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 factor is most closely linked to health disparities?

• A. Access to health care
• B. Lifestyle choices
• C. Environmental factors
• D. Social support

Correct answer: A

Rationale: Access to health care is a critical factor closely linked to health disparities. Limited access to healthcare services can result in disparities in health outcomes, as individuals with restricted access may face challenges in receiving timely and adequate medical care, leading to poorer health outcomes compared to those with better access.

3. Which best describes the concept of risk?

• A. The probability that an individual will develop a specific condition
• B. The impact of a health condition on an individual's life
• C. The potential for harm from a specific condition
• D. The likelihood of being exposed to a health hazard

Correct answer: A

Rationale: The concept of risk is best described as the probability that an individual will develop a specific condition due to exposure to certain factors. It is not about the impact of a health condition on one's life (choice B), the potential harm from a specific condition (choice C), or the likelihood of being exposed to a health hazard (choice D). Understanding risk helps in assessing the chances of developing a particular health issue.

4. Which action exemplifies primary prevention in a community setting?

• A. Administering vaccines to children
• B. Screening for early signs of disease
• C. Offering support groups for chronic illness management
• D. Providing treatment for infectious diseases

Correct answer: A

Rationale: Administering vaccines to children is a primary prevention strategy that focuses on preventing the development of diseases before they occur. By administering vaccines, the aim is to protect individuals and the community from infectious diseases by building immunity against them. This proactive approach targets the root causes of illnesses, contributing to overall community health and well-being.

5. Identify the etiologic or causal statement component of the following community diagnosis: 'There is an increased risk for undetected testicular cancer among young men related to insufficient knowledge about the disease and the methods for preventing and detecting it at an early stage as demonstrated by high rates of late initiation of treatment.'

• A. Risk for undetected testicular cancer
• B. Young men
• C. Insufficient knowledge about the disease and methods of prevention
• D. High rates of late initiation of treatment

Correct answer: C

Rationale: The etiologic or causal statement in the community diagnosis is the part that explains the cause of the increased risk for undetected testicular cancer among young men. In this scenario, the insufficient knowledge about the disease and methods of prevention is the cause identified as contributing to the high rates of late initiation of treatment. It is important to identify the root cause to develop effective interventions and strategies to address the issue.

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