A nurse feels the desire to become an advocate and would like to become politically involved.
The nurse recognizes that the following are all barriers to involvement, except:
Anxiety with public speaking.
Political action interfering with family time.
Feelings of empowerment.
Lack of knowledge in the legislative process.
The Correct Answer is C
Choice A rationale
Anxiety with public speaking acts as a significant psychological barrier to political involvement, which frequently requires speaking in public forums, legislative hearings, or community meetings to advocate for a cause or policy. This fear inhibits a nurse from effectively articulating concerns and mobilizing support for health-related legislation.
Choice B rationale
Political action interfering with family time is a common logistical or personal barrier. Becoming politically involved demands a substantial time commitment for meetings, research, and lobbying efforts, which can create conflicts with existing family and personal responsibilities, thereby discouraging participation.
Choice C rationale
Feelings of empowerment are a facilitator or motivator, not a barrier, to political involvement. This psychological state reinforces a nurse's belief in their ability to effect positive change, encouraging them to engage in advocacy and use their professional expertise to influence health policy decisions.
Choice D rationale
Lack of knowledge in the legislative process constitutes an educational barrier. Without understanding the complex steps of how a bill becomes law, the key stakeholders, or the timing for effective lobbying, a nurse is likely to feel overwhelmed and ineffective, reducing their desire to participate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While individuals escaping partner violence are a significant group within the homeless population, often seeking shelter, they are not identified as the fastest growing segment overall. Their growth rate is substantial but is generally surpassed by the increasing numbers of entire families with children facing homelessness due to economic factors.
Choice B rationale
Adolescent runaways are a critical, vulnerable segment of the homeless population with unique needs related to safety and development. However, their numbers, while considerable, are not reported as the fastest growing demographic when compared to the dramatic increase in the number of entire families experiencing poverty and housing instability.
Choice C rationale
The number of older adults experiencing homelessness is increasing due to fixed incomes and rising housing costs, creating a distinct and vulnerable population. Yet, the fastest overall increase in the homeless population is consistently documented to be the segment encompassing families with dependent children, not solely older adults.
Choice D rationale
Families and children are recognized as the fastest growing segment of the homeless population. This demographic shift is primarily driven by economic factors such as rising housing costs, job loss, and poverty, resulting in entire families experiencing housing instability and residing in shelters or public spaces.
Correct Answer is D
Explanation
Choice A rationale
Disease and medication management are core functions of tertiary prevention and illness-focused care, often characteristic of acute or specialized care settings. Community-oriented nursing, however, prioritizes populations and is focused on primary prevention to maintain wellness and prevent the initial onset of disease, making this a secondary focus. The overall aim is broader than just managing existing conditions. Normal ranges for lab parameters are not relevant to this concept.
Choice B rationale
Caring for others is a fundamental ethical and professional requirement of all nursing practice, not a unique primary goal defining the specialty of community-oriented nursing. While caring is inherent, the primary goal of this specialty is directed toward maximizing the health and preventing illness within entire populations or aggregates, utilizing public health principles over individual care.
Choice C rationale
School and home nursing are specific settings or sub-specialties where community-oriented nursing principles are applied. While these are important avenues for practice, they do not represent the primary goal of the overall discipline, which is a conceptual framework focused on improving the collective health status of a designated community through proactive measures.
Choice D rationale
This is the primary goal because community-oriented nursing adopts a public health perspective, focusing on population-level interventions. These interventions include education, policy development, and environmental modifications aimed at improving general health status and reducing the incidence of disease through primary prevention strategies, thereby moving beyond individual patient care.
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