Which interventions address both the National Institute of Nursing Research themes and Healthy People 2020 goals?

Correct Answer: B

Rationale: The correct answer is B) Establishing a smoking cessation campaign because it directly addresses both the National Institute of Nursing Research themes and Healthy People 2020 goals. Smoking cessation campaigns align with the goals of reducing tobacco use, promoting healthy behaviors, and preventing chronic diseases. These initiatives are supported by evidence-based research and are essential in promoting population health. Option A) Establishing a new park with a well-lit track, while promoting physical activity, does not directly align with smoking cessation efforts or the specific goals outlined by the National Institute of Nursing Research and Healthy People 2020. Option C) Providing reduced-cost transportation passes may improve access to healthcare services, but it does not specifically target smoking cessation or the goals of reducing tobacco use and preventing chronic diseases as outlined by the National Institute of Nursing Research and Healthy People 2020. Option D) Providing free condoms at health clinics is important for preventing sexually transmitted infections but does not directly address smoking cessation or the specific health promotion goals highlighted by the National Institute of Nursing Research and Healthy People 2020. In an educational context, understanding the alignment between interventions and overarching health promotion goals is crucial for nurses and healthcare providers. By focusing on evidence-based practices that target specific health outcomes, professionals can effectively contribute to achieving population health objectives and improving overall well-being.

Correct Answer: B

Rationale: The correct answer is B) Homelessness should be of concern to everyone in the neighborhood. This statement reflects a comprehensive and inclusive approach to addressing homelessness. In community health promotion efforts, it is essential to engage the entire community to create sustainable solutions. Homelessness is a complex issue that requires a multi-faceted approach involving various stakeholders beyond just financial assistance programs or job growth. Option A is incorrect because solely improving financial assistance programs may not address the root causes of homelessness. Option C is also incorrect as focusing only on job growth overlooks other contributing factors to homelessness. Option D is incorrect as it narrows the focus to mental health providers when addressing homelessness requires a collaborative effort from various sectors. In an educational context, this question highlights the importance of community engagement and a holistic approach in addressing public health issues. It emphasizes the role of health care professionals in advocating for comprehensive solutions that involve the entire community. By choosing option B, health care professionals demonstrate their understanding of the interconnectedness of social issues and the need for collective action to promote health and well-being in the community.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Lack of health insurance. This is the most likely reason why the Hispanic family might be disinterested in preventive care. Lack of health insurance can be a significant barrier to accessing healthcare services, including preventive care. Without insurance, families may be concerned about the cost of preventive screenings, vaccinations, and other preventive measures. Option A) Lack of folk remedies is incorrect because folk remedies are a part of many Hispanic cultures and may actually enhance interest in preventive care through traditional practices. Option B) Lack of interpreter services is incorrect as well, as while language barriers can be a challenge, many healthcare providers offer interpreter services to bridge this gap. Option D) Lack of family support is also incorrect as family support can be important but may not be the primary reason for disinterest in preventive care. In an educational context, it is essential for healthcare providers to understand the various factors that can influence a patient's engagement with preventive care, including cultural beliefs, socio-economic status, and access to healthcare resources. By addressing these barriers effectively, healthcare providers can improve health outcomes and promote health equity within diverse populations.

Correct Answer: B

Rationale: In this scenario, option B, moving to another state when she gets married, could result in a change in a nurse practitioner's practice. This is the correct answer because relocating to another state may require the nurse practitioner to obtain a new license, meet different state regulations, and adapt to a new healthcare environment, potentially leading to changes in her practice. Option A, holding a master's degree or higher, is not likely to result in a change in practice unless it leads to pursuing a different specialization or career path within nursing. Option C, caring for Medicare clients, may influence the nurse practitioner's caseload and reimbursement methods but may not necessarily lead to a significant change in her practice. Option D, changing to another office within the same practice, would likely involve a change of location but may not bring about significant changes in her practice scope or patient population. Educationally, this question highlights the importance of being aware of how external factors such as relocation can impact a healthcare provider's practice and the need for flexibility and adaptability in the nursing profession. Nurses must be prepared to navigate changes in licensure requirements and healthcare settings when faced with personal or professional transitions.

Correct Answer: D

Rationale: The Health Insurance Portability and Accountability Act (HIPAA) is a federal privacy standard that requires safeguards to protect the security and confidentiality of health information. Disclosures without individual authorization are allowed only to public health authorities authorized by law to collect and receive information for the purpose of preventing or controlling disease, injury, or disability. Before speaking to the school nurse, the nurse must obtain authorization from the client’s parents.