Which potential barrier of siloed health care should the nurse consider when planning health promotion activities?

Correct Answer: B

Rationale: The correct answer is B because siloed health care often focuses on treating individual diseases without considering the broader context of a person's overall health. This approach can lead to fragmented care, missed opportunities for prevention, and a lack of coordination among different providers. By addressing only one disease at a time, the nurse may overlook important factors influencing the individual's health, such as social determinants, lifestyle choices, and comorbidities. Choices A, C, and D are incorrect because they describe aspects of integrated, collaborative, and holistic approaches to health care, which are actually solutions to breaking down silos in the healthcare system. Providers and specialists working closely together (A), health systems becoming effectively integrated (C), and an emphasis on population health and health promotion (D) are strategies that aim to improve care coordination, address the whole person, and promote wellness, all of which are in contrast to the siloed approach highlighted in the correct answer.

Correct Answer: D

Rationale: The correct answer is D because recommending policies to prevent health problems is a key role of nurses in public health. Nurses play a crucial role in advocating for policies that promote health and prevent diseases at a population level. This action aligns with the core principles of public health, focusing on prevention and improving the health of communities as a whole. A, improving individual outcomes, is important but not specific to public health nursing. B, addressing racism in a community, is a social justice issue and not a direct role of a nurse in public health. C, performing a family assessment, is more related to individual or family-centered care rather than population health.

Correct Answer: B

Rationale: The correct answer is B: Health trends of a community. 1. Assessment in public health involves collecting and analyzing data on the health status of populations. 2. Monitoring health trends of a community helps the nurse identify health issues, plan interventions, and evaluate outcomes. 3. Blood pressure readings in an individual (A) are more focused on clinical care rather than community health assessment. 4. Social supports of a family (C) pertain to individual and family support systems, not community health trends. 5. Immunization records of elementary school children (D) are important but are more related to the core function of assurance rather than assessment in public health.

Correct Answer: C

Rationale: Tertiary prevention involves minimizing the negative impact of health conditions. This is achieved by managing and treating existing health problems to prevent further complications or disabilities. In contrast, option A relates to avoiding unnecessary medical interventions, option B focuses on primary prevention by addressing risk factors before health issues arise, and option D pertains to preventing adverse health outcomes before they happen. By choosing option C, the community health nurse is directly involved in providing care and interventions to improve the quality of life and reduce the consequences of existing health conditions.

Correct Answer: B

Rationale: The correct answer is B because conducting vaccination campaigns to promote immunizations represents an autonomous public-health nursing function. Public health nursing focuses on promoting and protecting the health of populations through preventive measures like immunizations. This role does not require direct collaboration with physicians or performing medical procedures, making choices A, C, and D incorrect. Providing direct care to wounded soldiers and assisting in surgical operations are more focused on individual patient care rather than population health promotion.