Nursing Elites

1. Which action exemplifies a policy-level intervention in community health?

• A. Providing health education to the community
• B. Advocating for legislative changes
• C. Implementing new treatment protocols
• D. Developing health policies

Correct answer: B

Rationale: Advocating for legislative changes is a policy-level intervention as it involves influencing and promoting changes in laws and regulations that can have a broad impact on community health outcomes. This type of intervention aims to address systemic issues and create sustainable improvements in public health by shaping policies at a higher level.

2. What is the primary goal of case management?

• A. Coordinating care among various providers
• B. Reducing health care costs
• C. Enhancing patients' quality of life
• D. Improving patient satisfaction

Correct answer: A

Rationale: The primary goal of case management is to coordinate care among various providers to ensure seamless and effective care delivery. By facilitating communication and collaboration between different healthcare professionals, case management aims to optimize patient outcomes and experiences.

3. The RN working within the NFP model of care uses the Minnesota Health Wheel to describe what she does in her role to her own family. Which intervention is the RN likely to describe that is consistent with the public health nurse role of delegation:

• A. I administered IV antibiotics every 6 hours when the physician or nurse practitioner prescribed them.
• B. I conducted a full respiratory exam on a mother who might need asthma follow-up.
• C. I collaborated with the social work services team when I noted that my patient was unhoused.
• D. I taught the newly pregnant mom about necessary vaccinations to have at this time.

Correct answer: C

Rationale: Collaborating with social work services is a form of delegation, ensuring that clients receive comprehensive care.

4. What is the most crucial factor in determining the health of a community?

• A. Access to health care services
• B. Socioeconomic status
• C. Environmental quality
• D. Genetic predisposition

Correct answer: B

Rationale: Socioeconomic status plays a vital role in determining the health of a community. It affects access to resources, education, employment opportunities, housing, and healthcare services. Individuals with higher socioeconomic status generally have better health outcomes due to their ability to afford healthier lifestyle choices, quality healthcare, and living environments. In contrast, individuals with lower socioeconomic status may face barriers to accessing essential healthcare services, nutritious food, safe housing, and education, leading to poorer health outcomes. Therefore, addressing socioeconomic disparities is crucial in promoting community health and well-being.

5. 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.

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