Nursing Elites

1. Which is an example of a community-level intervention?

• A. Developing health policies
• B. Conducting health education programs
• C. Offering immunizations at a local clinic
• D. Implementing community-wide health campaigns

Correct answer: D

Rationale: Implementing community-wide health campaigns is the correct answer as it involves interventions that target the entire community to address health issues on a broader scale. These campaigns aim to promote health and well-being across various segments of the community by implementing strategies that can reach a larger population and have a significant impact on public health outcomes.

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. Where does the classic definition of public health originate from?

• A. Ruth B. Freeman
• B. Lilian Wald
• C. Dr. C. E. Winslow
• D. World Health Organization Expert Committee on Nursing

Correct answer: C

Rationale: The classic definition of public health originates from Dr. C. E. Winslow. He defined public health as 'the science and art of preventing disease, prolonging life, and promoting health through organized efforts and informed choices of society, organizations, public and private, communities, and individuals.' Winslow's definition is widely recognized and used as a foundational concept in the field of public health.

4. A nurse who works on the surgical unit at the local hospital was asked by the home health unit to make a home visit to a patient who had been discharged the previous day and to give follow-up care (for overload pay). What kind of nursing would this nurse be doing?

• A. Acute care hospital nursing
• B. Community-based nursing
• C. Community health nursing
• D. Public health nursing

Correct answer: B

Rationale: The nurse is providing care to a patient at home, which falls under the realm of community-based nursing. Community-based nursing involves providing healthcare services outside of traditional healthcare facilities, such as in patients' homes or community settings, to promote health and wellness and prevent hospital readmissions.

5. What is a primary objective of public health?

• A. Lowering the prevalence of chronic diseases
• B. Eliminating health disparities among populations
• C. Delivering health education
• D. Extending life expectancy

Correct answer: B

Rationale: A fundamental goal of public health is to address and eliminate health disparities among different populations, aiming to ensure that everyone has equal access to resources and opportunities for good health outcomes.

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