While using technique of motivational interviewing with a college student engaged in binge drinking several times per week, the public health RN should begin with which intervention:

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.

Correct Answer: B

Rationale: The correct answer is B: a patient-centered medical home. A patient-centered medical home provides comprehensive, coordinated care for patients with multiple health issues. It offers a team-based approach to managing care, including primary care, specialists, and other services. The patient does not need to be under medical supervision, but having insurance is beneficial for accessing the services offered. Referring the patient to a private health care practitioner (A) may not provide the level of coordination needed. Hospital clinics (C) typically focus on acute care, not comprehensive management. Subacute facilities (D) are for patients who need ongoing medical supervision and rehabilitation, which may not be necessary in this case.

Correct Answer: A

Rationale: The correct answer is A: Set up a meeting with the hospice team. This is the best intervention because hospice care focuses on providing comfort and support for terminally ill patients. By involving the hospice team, the client can receive specialized care tailored to their needs, including pain management and emotional support. Arranging a meeting with the family (B) may be important but not the immediate priority. Discussing advance directives (C) is important but can be done after ensuring the client's comfort care needs are addressed. Asking the provider to decrease heart medications (D) should only be done after consulting with the hospice team.

Correct Answer: A

Rationale: The correct answer is A: Aggregate of people. The term refers to the personal characteristics and risks of a group within a community because an aggregate refers to a collection of individuals sharing common features or characteristics. In this context, it implies that the group's personal characteristics and risks are being viewed as a whole. Why the other choices are incorrect: - B: Location in space and time: This refers to the physical positioning of a group within a specific geographical area during a particular period, not focusing on personal characteristics and risks. - C: Social system: This term refers to the interconnected parts of a society, such as institutions and relationships, rather than specific personal characteristics and risks. - D: Census tract: This term refers to a geographic area defined for the purpose of taking a census, not specifically addressing personal characteristics and risks of a group within a community.

Correct Answer: B

Rationale: The correct answer is B because a community of solution is a group focused on addressing a specific issue or problem, in this case, reducing teenage suicides. This group works together to find solutions and support individuals affected by this issue. Choice A is incorrect because it refers to a geographic community, not a community of solution. Choice C is incorrect as it focuses on ethnic background, not a common goal or problem-solving. Choice D is incorrect as enjoying hiking is a shared interest, not a shared purpose of solving a particular issue.