Nursing Elites

1. 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.

2. Which of the following nursing interventions are appropriate to address parasitism issues?

• A. Administering broad-spectrum antihelminthic treatment to patients
• B. Emphasizing the importance of thoroughly washing vegetables, especially if consumed raw
• C. Instructing on proper stool disposal and emphasizing not to use it as fertilizer
• D. Promoting hand washing before and after meals

Correct answer: C

Rationale: In addressing parasitism issues, it is crucial to educate individuals on the proper disposal of stools and emphasize that they should not be used as fertilizer to prevent the spread of parasites. Administering antihelminthic treatment, emphasizing vegetable washing, and promoting hand hygiene are all important interventions in managing parasitism, making them inappropriate choices for exceptions.

3. A healthcare professional is working to improve the health of a community. Which action demonstrates this?

• A. Providing health education
• B. Conducting community assessments
• C. Advocating for health policy changes
• D. Developing health policies

Correct answer: C

Rationale: Advocating for health policy changes is a significant action that can impact the health of a community on a larger scale by influencing policies that affect the well-being of the population. While providing health education and conducting community assessments are valuable activities, advocating for policy changes can lead to systemic improvements in healthcare access, quality, and outcomes.

4. 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.

5. What is the primary focus of public health?

• A. Preventing disease and promoting health
• B. Providing health education
• C. Ensuring access to health care services
• D. Reducing health disparities

Correct answer: A

Rationale: The primary focus of public health is to prevent disease and promote health at the population level. This includes implementing interventions and policies that aim to improve the overall health of communities, rather than focusing solely on individual care or education. By addressing the root causes of health issues and promoting wellness, public health efforts strive to create healthier environments and populations.

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