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Nursing

PHNA-BC

ANCC Public Health Nursing Advanced

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Question: 1

Which of the following is a key role of public health nurses in disaster preparedness and response?

Administering medication to affected individuals
Providing immediate emergency care to victims

oordinating with local authorities and organizations wer: D
anation: A key role of public health nurses in disaster preparedness an onse is to coordinate with local authorities and organizations. Public h es play a crucial role in coordinating and collaborating with various holders, including emergency management agencies, healthcare provi munity organizations, and volunteers, to ensure an effective and dinated response during disasters. While administering medication an iding immediate emergency care may be part of their responsibilities ng a disaster, their role in coordination and collaboration is essential to re a comprehensive and organized response.

stion: 2

ch of the following is NOT a fundamental principle of the Ottawa Cha
Conducting community health assessments after the disaster
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for Health Promotion?

Empowerment of individuals and communities
Strengthening community action
Reorienting health services
Ensuring universal healthcare coverage

rtant aspect of public health, it is not specifically addressed in the ter's principles, which focus more on broader strategies for health

motion and community empowerment.

stion: 3

ch of the following research designs is most appropriate for studying t tiveness of a new public health intervention?

ase-control study ross-sectional study

andomized controlled trial ualitative study

anation: A randomized controlled trial (RCT) is the most appropriate rch design for studying the effectiveness of a new public health

Explanation: The Ottawa Charter for Health Promotion outlines five fundamental principles for promoting health. These include: (1) building healthy public policy, (2) creating supportive environments, (3) strengthening community action, (4) developing personal skills, and (5) reorienting health services. Ensuring universal healthcare coverage is not explicitly mentioned as a principle in the Ottawa Charter. While universal healthcare coverage is an impo

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intervention. In an RCT, participants are randomly assigned to either the intervention group or the control group, and the outcomes are compared between the two groups. This design allows for a rigorous evaluation of the intervention's effectiveness by minimizing bias and providing a basis for causal inference. Case-control studies are typically used to study the association between exposures and outcomes, cross-sectional studies provide a snapshot of a population at a specific point in time, and qualitative studies focus on

understanding subjective experiences and meanings rather than evaluating intervention effectiveness.

Question: 4

Which of the following measures is used to determine the strength and direction of association between two variables in epidemiological studies?

dds ratio elative risk

orrelation coefficient azard ratio

anation: The correlation coefficient is used to determine the strength a tion of association between two variables in epidemiological studies. tifies the degree of linear relationship between the variables, ranging f

+1. A value of -1 indicates a perfect negative correlation, 0 indicates lation, and +1 indicates a perfect positive correlation. The odds ratio a ve risk are measures used to assess the association between exposure ome in epidemiological studies, but they do not capture the strength of relationship between variables. The hazard ratio, on the other hand,

in survival analysis to estimate the risk of an event occurring over tim rent groups, rather than measuring the association between variables tly.

Question: 5

Which of the following best describes the concept of cultural competence in public health nursing?

Understanding and respecting cultural differences in the delivery of healthcare
Providing equal access to healthcare services for all individuals
Promoting awareness of cultural heritage in the community
anation: Cultural competence in public health nursing refers to the abi derstand and respect the cultural differences and values of individuals munities when delivering healthcare services. It involves recognizing and essing the unique cultural needs and preferences of diverse population ide effective and culturally sensitive care. While providing equal acce hcare services and promoting awareness of cultural heritage are impo
cts of cultural competence, the core focus is on understanding and ecting cultural differences. Incorporating traditional healing practices i ng interventions may be relevant in certain cultural contexts, but it is entral concept of cultural competence.

stion: 6

ch of the following theories focuses on the interplay between biologic hological, and social factors in human development?

reud's psychosexual theory rikson's psychosocial theory
Incorporating traditional healing practices into nursing interventions Answer: A

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Piaget's cognitive development theory
Skinner's behaviorist theory Answer: B

Explanation: Erikson's psychosocial theory emphasizes the integration of biological, psychological, and social factors in human development. According

stion: 7

ch of the following is an example of a primary prevention strategy in p h nursing?

dministering vaccinations to a community

roviding counseling services to individuals with chronic diseases onducting cancer screenings for early detection

ffering rehabilitation programs for individuals with disabilities wer: A

anation: Primary prevention refers to interventions that aim to prevent rrence of a disease or health condition before it happens. Administeri inations to a community is an example of primary prevention, as it hel

to Erikson, individuals go through a series of psychosocial stages throughout their lives, and each stage presents a unique developmental task or challenge. These stages involve the interplay between biological maturation, psychological processes, and social interactions. In contrast, Freud's psychosexual theory focuses primarily on the influence of unconscious instincts and drives on human development, Piaget's cognitive development theory emphasizes cognitive processes and stages of intellectual growth, and Skinner's behaviorist theory places emphasis on the role of external stimuli and reinforcement in shap

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protect individuals from acquiring vaccine-preventable diseases. Providing counseling services to individuals with chronic diseases, conducting cancer screenings for early detection, and offering rehabilitation programs for individuals with disabilities are examples of secondary and tertiary prevention strategies, which focus on early detection, treatment, and management of diseases or conditions that have already occurred.

Question: 8

Which of the following is an example of a social determinant of health?

Genetic predisposition to a disease
Access to quality healthcare services
Personal health behaviors

wer: D

anation: Social determinants of health are the social and economic itions in which people are born, grow, live, work, and age. They influ dividual's health outcomes and include factors such as income, educat oyment, housing, and social support networks. In the given options, idual income level is an example of a social determinant of health. G sposition to a disease is a biological determinant of health, access to ty healthcare services is a healthcare determinant, and personal health viors are individual lifestyle choices that can affect health outcomes.
Individual income level Ans

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