Nursing Elites

1. In value-based care, which equation represents the focus on achieving the best outcomes relative to cost?

• A. Cost X Quality
• B. Cost X Quality/Consumer satisfaction
• C. Quality/Cost
• D. Fee for service/discount rate

Correct answer: C

Rationale: Value-based care aims to deliver the highest quality of care while efficiently managing costs. The equation Quality/Cost represents this focus by emphasizing achieving superior outcomes relative to the resources invested.

2. Why is cultural competence important in community health nursing?

• A. It helps nurses provide care that is respectful and responsive to the health beliefs and practices of diverse patients.
• B. It mandates all health care providers to undergo cultural training.
• C. It ensures that nurses are knowledgeable about different medical practices.
• D. It prevents nurses from encountering cultural misunderstandings.

Correct answer: A

Rationale: Cultural competence is essential in community health nursing as it enables nurses to deliver care that respects and responds to the health beliefs and practices of patients from diverse cultural backgrounds. By understanding and incorporating cultural considerations into their practice, nurses can enhance communication, build trust, and improve health outcomes for all individuals within the community.

3. While on a hiking trip, a Girl Scout unit rested on Mt. Makiling when scout Jaymee, 14 years old, complained of a sudden, moderately bearable toothache. In their first-aid kit, they discovered they had no mefenamic acid but luckily stumbled upon a home that uses alternative pain-relieving medicinal plants. Which plant would be helpful for the toothache?

• A. Bawang (garlic)
• B. Lagundi
• C. Sambong
• D. Tsaang gubat

Correct answer: A

Rationale: Bawang (garlic) is traditionally used as a pain reliever, especially for toothaches due to its antimicrobial properties that can help reduce pain and inflammation associated with dental issues.

4. When assisting clients in changing their behavior, what would be the most effective approach?

• A. Counseling through the Ask, Advise, Assess, Assist, and Arrange approach
• B. Encouraging them to interact with others who also need to change their behavior
• C. Showing them how the inappropriate behavior is hurting their friends and family
• D. Using subtle rewards when small steps are taken toward the appropriate behavior

Correct answer: A

Rationale: The most effective approach in helping clients to change their behavior is to utilize the Ask, Advise, Assess, Assist, and Arrange approach. This comprehensive counseling strategy is commonly employed in various programs, such as smoking cessation, to guide individuals through behavior change by systematically addressing their needs and providing support at each stage of the process.

5. Why is epidemiologic data useful in the planning phase of the community assessment process?

• A. Help discover the patterns of health and illness distribution in a population.
• B. Help construct benchmarks to gauge achievement of program objectives.
• C. Identify the population at risk.
• D. Explain the nature of the health problem.

Correct answer: A

Rationale: Epidemiologic data are valuable in the planning phase of community assessment as they provide insights into the distribution of health and illness within a population. By analyzing these patterns and trends, healthcare professionals can better understand the health needs of the community and tailor interventions accordingly. This information serves as a foundation for identifying priority areas and developing effective strategies to address health issues.

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