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Which of the following is the primary focus of public health nursing?
- A. Families and groups
- B. Illness-oriented care
- C. Individuals within the family unit
- D. Promotion of quality of life
Correct Answer: D
Rationale: The correct answer is D: Promotion of quality of life. Public health nursing primarily focuses on improving the overall health and well-being of communities by promoting healthy lifestyles, preventing diseases, and enhancing quality of life. This includes addressing social determinants of health and advocating for policies that support health equity. Choices A, B, and C are more focused on individual or group care rather than population health. Choice A emphasizes families and groups, while choice B centers on illness rather than prevention. Choice C focuses on individuals within the family unit rather than the broader community. Thus, the correct answer, D, aligns best with the core principles of public health nursing.
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A registered nurse was just employed as a public health nurse. Which question would be the most
- A. Which groups are at the greatest risk for problems?
- B. Which patients should I see first as I begin my day?
- C. With which physicians will I be most closely collaborating?
- D. With which nursing assistants will I partner the most?
Correct Answer: A
Rationale: The correct answer is A: "Which groups are at the greatest risk for problems?" as it aligns with the primary focus of public health nursing, which is to prevent and address health issues within communities. By identifying high-risk groups, the nurse can prioritize interventions and allocate resources effectively.
Choice B is incorrect because public health nursing typically involves a population-based approach rather than individual patient care. Choice C is incorrect as it pertains more to hospital settings rather than public health. Choice D is incorrect as public health nurses typically work independently or with a team of public health professionals rather than nursing assistants.
A community health nurse critically examines their practice to decrease the influence of privilege when providing healthcare.Which statement does the nurse understand to be a critical aspect of privilege in nursing?
- A. Acknowledging one's privilege is critical to addressing unjust systems.
- B. The nursing profession is not influenced by privileg
- D. Privilege is solely determined by socioeconomic status.
Correct Answer: A
Rationale: The correct answer is A because acknowledging one's privilege is crucial in addressing unjust systems within nursing practice. By recognizing one's privilege, the nurse can better understand how it impacts their interactions with patients and colleagues, allowing for more equitable and culturally sensitive care. This awareness helps in challenging biases and advocating for marginalized groups. Choice B is incorrect as nursing, like any profession, is influenced by privilege. Choice D is incorrect because privilege encompasses various factors beyond just socioeconomic status, such as race, gender, and education.
Persons in an auditorium may have been exposed to a disease. If they are infected, it is crucial that
- A. The negative predictive value
- B. The positive predictive value
- C. The sensitivity of the test
- D. The specificity of the test
Correct Answer: A
Rationale: The correct answer is A: The negative predictive value. In this scenario, it is crucial to know the likelihood of a person not being infected if the test result is negative. Negative predictive value assesses the probability of a person truly being disease-free when the test result is negative. This is important for determining the risk of spreading the disease within the auditorium.
Explanation for other choices:
B: The positive predictive value - While important in clinical settings, in this case, determining the accuracy of positive test results is not as critical as ruling out disease transmission.
C: The sensitivity of the test - Sensitivity measures the ability of the test to correctly identify those with the disease, not necessarily ruling out disease transmission among those with negative results.
D: The specificity of the test - Specificity measures the ability of the test to correctly identify those without the disease, which is not directly related to preventing disease spread in this context.
A visitor from Japan comes to the United States for a 2-week vacation. Which of the following best describes this person?
- A. Non-immigrant
- B. Refugee
- C. Legal immigrant
- D. Lawful permanent resident
Correct Answer: A
Rationale: The correct answer is A: Non-immigrant. This person is visiting the US temporarily for vacation, making them a non-immigrant. Non-immigrants are individuals who enter a country for a specific purpose and period, such as tourism. Choice B, refugee, refers to someone fleeing persecution, not a visitor. Choice C, legal immigrant, implies permanent residency, which is not the case for a visitor. Choice D, lawful permanent resident, indicates someone with permanent residency status, not a visitor. Choices E, F, and G are not applicable in this context.
A nurse is investigating a bacterial illness that has caused a health problem in the community. Only
- A. A strong public health structure ready to respond effectively to a crisis
- B. Public healths need for additional funding and resources
- C. The unrecognized importance of nurses in lowering health care costs
- D. Lack of adequate vaccines to meet communitys needs
Correct Answer: A
Rationale: The correct answer is A: A strong public health structure ready to respond effectively to a crisis. A strong public health structure is essential for investigating and managing a bacterial illness outbreak in a community. Public health infrastructure includes surveillance systems, trained personnel, communication networks, and resources necessary to respond promptly and effectively to health crises. Without a robust public health structure, identifying the source of the illness, implementing control measures, and preventing further spread would be challenging.
Choice B is incorrect because while additional funding and resources are important for public health, they do not address the immediate need for an effective response to the crisis. Choice C is incorrect as it is not directly related to the investigation of the bacterial illness. Choice D is incorrect as the lack of adequate vaccines may contribute to the spread of the illness but does not address the broader issue of public health infrastructure.