Nursing Elites

1. Which of the following is an indication for tracheostomy?

• A. Drainage of pleural effusion
• B. Hemorrhage
• C. Infections
• D. Acute respiratory failure

Correct answer: D

Rationale: Tracheostomy is a surgical procedure where an incision is made in the windpipe to help with breathing. Acute respiratory failure, which can occur due to various reasons such as upper airway obstruction, is a common indication for tracheostomy. While drainage of pleural effusion, hemorrhage, and infections may require medical intervention, they are not direct indications for a tracheostomy like acute respiratory failure.

2. Which action exemplifies secondary prevention?

• A. Administering vaccines
• B. Providing treatment for acute illnesses
• C. Teaching safe health practices
• D. Developing health policies

Correct answer: B

Rationale: The correct answer is B: Providing treatment for acute illnesses. Secondary prevention focuses on early detection and treatment of a disease to prevent its progression and complications. Administering vaccines (choice A) is an example of primary prevention aimed at preventing the onset of a disease. Teaching safe health practices (choice C) falls under health promotion and education, which is a form of primary prevention. Developing health policies (choice D) is more aligned with public health initiatives and may impact primary, secondary, or tertiary prevention strategies, depending on the specific policies enacted.

3. Which of the following is NOT a principle of Primary Health Care?

• A. Health promotion
• B. Community participation
• C. Inter-sectoral collaboration
• D. Accessibility

Correct answer: D

Rationale: The principles of Primary Health Care include health promotion, community participation, and inter-sectoral collaboration. Accessibility, while important, is not explicitly listed as a principle of Primary Health Care. The focus of Primary Health Care is on providing essential healthcare services to all individuals, emphasizing community involvement, prevention, and addressing social determinants of health.

4. What are stressful occurrences referred to as?

• A. Health deficit
• B. Health threats
• C. Health need
• D. Foreseeable crisis

Correct answer: D

Rationale: Stressful occurrences are known as foreseeable crises. These are situations that can be anticipated or expected to bring about stress or challenges.

5. 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.

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