Nursing Elites

1. Which of the following is the best intervention for a client with less than 6 months to live who is seeking comfort care?

• A. Set up a meeting with the hospice team
• B. Arrange a meeting with the client’s family
• C. Discuss advance directives (DNR & living will) with the patient
• D. Ask the provider to decrease the patient’s heart medications

Correct answer: A

Rationale: Setting up a meeting with the hospice team is the most appropriate intervention for a client with less than 6 months to live who is seeking comfort care. Hospice care focuses on providing comfort and support for individuals with terminal illnesses. By involving the hospice team, the client can receive specialized care aimed at improving their quality of life and managing symptoms effectively during this challenging time.

2. The World Health Organization defines health as:

• A. The health of individuals and communities is, to a large extent, affected by a combination of many factors.
• B. A state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.
• C. Refers to the well-being of individuals, families, and communities being influenced by several factors in the ecosystem.
• D. The science and art of preventing disease, prolonging life, promoting health, and efficiency through organized community effort for the sanitation of the environment, control of communicable diseases, education of individuals in personal hygiene, and organizing these benefits to enable every citizen to realize their birthright of health and longevity.

Correct answer: B

Rationale: The World Health Organization defines health as a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity. This definition emphasizes that health encompasses more than just the absence of illness; it includes physical, mental, and social well-being.

3. 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.

4. What factor most influences health disparities?

• A. Genetic factors
• B. Lifestyle choices
• C. Access to health care services
• D. Cultural beliefs

Correct answer: C

Rationale: Access to health care services plays a significant role in influencing health disparities as it determines individuals' ability to access necessary medical care and services. Disparities in access to healthcare can lead to differences in health outcomes and contribute to overall health disparities within populations.

5. Which action exemplifies the role of a nurse in policy advocacy?

• A. Meeting with legislators to discuss health issues
• B. Administering vaccines in the community
• C. Conducting health screenings
• D. Providing direct care to underserved populations

Correct answer: A

Rationale: Meeting with legislators to discuss health issues exemplifies the role of a nurse in policy advocacy. Nurses engage in policy advocacy to influence decisions that impact health outcomes at the population level. By meeting with legislators, nurses can advocate for policies that support healthcare access, quality, and equity, ultimately contributing to improved health outcomes for individuals and communities.

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