RN exams community health practice questions, set 28
RN exams · community health
RN exams community health practice questionsset 28
You think beyond the bed: populations, culture, and the referral that actually gets used. Five of the 15 questions include the correct answer and rationale. The other ten keep answers in the study hub. Continue with the RN exams exam guide or more RN exams practice questions.
Five community health questions with answers
Cover the key. Write the first action. Then open the rationale and name why the other choices fail.
Question 1
A public health nurse is involved in health care reform. Which of the following best explains why the nurse is involved in these efforts?
A. To promote the nursing profession
B. To increase funding for public health nursing
C. To address the concerns of nurses
D. To help improve health care access
Show answer and rationale
Correct answer: D — To help improve health care access
The correct answer is D, to help improve health care access. The public health nurse is involved in health care reform to advocate for policies and initiatives that aim to increase access to healthcare services for the population. By improving health care access, the nurse can help ensure that individuals receive timely and appropriate care, ultimately leading to better health outcomes.
A: Incorrect. Promoting the nursing profession is not the primary goal of a public health nurse involved in health care reform.
B: Incorrect. While funding is important, the main focus of the nurse's involvement is on improving access to healthcare services, not specifically on increasing funding for public health nursing.
C: Incorrect. While addressing the concerns of nurses is important, the primary reason for the nurse's involvement in health care reform is to improve health care access for the population.
Question 2
The increasing complexity of societal needs and rapid changes in public health no longer allow for adequate time for on-the-job training and education. As a result, what is the current minimum level of educational preparation for a public health nurse?
A. Training as a registered practical nurse
B. Training as a registered nurse
C. A baccalaureate degree in nursing
D. A master of science degree in nursing
Show answer and rationale
Correct answer: C — A baccalaureate degree in nursing
The correct answer is C: A baccalaureate degree in nursing. This level of educational preparation is essential for public health nurses due to the increasing complexity of societal needs and rapid changes in public health. A baccalaureate degree provides a strong foundation in nursing theory, research, leadership, and public health principles. It equips nurses with critical thinking skills, evidence-based practice, and the ability to adapt to evolving healthcare environments. Training as a registered practical nurse (Choice A) may not offer the depth of knowledge and skills needed for public health practice. While training as a registered nurse (Choice B) provides a broader scope, a baccalaureate degree offers a more comprehensive education. A master of science degree in nursing (Choice D) may be valuable for advanced practice roles but is not the minimum requirement for public health nursing.
Question 3
Staff members have agreed to implement evidence-based practice; they have chosen a specific problem and searched the literature. The group has selected the interventions that seem the easiest to implement. What should be the staff's next step?
A. Assessing the quality of the evidence in the literature
B. Deciding how best to orient the staff and community to the proposed changes
C. Eliminating all nursing interventions that are not evidence based
D. Choosing another specific problem for the next literature search \
Show answer and rationale
Correct answer: A — Assessing the quality of the evidence in the literature
The correct answer is A: Assessing the quality of the evidence in the literature. After selecting interventions, it is crucial to evaluate the quality of evidence to ensure effectiveness and reliability. By assessing the evidence, staff can determine the validity and applicability of the interventions to their specific problem. This step helps in making informed decisions and avoiding potential harm from implementing interventions based on weak or biased evidence.
Summary of other choices:
B: Deciding how best to orient the staff and community to the proposed changes - Important, but not the immediate next step.
C: Eliminating all nursing interventions that are not evidence based - Premature without assessing the quality of evidence first.
D: Choosing another specific problem for the next literature search - Not necessary at this point; evaluating current interventions is more crucial.
Question 4
Which teaching strategy should the nurse use to enhance learning when teaching a community CPR program?
A. Use passive learning strategies
B. Present materials from simple to complex
C. Role-relationship
D. Assume learners have the same baseline knowledge
Show answer and rationale
Correct answer: B — Present materials from simple to complex
The correct answer is B: Present materials from simple to complex. This teaching strategy is effective because it allows learners to build upon their existing knowledge gradually, making it easier for them to understand and retain information. By starting with simple concepts and moving towards more complex ones, the nurse can ensure that participants grasp the fundamentals before moving on to advanced topics.
A: Using passive learning strategies is ineffective for teaching CPR, as hands-on practice and active participation are crucial for skill acquisition.
C: Role-relationship is not directly related to enhancing learning in a CPR program and may not be as effective as presenting materials in a structured manner.
D: Assuming learners have the same baseline knowledge can lead to confusion and gaps in understanding, as individuals may have varying levels of prior knowledge on the topic.
Question 5
What was the primary purpose of the 1935 Social Security Act in the U.S.?
A. To establish the National Health Service
B. To provide a foundation for public health programs
C. To create the first national health insurance plan
D. To provide benefits for elderly, unemployed, and disabled individuals
Show answer and rationale
Correct answer: D — To provide benefits for elderly, unemployed, and disabled individuals
The correct answer is D. The primary purpose of the 1935 Social Security Act was to provide benefits for elderly, unemployed, and disabled individuals. This act established a system of social insurance that included old-age pensions, unemployment insurance, and assistance for the disabled. The other choices are incorrect because:
A: To establish the National Health Service - This was not the primary purpose of the 1935 Social Security Act. The act focused more on economic security than on healthcare.
