RN exams community health practice questions set 41

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The correct answer is D. In narcissistic personality disorder, individuals exhibit grandiosity, self-importance, and a sense of entitlement. This is a key feature of the disorder where individuals have an inflated sense of their own importance and require excessive admiration. This behavior is often accompanied by a lack of empathy and exploitation of others. Choice A (charm, drama, seductiveness, and admiration seeking) is more characteristic of histrionic personality disorder. Choice B (preoccupation with minute details and perfectionism) is more characteristic of obsessive-compulsive personality disorder. Choice C (difficulty being alone, indecisiveness, and submissiveness) does not align with the typical presentation of narcissistic personality disorder.

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The correct answer is A: The incidence of smoking among the teenage population in this community. This is crucial as it provides essential data on the extent of the problem, helping the nurse tailor the program to address the specific needs of the community. Understanding the prevalence of teenage smoking will guide the development of effective interventions. Incorrect answers: B: The amount of available funding is important but not as critical as understanding the prevalence of smoking in the community. C: While Healthy People objectives are important guidelines, knowing the actual incidence of smoking in the community is more directly relevant. D: This choice is incomplete and does not provide any relevant information for planning a community health program.

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The correct answer is C, the Medicare and Medicaid Act. This legislation, passed in the 1960s, specifically expanded healthcare access for the elderly in the United States by establishing the Medicare program. Medicare provides health insurance for individuals aged 65 and older. Medicaid, also part of this act, provides healthcare coverage for low-income individuals. The other choices are incorrect because: A: The Medicaid Act primarily focuses on providing healthcare coverage for low-income individuals, not specifically the elderly. B: The Social Security Act established social security benefits, not healthcare access for the elderly. D: The National Health Service Act is a UK legislation and not related to expanding healthcare access for the elderly in the US.

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The most appropriate response by the nurse is C: 'Per day, no more than one drink for women and two drinks for men.' This recommendation aligns with the guidelines for moderate alcohol consumption set by health authorities. It is important for individuals to be aware of the recommended limits to prevent the negative health consequences associated with excessive alcohol intake. Providing clear and evidence-based information supports the client in making informed decisions about their alcohol consumption. Option A is vague and lacks specific guidance, while option B may inadvertently condone excessive drinking. Option D, advocating for total abstinence, may not be necessary for all clients and could potentially alienate or discourage the individual seeking advice.

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The correct answer is B: Healthy People 2020. This document outlines national health objectives, including promoting early detection of breast cancer. It provides evidence-based strategies and goals for improving public health. A: The Future of Public Health - Focuses on the broader future of public health, not specifically on early detection of breast cancer in women. C: Patient Protection and Affordable Care Act - Primarily addresses healthcare coverage and access, not specific strategies for promoting early detection of breast cancer. D: Scope and Standards of Public Health Nursing Practice - Pertains to the responsibilities and competencies of public health nurses, but does not specifically address strategies for promoting early detection of breast cancer.

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The correct answer is C: Educating local citizen groups on the needs and experiences of the mentally ill in their community. This intervention addresses the root cause of stigma - lack of understanding and awareness. By educating the community, misconceptions can be corrected, empathy can be cultivated, and stigma can be reduced. Choice A does not directly address stigma reduction but rather focuses on minimizing reliance on the community. Choice B, while promoting acceptance, may not necessarily tackle stigma at its core. Choice D, improving socialization skills, is beneficial but may not address the systemic issue of stigma. Ultimately, educating the community is key to fostering a more inclusive and supportive environment for individuals with mental illness.

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The correct answer is C: Educating local citizen groups on the needs and experiences of the mentally ill in their community. This intervention addresses the root cause of stigma - lack of understanding and awareness. By educating the community, misconceptions can be corrected, empathy can be cultivated, and stigma can be reduced. Choice A does not directly address stigma reduction but rather focuses on minimizing reliance on the community. Choice B, while promoting acceptance, may not necessarily tackle stigma at its core. Choice D, improving socialization skills, is beneficial but may not address the systemic issue of stigma. Ultimately, educating the community is key to fostering a more inclusive and supportive environment for individuals with mental illness.

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The correct answer is C: Virtue ethics. The physician's belief that the client's suffering will build character aligns with the virtue ethics theory, which focuses on the moral character of the individual and the development of virtues like compassion and empathy. By refusing pain medication to teach a lesson, the physician is prioritizing character development over the client's well-being, which is a key aspect of virtue ethics. Summary: A: Consequentialism focuses on the outcomes of actions, not the character of the individual. B: Communitarianism emphasizes the importance of community values, not individual character development. D: Utilitarianism prioritizes maximizing overall happiness or well-being, not individual character building over pain relief.

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The correct answer is B: Chronic low self-esteem. This diagnosis is appropriate because the patient's statement reflects a long-standing negative self-view, which aligns with chronic low self-esteem. The patient's feelings of inadequacy and self-doubt are indicative of this diagnosis. Choice A (Risk for other-directed violence) is incorrect because there is no evidence or indication of potential for violence in the patient's statement. Choice C (Deficient knowledge) is incorrect as the patient's concerns are related to self-perception rather than a lack of knowledge. Choice D (Social isolation) is incorrect because although the patient mentions feeling isolated in the past, the primary issue in the statement is low self-esteem rather than social isolation.

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The correct answer is to suggest the client join a local senior center. Joining a local senior center provides the elderly client with opportunities for social interaction, engagement in activities, and access to support systems, which can significantly help alleviate feelings of isolation and loneliness. Regular visits from a home health aide (Choice A) may provide physical assistance but may not address the client's need for social connection. Referring the client to a support group for seniors (Choice C) is beneficial, but joining a senior center offers a wider range of activities and social opportunities. Recommending a new hobby (Choice D) may be helpful, but the priority should be addressing the client's immediate need for social interaction and support.