Nursing Elites

1. In value-based care, which equation represents the focus on achieving the best outcomes relative to cost?

• A. Cost X Quality
• B. Cost X Quality/Consumer satisfaction
• C. Quality/Cost
• D. Fee for service/discount rate

Correct answer: C

Rationale: Value-based care aims to deliver the highest quality of care while efficiently managing costs. The equation Quality/Cost represents this focus by emphasizing achieving superior outcomes relative to the resources invested.

2. 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.

3. Which action is an example of primary prevention in community health?

• A. Administering immunizations
• B. Providing treatment for diseases
• C. Educating about the importance of healthy lifestyles
• D. Conducting health screenings

Correct answer: A

Rationale: Administering immunizations is a prime example of primary prevention in community health. Primary prevention focuses on preventing diseases before they occur by taking proactive measures such as immunizations. Immunizations help individuals develop immunity against specific diseases, reducing the likelihood of their occurrence within a community.

4. During the assessment phase of the nursing process, a community health nurse conducted research to identify the distribution pattern of breast cancer within a population and the associated risk factors. This is called

• A. Statistical analysis.
• B. Needs assessment.
• C. Census collection.
• D. Epidemiology.

Correct answer: D

Rationale: Epidemiology is the study of the distribution and determinants of health-related states within a population. In this scenario, the nurse is investigating the distribution pattern of breast cancer and its associated risk factors, which aligns with the principles of epidemiology.

5. Which best describes an example of primary prevention in maternal newborn care?

• A. Providing prenatal education classes
• B. Screening for gestational diabetes
• C. Providing postpartum support groups
• D. Offering breastfeeding support

Correct answer: A

Rationale: Providing prenatal education classes is a prime example of primary prevention in maternal newborn care. These classes aim to educate expectant mothers about healthy practices, nutrition, and prenatal care to prevent potential health issues for both the mother and the newborn before they occur. By providing education and promoting healthy behaviors during pregnancy, the goal is to avoid complications and promote overall well-being.

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