Nursing Elites

1. A patient who has multiple health issues is discharged after a recent hospitalization. Which of the following comprehensive programs would a community health nurse refer the patient to if the patient is not under medical supervision but does have insurance?

• A. private health care practitioner
• B. a patient-centered medical home
• C. hospital clinic
• D. subacute facility

Correct answer: B

Rationale: A patient-centered medical home is a comprehensive care model that provides coordinated healthcare services across various settings. It is an ideal referral for a patient with multiple health issues who is not under medical supervision but has insurance, as it offers a patient-focused approach to managing the patient's overall health needs.

2. Which of the following is an example of a non-communicable disease?

• A. Tuberculosis
• B. Malaria
• C. Cancer
• D. Heart disease

Correct answer: C

Rationale: A non-communicable disease is a medical condition or disease that is not caused by infectious agents and cannot be transmitted from person to person. Cancer fits this definition as it is a non-communicable disease that typically arises from genetic mutations or environmental factors, rather than being contagious like tuberculosis or malaria.

3. James is an 18-month-old child who has had a cough for 7 days with no general danger signs. He has a temperature of 37.5°C and a respiratory rate of 41 breaths/minute. How will you classify James' breathing?

• A. Slow breathing
• B. Fast breathing
• C. Normal breathing
• D. Very fast breathing

Correct answer: C

Rationale: James' breathing is classified as normal because his respiratory rate falls within the expected range for his age group, and there are no general danger signs present. In this case, his breathing is considered normal based on the provided information.

4. What is the drug of choice for progressive multiple sclerosis?

• A. Ocrelizumab
• B. Dimethyl fumarate
• C. Teriflunomide
• D. Fluoroquinolones

Correct answer: A

Rationale: Ocrelizumab is the drug of choice for progressive multiple sclerosis due to its efficacy in reducing disease activity and progression in patients with this form of the disease. Dimethyl fumarate, Teriflunomide, and Fluoroquinolones are not typically used as first-line treatments for progressive MS.

5. Which of the following best describes epidemiology?

• A. The study of the distribution and determinants of health-related states or events in specified populations.
• B. The study of the distribution and determinants of health-related states or events in specified populations and the application of this study to control health problems.
• C. The study of how social factors influence health outcomes.
• D. The study of how health systems and services impact population health.

Correct answer: B

Rationale: Epidemiology is defined as the study of the distribution and determinants of health-related states or events in specified populations, as well as the application of this study to control health problems. This field focuses on identifying patterns and causes of health and disease in order to develop strategies for prevention and control.

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