Which action by the public health nurse is an example of the “public health sciences” domain of the Quad Council Coalition's Community/Public Health Nursing Competencies?

Correct Answer: C

Rationale: The correct answer is C because applying research findings to develop new community programs falls under the domain of public health sciences. Here's a step-by-step rationale: 1. Public health sciences involve using evidence-based research to inform public health practice. 2. The public health nurse applying research findings demonstrates critical thinking and decision-making based on scientific evidence. 3. This action contributes to the development of effective community programs that are grounded in research. 4. Options A and B focus more on health promotion and cultural competence, respectively, which are important but not specifically within the public health sciences domain. 5. Option D addresses access to healthcare, which is significant but not directly related to the application of research findings in program development.

Correct Answer: D

Rationale: The correct answer is D because a public health nurse often collaborates with community groups to develop policies that address health needs at a population level. This aligns with the role of public health nurses in advocating for policies that promote health and prevent diseases. Choice A involves seeking input from community leaders, which is important but not the primary role of a public health nurse. Choice B focuses on assessment and intervention planning, which are crucial steps but may not be solely done by a public health nurse. Choice C relies on existing data from healthcare institutions, which is valuable but may not encompass the broader community needs. Overall, working with community groups to create policies is the most direct and impactful action for a public health nurse to address community health issues.

Correct Answer: A

Rationale: The correct answer is A: "Which groups are at the greatest risk for problems?" This question reflects an understanding of the role of a public health nurse as it shows a focus on population health and identifying high-risk groups for targeted interventions. Public health nurses prioritize prevention and health promotion for communities, making this question relevant. The other choices are incorrect: B: "Which patients should I see first as I begin my day?" is more aligned with a hospital or clinical setting where individual patient care is emphasized. C: "With which physicians will I be most closely collaborating?" is more relevant to a nurse working in a hospital setting where collaboration with physicians is key. D: "With which nursing assistants will I partner the most?" is more suitable for a nurse working in a clinical setting where teamwork with nursing assistants is important for daily patient care tasks.

Correct Answer: D

Rationale: Step 1: The nurse's role is to prioritize the needs of the group over individual preferences. Step 2: Allocating resources based on the needs of the aggregate ensures fairness and maximizes benefits. Step 3: This approach aligns with the ethical principle of distributive justice. Step 4: Answer D is correct as it emphasizes the importance of considering the greater good. Summary: Option D is correct because it prioritizes the needs of the majority, promotes fairness, and aligns with ethical principles. Options A, B, and C are incorrect as they do not prioritize the greater good or ethical considerations in resource allocation decisions.

Correct Answer: A

Rationale: The correct answer is A because home care is less expensive compared to hospital care. This is due to reduced overhead costs in home settings. Nurses providing care in clients' homes can save on resources such as medical supplies and equipment. Additionally, home care can prevent hospital readmissions, reducing overall healthcare costs. Choice B is incorrect because providing care in the home may not always be more efficient, as it can require additional time for travel and coordination with other healthcare providers. Choice C is incorrect as nurses' preferences are not the primary factor driving the shift towards home care. Choice D is incorrect as studies show that many individuals prefer to receive care in the comfort of their homes for various reasons, including familiarity and comfort.