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 best describes a key goal of secondary prevention?

• A. Preventing the onset of disease
• B. Detecting diseases early
• C. Managing chronic conditions
• D. Improving quality of life

Correct answer: B

Rationale: The key goal of secondary prevention is to detect diseases early before they progress to advanced stages. By identifying diseases at an early stage, healthcare providers can intervene promptly, initiate treatment, and potentially improve patient outcomes. This approach aims to prevent complications and reduce the impact of the disease on an individual's health and well-being.

3. Which of the following is an example of tertiary prevention?

• A. Vaccination
• B. Screening for cancer
• C. Physical therapy
• D. Health education

Correct answer: C

Rationale: Tertiary prevention aims to manage and improve the quality of life of individuals already diagnosed with a disease. Physical therapy, which focuses on rehabilitation and restoring function after an injury or illness, is a prime example of tertiary prevention. It helps individuals regain mobility and independence, thereby reducing the impact of the disease and preventing further complications.

4. When writing a community diagnosis, the community health nurse notes that the 'among' phrase:

• A. Presents a synthesis of all assessment data.
• B. Provides the supporting data.
• C. Specifies the aggregate that will benefit from the nurse's plan.
• D. Describes the cause of the health problem and directs focus of interventions.

Correct answer: C

Rationale: In community diagnosis, the 'among' phrase is used to specify the particular population group that will benefit from the nurse's plan. It helps in targeting interventions and tailoring healthcare activities to the identified group within the community.

5. Which is a primary focus of health promotion activities?

• A. Preventing the onset of disease
• B. Detecting diseases early to improve outcomes
• C. Managing chronic conditions to improve quality of life
• D. Providing treatment for existing health conditions

Correct answer: A

Rationale: The correct answer is A: Preventing the onset of disease. Health promotion activities aim to prevent the occurrence of diseases by promoting healthy behaviors and creating supportive environments. By encouraging preventive measures such as vaccination, healthy eating, regular exercise, and stress management, individuals can reduce their risk of developing various illnesses. Detecting diseases early (choice B) focuses more on screening and early diagnosis rather than prevention. Managing chronic conditions (choice C) and providing treatment for existing health conditions (choice D) are important aspects of healthcare but are not the primary focus of health promotion activities, which emphasize disease prevention.

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