Nursing Elites

1. Which factor is critical to the success of community health programs?

• A. Adequate funding
• B. Community involvement
• C. Strong leadership
• D. Comprehensive planning

Correct answer: B

Rationale: Community involvement plays a critical role in the success of community health programs. It ensures that programs are tailored to meet the specific needs of the community, fostering ownership and sustainability.

2. In population health management, a nurse overseeing a panel of 1,500 patients will primarily engage in which of the following activities?

• A. Proactively assessing the health needs of the entire panel and planning accordingly
• B. Focusing on providing care to young and seemingly vulnerable patients
• C. Spending most time with patients who regularly attend their visits
• D. Prioritizing care by responding to the oldest patients first

Correct answer: A

Rationale: In population health management, a nurse overseeing a large panel of patients needs to proactively assess the health needs of the entire panel to plan and provide appropriate care effectively. This approach ensures that all patients receive necessary attention and interventions, contributing to better health outcomes for the population as a whole.

3. What best describes the goal of health advocacy?

• A. To influence health policies for better health outcomes
• B. To educate patients about their health conditions
• C. To provide clinical care to patients
• D. To reduce health care costs

Correct answer: A

Rationale: The correct answer is A. The goal of health advocacy is to influence health policies for better health outcomes, addressing broader determinants of health. Health advocacy focuses on promoting policies and practices that result in healthier communities and individuals by addressing social, economic, and environmental factors that impact health outcomes.

4. Which best describes a primary goal of community health nursing?

• A. Promoting health and preventing disease
• B. Providing direct patient care
• C. Reducing health care costs
• D. Ensuring access to health care services

Correct answer: A

Rationale: The primary goal of community health nursing is to promote health and prevent disease within the community. Community health nursing focuses on improving the overall health of the population by implementing strategies that prevent illnesses and promote well-being. While providing direct patient care, reducing healthcare costs, and ensuring access to services are important aspects of nursing, the main emphasis of community health nursing is on proactive health promotion and disease prevention for the community at large.

5. The healthcare provider should consider the following when assessing the child for chest indrawing EXCEPT

• A. Chest indrawing should be present at all times
• B. The lower chest wall does not move in when the child breathes in
• C. The lower chest moves in when the child breathes in
• D. The child should be calm

Correct answer: A

Rationale: When assessing a child for chest indrawing, it is important to note that chest indrawing should NOT be present at all times, as this would suggest a significant respiratory distress. Chest indrawing is an abnormal inward movement of the lower chest wall during inhalation, indicating increased work of breathing. Therefore, the absence of chest indrawing during normal breathing is a normal finding. The healthcare provider should observe for the lower chest moving in with each breath, which is abnormal, while ensuring that the child is calm during the assessment.

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