Nokea
Which source of information about a community's health would give the community health nurse information about births, deaths, and marriages and aid in providing indicators of population growth or reduction?
- A. Census tracts
- B. Vital statistics
- C. National Health Survey data
- D. Needs assessment
Correct Answer: B
Rationale: The correct answer is B: Vital statistics. Vital statistics provide information on births, deaths, and marriages which are crucial indicators of a community's health and population trends. This data aids the nurse in understanding the demographic characteristics and health needs of the community. Census tracts (A) provide geographical boundaries, not specific health data. National Health Survey data (C) focuses on health behaviors and conditions, not vital events. Needs assessment (D) involves identifying community health needs, not specifically births, deaths, and marriages.
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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.
The RN working within the NFP model of care uses the Minnesota Health Wheel to describe what she does in her role to her own family. Which intervention is the RN likely to describe that is consistent with the public health nurse role of delegation:
- A. I administered IV antibiotics every 6 hours when the physician or nurse practitioner prescribed them.
- B. I conducted a full respiratory exam on a mother who might need asthma follow-up.
- C. I collaborated with the social work services team when I noted that my patient was unhoused.
- D. I taught the newly pregnant mom about necessary vaccinations to have at this time.
Correct Answer: C
Rationale: The correct answer is C because public health nurses in the NFP model focus on collaborating with other healthcare professionals and community resources to address the social determinants of health. By collaborating with the social work services team when recognizing that a patient is unhoused, the nurse is delegating the appropriate intervention to address the patient's social needs, which is a key aspect of the public health nurse role.
Choices A, B, and D are incorrect because they all involve direct patient care interventions that are typically within the scope of practice of the nurse themselves, rather than delegating to other professionals or resources. Option A involves administering IV antibiotics, which is a nursing task. Option B involves conducting a respiratory exam, which is also a nursing task. Option D involves teaching a patient about necessary vaccinations, which is an educational intervention within the nurse's scope of practice.
The public health nurse partners with the American Heart Association to develop NYS public policy priority statements to promote the expansion of the Double Up Food Bucks program. Which area and intervention on the Minnesota Public Health Wheel do these actions most closely align?
- A. Counseling - Blue wedge
- B. Advocacy - Yellow wedge
- C. Outreach - Red wedge
- D. Screening - Red wedge
Correct Answer: B
Rationale: The correct answer is B: Advocacy - Yellow wedge. Advocacy involves working to influence policies, laws, and regulations to improve health outcomes for communities. In this scenario, partnering with the American Heart Association to develop public policy statements aligns with advocacy as it aims to promote the expansion of the Double Up Food Bucks program through policy change. This action directly impacts the social and economic factors affecting health, making it an advocacy intervention. Choices A, C, and D do not involve influencing policies or advocating for systemic changes, making them incorrect in this context.
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 learning process aimed at improving health status through changes in knowledge, attitudes, and practices?
- A. Motivating
- B. Counseling
- C. Disease prevention
- D. Health education
Correct Answer: D
Rationale: The correct answer is D: Health education. This learning process focuses on improving health through knowledge, attitudes, and practices. Health education aims to empower individuals to make informed decisions for their well-being. Motivating (A) is about encouraging action, counseling (B) involves providing guidance and support, and disease prevention (C) targets specific strategies to reduce the risk of illnesses. In this context, health education encompasses a broader approach to promoting overall health and wellness.