The C/PHN is supporting legislation that seeks tighter gun control laws in New York State. The nurse knows that a significant challenge to getting legislation passed relates to which of the following:

Correct Answer: C

Rationale: The correct answer is C: Special interest groups that exert influence on legislators. Special interest groups, such as gun rights organizations, often lobby against tighter gun control laws, influencing legislators' decisions. This influence can create significant challenges in passing legislation. Incorrect choices: A: A lack of interest in this topic by many citizens of the state - While lack of interest can be a challenge, it is not as significant as special interest group influence. B: An inability to gather statistics to understand the magnitude of the problem - Lack of statistics may hinder decision-making but is not the primary challenge. D: The idea that gun violence is not a significant public health concern in the US - This is a misconception, and while it may be a challenge, it is not as prominent as special interest group influence.

Correct Answer: B

Rationale: Step-by-step rationale for why choice B is correct: 1. Public health nursing surveillance involves gathering data to prevent illnesses before they occur. 2. Surveillance helps identify trends and risk factors for diseases to inform prevention strategies. 3. By focusing on primary prevention, surveillance aims to reduce the burden of disease on populations. 4. Choice A is incorrect as it does not align with the purpose of surveillance. 5. Choice C is incorrect as establishing the incubation period is part of disease investigation, not surveillance. 6. Choice D is incorrect as colonization rate determination is more focused on transmission dynamics, not surveillance.

Correct Answer: C

Rationale: The correct answer is C: High health literacy. High health literacy actually facilitates a patient's engagement in self-care by enabling them to understand health information and make informed decisions. Mental health issues, lack of knowledge, and financial issues are barriers as they can affect a patient's ability to effectively manage their own care. Mental health issues may result in poor motivation or cognitive impairment, lack of knowledge can lead to incorrect practices, and financial issues can limit access to necessary resources.

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.

Correct Answer: C

Rationale: The correct answer is C because in motivational interviewing, it is crucial to establish a non-judgmental, empathetic, and supportive environment. By asking open-ended questions and actively listening, the RN can understand the student's perspective, build rapport, and help the student explore ambivalence about their behavior. This approach aligns with the spirit of motivational interviewing, which aims to evoke the student's intrinsic motivation for change. Choice A is incorrect because focusing on academic performance may not be the student's priority at the moment. Choice B is incorrect as providing information on harmful impacts may trigger resistance or defensiveness in the student. Choice D is incorrect as starting with a survey may feel impersonal and does not prioritize building a therapeutic alliance.