Which question asked by a novice nurse would be most reflective of an understanding of the role of a public health nurse?
"Which groups are at the greatest risk for problems?"
"Which patients should I see first as I begin my day?"
"With which physicians will I be most closely collaborating?"
"With which nursing assistants will I partner the most?"
The Correct Answer is A
Choice A reason: Identifying at-risk groups, like the elderly for flu, reflects public health’s population focus. It drives prevention and resource allocation, targeting interventions where disease burden is highest, aligning with epidemiology and community health principles central to the role comprehensively and effectively.
Choice B reason: Prioritizing individual patients suits clinical nursing, not public health’s broader scope. It focuses on immediate care, like triaging a clinic, missing the population-level risk assessment and prevention strategies that define public health nursing’s systemic approach distinctly and fundamentally here.
Choice C reason: Collaborating with physicians is clinical, not public health-specific. It’s relevant but secondary to assessing community needs, like outbreak risks, which public health nurses prioritize over individual provider partnerships, emphasizing population health over bedside coordination primarily and consistently overall.
Choice D reason: Partnering with assistants is operational, not strategic. Public health nursing focuses on community risk, like sanitation issues, not delegating tasks. This reflects clinical logistics, not the population-based, preventive role central to public health nursing’s mission and practice distinctly here.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
Choice A reason: Tertiary prevention treats effects, not site opposition. Justice fits, per nursing standards. This errors in focus. It’s universally distinct.
Choice B reason: Risk communication informs; justice opposes unfairness. This misaligns with public health principles. It’s universally distinct, not advocacy-based.
Choice C reason: Epidemiology studies patterns, not equity opposition. Justice applies, per nursing. This errors in purpose. It’s universally distinct.
Choice D reason: Environmental justice fights unfair environmental burdens on minorities. This aligns with nursing standards. It’s universally applied, distinctly equitable.
Correct Answer is C
Explanation
Choice A reason: Thin-walled pustules with honey-colored crusts indicate impetigo, bacterial from Staphylococcus, not HPV. These rupture and crust due to pus, unlike HPV’s viral, proliferativewarts, which lack this infectious discharge, distinguishing them clinically and pathologically in skin lesion presentation entirely here.
Choice B reason: Vesicles ulcerating in 1-4 days fit herpes simplex, not HPV. Herpes causes rapid blistering and crusting from viral cell damage, contrasting HPV’s slower, cauliflower-like growth from epidermal hyperplasia, separating their lesion progression and appearance biologically and distinctly overall.
Choice C reason: HPV lesions, like genitalwarts from types 6 and 11, show cauliflower-like, elevated growths. This viral-induced keratinocyte proliferation creates rough, clustered warts, a unique hallmark distinguishing them from other infections’ ulcerative or pustular patterns clinically and pathologically here comprehensively.
Choice D reason: Solitary growths with elevated borders and central depression suggest basal cell carcinoma, not HPV. This cancerous lesion from UV damage differs from HPV’s viral, multi-clusteredwarts, lacking malignancy or central depression, separating them in appearance and etiology entirely and clearly.
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