Nursing Elites

1. 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.

2. Fee-for-service care is best characterized by which statement:

• A. Fees are scaled based on the patient’s ability to pay and are capped.
• B. Fees reflect the fair market value of health care services being provided.
• C. Adequate fee schedules enable hospitals and clinics to function properly.
• D. Fees are not uniform throughout most states as they are fairly unregulated.

Correct answer: D

Rationale: Fee-for-service care is a payment model where providers are paid for each service performed, leading to non-uniform fees that vary by service and provider. This system is not highly regulated, resulting in differing fee structures across states and regions. Therefore, the statement that 'Fees are not uniform throughout most states as they are fairly unregulated' best characterizes fee-for-service care.

3. What is the fundamental block or foundation of the field health service information system?

• A. Family treatment record
• B. Target Client list
• C. Reporting forms
• D. Output record

Correct answer: B

Rationale: In the field health service information system, the fundamental block is the Target Client List. This list serves as the foundation for organizing and managing health service information efficiently. It helps in identifying and tracking clients, ensuring that appropriate services are provided to them, and maintaining accurate records for effective service delivery.

4. 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.

5. What is a common challenge in promoting health literacy?

• A. Limited access to health resources
• B. Low literacy levels among patients
• C. Complex medical instructions
• D. Cultural barriers

Correct answer: B

Rationale: Low literacy levels among patients present a common challenge in promoting health literacy. When individuals have low literacy levels, it becomes difficult for them to understand health information, leading to barriers in effectively promoting health literacy.

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