Nursing Elites

1. The community health nurse is involved in public health work. Which of these statements by the nurse reflects an understanding of upstream interventions?

• A. I will engage in policy initiatives in my urban area.
• B. I will administer the flu shot to interested seniors.
• C. I will help manage a senior's diabetes needs at home.
• D. I will work with a local school to provide asthma education.

Correct answer: A

Rationale: The correct answer is A because engaging in policy initiatives reflects an understanding of upstream interventions. Upstream interventions focus on influencing broader determinants of health, such as policies and social factors, to prevent health issues before they occur. This approach addresses the root causes of health problems rather than just treating symptoms or providing individual care.

2. Which of the following is not a common causative agent of bacterial meningitis?

• A. Streptococcus pneumoniae
• B. Neisseria meningitidis
• C. Staphylococcus aureus
• D. Haemophilus influenzae

Correct answer: C

Rationale: Bacterial meningitis is commonly caused by Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Staphylococcus aureus is not a typical causative agent of bacterial meningitis. This bacterium is more commonly associated with skin and soft tissue infections rather than meningitis.

3. How can health professionals address social determinants of health?

• A. Providing direct care to underserved populations
• B. Advocating for policy changes
• C. Conducting health screenings
• D. Educating about healthy lifestyle behaviors

Correct answer: B

Rationale: Advocating for policy changes is an effective way for health professionals to address social determinants of health. By influencing policies related to housing, education, employment, and healthcare access, health professionals can create systemic changes that benefit entire communities and address the root causes of health disparities.

4. All of the following are characteristics of the Patient Centered Medical Home (PCMH) except:

• A. Comprehensive in scope of care
• B. Guarantees safety at home
• C. Patient needs come first
• D. Providers work together

Correct answer: B

Rationale: The Patient Centered Medical Home (PCMH) model is designed to provide comprehensive care, prioritize patient needs, and ensure that healthcare providers work together to coordinate care effectively. However, guaranteeing safety at home is not a specific characteristic of the PCMH model. Home safety is an important aspect of patient care but is not explicitly part of the PCMH model's core principles.

5. What is the term for the first contact between community members and other levels of health facilities?

• A. Secondary level health care
• B. Tertiary level of care
• C. Primary health care
• D. Intermediate level of care

Correct answer: C

Rationale: Primary health care is the initial point of contact between community members and higher levels of health facilities. It focuses on providing essential, accessible, and affordable health care services to individuals and communities. Primary health care plays a crucial role in promoting health, preventing diseases, and managing common health problems, making it an integral part of the healthcare system.

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