B: To provide a foundation for public health programs - While the act did contribute to the overall well-being of individuals, its main focus was on providing financial support to specific groups in need.
C: To create the first national health insurance plan - The act did not create a comprehensive national health insurance plan but rather focused on social insurance programs for specific groups.
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Question 6
The ability to work with diverse groups is an important skill required in community health nursing. What best defines cohesion, one of the core concepts of working in groups?
A. Cohesion is anything a member does that makes an intentional contribution to the group's purpose.
B. Cohesion is the perception of a definite move toward meeting the group's goals and tasks.
C. Cohesion is encouraging all members to describe the experiences in their families and workplaces that they perceive as relevant.
D. Cohesion is a measure of attraction between individual members and the group.
Correct answer:
The correct answer is D because cohesion in a group context refers to the level of connection or bond between individual members and the group as a whole. This attraction is essential for fostering teamwork, communication, and collaboration within the group. When members feel connected and committed to the group, they are more likely to work together effectively towards common goals.
Choice A is incorrect because it focuses on individual contributions to the group's purpose rather than the group's overall unity. Choice B is incorrect as it refers to progress towards goals rather than the interpersonal relationships within the group. Choice C is incorrect as it emphasizes sharing personal experiences rather than the bond between members.
In summary, cohesion is about the sense of belonging, trust, and mutual support among group members, which enhances group effectiveness and productivity.
A barangay had an outbreak of German measles. To prevent congenital rubella, what is the BEST advice that you can give to women in the first trimester of pregnancy in the barangay?
A. Advice them on the sign of German Measles
B. Avoid crowded places, such as markets and moviehouses
C. Consult at the health center where rubella vaccine may be given
D. Consult a physician who may give them rubella immunoglobulin Answers and Rationale Gauge your performance by counter-checking your answers to those below. If you have disputes or further questions, please direct them to the comments section.
Correct answer:
The correct answer is C: Consult at the health center where rubella vaccine may be given. In the first trimester of pregnancy, it is crucial for women to consult with healthcare professionals to ensure they receive appropriate care and guidance. Rubella vaccine is contraindicated during pregnancy, but receiving the vaccine postpartum can prevent future rubella infections. This advice is the best course of action to prevent congenital rubella.
A: Advising on the sign of German Measles is important, but it does not directly prevent congenital rubella in the first trimester.
B: Avoiding crowded places can help reduce the risk of exposure to infections, but it is not as effective as receiving the rubella vaccine.
D: Consulting a physician for rubella immunoglobulin is not the standard recommendation for prevention in the first trimester; the focus is on vaccination preconception or postpartum.
RA 7160 mandates devolution of basic services from the national government to local government units. Which of the following is the major goal of devolution?
A. To strengthen local government units
B. To allow greater autonomy to local government units.
C. To empower the people and promote their self-reliance
D. To make basic services more accessible to the people
Correct answer:
The correct answer is B: To allow greater autonomy to local government units. Devolution aims to grant more power and decision-making authority to local government units, allowing them to govern more independently. This enhances their ability to address local needs efficiently.
A: To strengthen local government units - While devolution may contribute to strengthening local government units, the primary goal is to grant greater autonomy rather than just strengthen them.
C: To empower the people and promote their self-reliance - While empowering people and promoting self-reliance are important outcomes of devolution, the major goal is to grant autonomy to local government units.
D: To make basic services more accessible to the people - While making basic services more accessible is a positive outcome of devolution, the primary goal is to provide greater autonomy to local government units.
A nurse researcher wants to get information on the occurrence of an internationally
A. Which of the following websites would be the best place to seek this information?
B. The United Nations
C. The WHO
D. The World Bank
Correct answer:
The correct answer is C: The WHO. The World Health Organization (WHO) is the most appropriate choice for seeking information on the international occurrence of health-related issues. The WHO is a specialized agency of the United Nations responsible for international public health. It collects, analyzes, and disseminates global health data and statistics. The WHO collaborates with countries worldwide to address health challenges and provides guidance on health policies and programs. The other choices, the United Nations and the World Bank, are not specialized in public health data collection and analysis like the WHO. The United Nations is a broader organization covering various global issues, and the World Bank primarily focuses on economic development and poverty reduction. Therefore, the WHO is the best source for accurate and comprehensive information on international health occurrences.
A nurse researcher wants to get information on the occurrence of an internationally
A. Which of the following websites would be the best place to seek this information?
B. The United Nations
C. The WHO
D. The World Bank
Correct answer:
The correct answer is C: The WHO. The World Health Organization (WHO) is the most appropriate choice for seeking information on the international occurrence of health-related issues. The WHO is a specialized agency of the United Nations responsible for international public health. It collects, analyzes, and disseminates global health data and statistics. The WHO collaborates with countries worldwide to address health challenges and provides guidance on health policies and programs. The other choices, the United Nations and the World Bank, are not specialized in public health data collection and analysis like the WHO. The United Nations is a broader organization covering various global issues, and the World Bank primarily focuses on economic development and poverty reduction. Therefore, the WHO is the best source for accurate and comprehensive information on international health occurrences.
