Nokea
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.
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One of the first steps in community assessment may involve the community health nurse driving or walking through an area and making observations about such things as environmental layout and location of agencies, hospitals, industries, and so forth. This is called a(n):
- A. Census survey.
- B. Needs survey.
- C. Informant survey.
- D. Windshield survey.
Correct Answer: D
Rationale: The correct answer is D: Windshield survey. This is because a windshield survey involves physically driving or walking through a community to observe its environmental layout, location of agencies, hospitals, industries, and other key features. This step helps the community health nurse to gain an initial understanding of the community's resources, strengths, and potential health issues.
A: Census survey involves collecting demographic data, not direct observation.
B: Needs survey focuses on identifying community health needs through specific data collection methods.
C: Informant survey involves gathering information from key community members, not direct observation.
In summary, the windshield survey is the appropriate choice as it aligns with the description of physically observing the community to gather initial information.
Why is it difficult to get others interested in environmental health?
- A. Environmental problems are not perceived as interesting or dramatic.
- B. It is difficult to get the media interested.
- C. People respond more to an acute crisis than chronic environmental problems.
- D. People respond more to an individual asking for help than a community asking for help.
Correct Answer: C
Rationale: The correct answer is C because people tend to respond more to immediate and acute crises rather than chronic environmental issues, which may not have immediate visible impacts. This is known as the "finite pool of worry" theory. People prioritize urgent problems over long-term issues. This is why it is difficult to get others interested in environmental health, as they may not perceive the gradual degradation of the environment as an urgent matter. Choices A, B, and D are incorrect because they do not address the fundamental psychological and behavioral aspect of human response to environmental issues.
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.
During a health education program, a facilitator continues to ask questions and encourages attendees to contribute examples from their own lives relevant to the discussion. Which best describes the rationale for the facilitator's action?
- A. To avoid having to prepare more material related to the topic
- B. To let the participants feel appreciated and knowledgeable
- C. To allow the participants to learn by doing through active participation
- D. To apply Freire's principles of learning
Correct Answer: C
Rationale: The correct answer is C because by encouraging active participation and sharing personal examples, the facilitator helps attendees engage with the material, apply concepts to real-life situations, and deepen their understanding through experiential learning. This approach fosters a more interactive and dynamic learning environment, enhancing retention and application of knowledge.
A is incorrect because the facilitator's aim is to enhance learning, not avoid preparation. B is incorrect as the primary focus is on facilitating learning, not just making participants feel appreciated. D is incorrect as while the facilitator may align with Freire's principles, the main rationale is to promote active participation and learning by doing.
How should contaminated instruments used during delivery be handled?
- A. Wash with soap and water and soak in 0.5% chlorine solution for 10 minutes
- B. Soak in 0.5% chlorine solution for 30 minutes
- C. Wash with soap and water and boil for 2 hours
- D. Soak in 0.5% chlorine solution for 10 minutes
Correct Answer: B
Rationale: The correct answer is B: Soak in 0.5% chlorine solution for 30 minutes. This is the most effective method for handling contaminated instruments as it allows enough time for the chlorine solution to effectively disinfect the instruments and kill any pathogens present. Washing with soap and water alone may not be sufficient to completely sterilize the instruments. Soaking for a longer duration (30 minutes) ensures thorough disinfection. Options A and D are similar but do not provide an adequate soaking time, which may result in incomplete disinfection. Option C of boiling for 2 hours is unnecessary and may damage the instruments.