressing the problem of teen awkwardness - While acknowledging the teen's feelings, this choice focuses on the issue rather than facilitating the client's exploration of their own perspective.
C: Agreeing that awkwardness is hard - This choice reflects empathy, but it does not encourage the client to elaborate on their feelings and thoughts, limiting the depth of the conversation.
Why is environmental health more challenging than other variables related to an individual's health?
- A. Environmental health affects susceptible individuals more than groups.
- B. Environmental health demands that individuals be willing to change their beliefs.
- C. Environmental health is dependent on social neighborhoods and geography.
- D. Environmental health requires social, economic, and political changes to improve.
Correct Answer: D
Rationale: The correct answer is D because environmental health issues are complex and interconnected with social, economic, and political factors. Improving environmental health often involves addressing systemic issues and implementing large-scale changes. This includes policies, regulations, and community initiatives. Choices A, B, and C are incorrect because environmental health impacts both individuals and groups, requires more than just individual behavior change, and goes beyond just social neighborhoods and geography.
Barriers to a patient's engagement in self-care include all of the following except:
- A. Mental health issues
- B. Lack of knowledge
- C. High health literacy
- D. Financial issues
Correct Answer: C
Rationale: The correct answer is C: High health literacy. High health literacy actually facilitates a patient's engagement in self-care by enabling them to understand health information and make informed decisions. Mental health issues, lack of knowledge, and financial issues are barriers as they can affect a patient's ability to effectively manage their own care. Mental health issues may result in poor motivation or cognitive impairment, lack of knowledge can lead to incorrect practices, and financial issues can limit access to necessary resources.