In the year 1980, the World Health Organization declared the Philippines, together with some other countries in the Western Pacific Region, "free†of which disease?
A. Pneumonic plaque
B. Poliomyelitis
C. Small pox
D. Anthrax
Correct answer:
The correct answer is C: Small pox. In 1980, the World Health Organization declared the Philippines and other countries in the Western Pacific Region "free" of smallpox due to successful global vaccination campaigns. Smallpox is a highly contagious and deadly disease caused by the variola virus. It was eradicated worldwide in 1980, making it the first and only human disease to be eradicated through vaccination efforts.
Explanation of incorrect choices:
A: Pneumonic plague - Plague is caused by the bacterium Yersinia pestis. Pneumonic plague is a severe form of the disease, but it was not declared eradicated in 1980.
B: Poliomyelitis - Polio is a viral disease that affects the nervous system. While there have been successful vaccination campaigns against polio, it was not declared eradicated in 1980.
D: Anthrax - Anthrax is a bacterial infection that can affect both animals and humans
A community health nurse (CHN) implemented an education program that incorporated computer games to reinforce learning in a community of older persons. Although earlier research had demonstrated evidence of improved retention of information by using this method, the CHN found exactly the opposite effect in this group of clients. What would be the most likely cause of the poor outcome in the education program?
A. Failure to consider client and contextual differences
B. Inadequate incorporation of evidence into practice
C. Inferior quality of the available research evidence
D. The CHN's lack of skills in evaluating the evidence
Correct answer:
The correct answer is A: Failure to consider client and contextual differences. In this scenario, the CHN implemented a program based on previous research showing improved retention using computer games. However, the negative outcome suggests that the older persons in this community have unique needs or preferences that were not accounted for. This failure to consider client and contextual differences likely led to the poor outcome.
Choice B is incorrect because it assumes the evidence was not incorporated adequately, but the problem lies in not considering the specific needs of the older persons. Choice C is incorrect as the quality of research evidence was not the issue. Choice D is incorrect because the CHN's lack of skills in evaluating evidence does not directly explain the poor outcome; rather, it was the failure to consider client and contextual differences that led to the result.
What was the main reason for the brief existence of the nurse practitioner–model educational program?
A. Inadequate assessment and planning in the local area
B. Insufficient provincial/territorial funding
C. The large number of primary care physicians practising in urban areas
D. The need for nursing expertise and skills in other practice settings
Correct answer:
The correct answer is D because the main reason for the brief existence of the nurse practitioner–model educational program was the need for nursing expertise and skills in other practice settings. This is supported by the fact that nurse practitioners were developed to address the gap in healthcare services by providing advanced nursing care in various settings. They were trained to deliver high-quality care, fill the need for primary care providers, and improve access to healthcare services.
A: Inadequate assessment and planning in the local area is not the main reason for the brief existence of the program.
B: Insufficient provincial/territorial funding may have been a contributing factor, but it was not the main reason.
C: The large number of primary care physicians practising in urban areas is not directly related to the existence of the nurse practitioner-model educational program.
This year 600 of 8000 young women ages 17 to 20 years at a university health center tested positive for a sexually transmitted infection (STI). What does this finding represent?
A. An epidemic
B. Incidence
C. Prevalence
D. Risk
Correct answer:
The correct answer is C: Prevalence. Prevalence refers to the proportion of a specific population that has a particular condition at a specific point in time. In this case, the finding of 600 out of 8000 young women testing positive for an STI represents the prevalence of STIs among women aged 17 to 20 at the university health center.
Rationale:
1. Epidemic (A) is incorrect because the term refers to a sudden increase in the number of cases of a disease in a specific population, which is not indicated in the question.
2. Incidence (B) is incorrect because it refers to the rate of new cases of a disease within a specified time period, not the total number of existing cases at a particular point in time.
3. Risk (D) is incorrect because it refers to the probability of an individual developing a specific condition, not the proportion of the population that currently has the condition.
Which teaching strategy should the nurse use to enhance learning when teaching a community CPR program?
A. Use passive learning strategies
B. Present materials from simple to complex
C. Role-relationship
D. Assume learners have the same baseline knowledge
Correct answer:
The correct answer is B: Present materials from simple to complex. This teaching strategy is effective because it allows learners to build upon their existing knowledge gradually, making it easier for them to understand and retain information. By starting with simple concepts and moving towards more complex ones, the nurse can ensure that participants grasp the fundamentals before moving on to advanced topics.
A: Using passive learning strategies is ineffective for teaching CPR, as hands-on practice and active participation are crucial for skill acquisition.
C: Role-relationship is not directly related to enhancing learning in a CPR program and may not be as effective as presenting materials in a structured manner.
D: Assuming learners have the same baseline knowledge can lead to confusion and gaps in understanding, as individuals may have varying levels of prior knowledge on the topic.
RN exams community health practice questions, set 28 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.
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