Nursing Elites

1. What best describes the role of cultural competence in health promotion?

• A. Respecting and incorporating diverse cultural practices
• B. Avoiding cultural stereotypes
• C. Providing care that is free from cultural biases
• D. Ensuring language access services

Correct answer: A

Rationale: Cultural competence in health promotion encompasses respecting and incorporating diverse cultural practices. This involves understanding and valuing the beliefs, customs, and traditions of different cultural groups to provide effective and inclusive care and education.

2. 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.

3. 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.

4. Which factor is most critical for the sustainability of health programs?

• A. Continuous community involvement
• B. Support from local government
• C. Availability of funding
• D. Regular program evaluation

Correct answer: A

Rationale: Continuous community involvement is the most critical factor for the sustainability of health programs. When the community is actively engaged and involved in health initiatives, there is a higher likelihood of long-term support and success. Community involvement fosters ownership, collaboration, and ensures that health programs are tailored to meet the specific needs of the community, leading to better outcomes and sustainability over time.

5. You are preparing a patient for surgery and completing the preoperative checklist. Which of the following is not typically part of the preoperative checklist?

• A. Assessing for allergies
• B. Conducting the Time Out
• C. Ensuring that informed consent is signed
• D. Ensuring that the history and physical examination have been completed

Correct answer: B

Rationale: Conducting the Time Out is a crucial safety step that occurs immediately before the start of the procedure, but it is not usually part of the preoperative checklist. The Time Out involves verifying patient identity, correct procedure, correct site, and addressing any concerns or questions with the surgical team before proceeding. The other options, such as assessing for allergies, ensuring informed consent, and completing the history and physical examination, are typically included in the preoperative checklist to ensure patient safety and readiness for surgery.

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