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. Malnutrition continues to be a public health concern in the country. The common nutritional deficiencies are the following, except:

• A. Vitamin A
• B. Iron
• C. Iodine
• D. Calcium

Correct answer: D

Rationale: The question addresses common nutritional deficiencies, except for one. Vitamin A, Iron, and Iodine are often cited as common deficiencies in populations facing malnutrition. However, Calcium deficiency is not typically considered one of the common nutritional deficiencies in such contexts. Calcium deficiency can occur but is not as prevalent as the other options listed in populations with malnutrition.

3. Which statement is incorrect regarding an informed consent signed by a patient?

• A. The nurse is responsible for obtaining the consent for surgery
• B. Patients under 18 years of age may need a parent or legal guardian to sign a consent form
• C. The nurse can witness the client signing the consent form
• D. It is the nurse's responsibility to ensure the patient has been educated by the physician about the procedure before informed consent is obtained

Correct answer: A

Rationale: The statement 'The nurse is responsible for obtaining the consent for surgery' is incorrect. The responsibility of obtaining informed consent for surgery lies with the physician or surgeon performing the procedure. Nurses can assist in the process by witnessing the client signing the consent form, ensuring the patient is educated about the procedure by the physician, and verifying that the consent process is voluntary and informed. For patients under 18 years of age, a parent or legal guardian typically needs to sign the consent form on behalf of the minor, as they are not legally able to provide consent themselves.

4. What procedure is performed prior to a blood transfusion to detect incompatibilities?

• A. Grouping and crossmatching
• B. Complete blood count
• C. D-dimer test
• D. Blood clotting test

Correct answer: A

Rationale: Grouping and crossmatching is the procedure performed prior to a blood transfusion to determine the blood type and identify any potential incompatibilities between the donor and recipient. This process involves testing the recipient's blood for ABO and Rh antigens and crossmatching it with the donor's blood to ensure compatibility and prevent adverse reactions during the transfusion. Complete blood count, D-dimer test, and blood clotting test are other laboratory tests that serve different purposes and are not specifically done to detect incompatibilities prior to blood transfusion.

5. Which is a key aspect of the Health Belief Model?

• A. Perceived susceptibility
• B. Perceived severity
• C. Perceived barriers
• D. Perceived benefits

Correct answer: A

Rationale: Perceived susceptibility is a fundamental aspect of the Health Belief Model as it refers to an individual's belief about their risk of developing a health condition or experiencing a negative health outcome. This perception plays a crucial role in influencing individuals' willingness to engage in health-promoting behaviors. When individuals perceive themselves as susceptible to a health threat, they are more likely to take preventive actions to protect their health.

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