Nursing Elites

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

• A. Implementing new treatment protocols
• B. Educating individuals about healthy behaviors
• C. Establishing community health clinics
• D. Advocating for legislative changes

Correct answer: D

Rationale: Advocating for legislative changes is a policy-level intervention that can bring about significant improvements in community health. This involves influencing laws and regulations to create a healthier environment for the community as a whole, impacting a larger population than individual-level interventions. Implementing new treatment protocols, educating individuals about healthy behaviors, and establishing community health clinics are important interventions but are more focused on the individual or community level rather than policy-level changes.

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. After 3 days, the nurse notes that James has chest indrawing and stridor. His mother returned him to the health center immediately. The nurse should:

• A. Change the medication to the second-line antibiotics
• B. Advise the mother to observe the child and continue giving the antibiotics
• C. Give the first dose of antibiotics and refer urgently
• D. Observe the child at the center

Correct answer: C

Rationale: In the scenario described, the presence of chest indrawing and stridor indicates respiratory distress, which requires immediate attention. Giving the first dose of antibiotics and referring urgently is the correct course of action to ensure prompt and appropriate management of the child's condition.

4. What procedure is performed prior to a blood transfusion to detect incompatibilities?

• A. Grouping and crossmatching
• B. Complete blood count
• C. D-dimer test
• D. Blood clotting test

Correct answer: A

Rationale: Grouping and crossmatching is the procedure performed prior to a blood transfusion to determine the blood type and identify any potential incompatibilities between the donor and recipient. This process involves testing the recipient's blood for ABO and Rh antigens and crossmatching it with the donor's blood to ensure compatibility and prevent adverse reactions during the transfusion. Complete blood count, D-dimer test, and blood clotting test are other laboratory tests that serve different purposes and are not specifically done to detect incompatibilities prior to blood transfusion.

5. What best describes the importance of evaluation in community health programs?

• A. Ensuring that programs meet their objectives
• B. Identifying areas for improvement
• C. Demonstrating the impact of interventions
• D. Securing future funding for programs

Correct answer: A

Rationale: Evaluation in community health programs is crucial as it ensures that programs are meeting their intended objectives. By evaluating these programs, organizations can determine whether they are effectively addressing community health issues and meeting their goals. Identifying areas for improvement is an essential part of the evaluation process to enhance program effectiveness and make necessary adjustments. While demonstrating the impact of interventions and securing future funding are also important aspects, the primary focus of evaluation in community health programs is to ensure that they are achieving their objectives.

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