Which is a key component of the chronic care model?
- A. Implementing community health education programs
- B. Improving access to care for all individuals
- C. Increasing funding for health care services
- D. Coordinating care across different health care settings
Correct Answer: A
Rationale: The correct answer is A because implementing community health education programs is a key component of the chronic care model as it focuses on empowering individuals to manage their own health effectively. This approach enhances patient engagement, self-management skills, and health literacy, leading to better health outcomes and reduced healthcare costs.
Choice B is incorrect as improving access to care, although important, is not a specific component of the chronic care model. Choice C is incorrect because increasing funding does not directly relate to the core principles of the chronic care model. Choice D is incorrect as coordinating care across different settings is important but not the central focus of the chronic care model, which emphasizes patient-centered care and self-management.
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What best describes the role of nurses in community health?
- A. Conducting research to find new treatments for diseases
- B. Providing direct care to individuals and families
- C. Collaborating with other health professionals to address community health issues
- D. Advocating for policy changes to improve health outcomes
Correct Answer: D
Rationale: The correct answer is D because nurses play a crucial role in advocating for policy changes to improve health outcomes at both individual and community levels. Nurses use their expertise to influence healthcare policies, promote public health initiatives, and advocate for social justice. This role aligns with the nursing profession's commitment to promoting health equity and addressing social determinants of health.
A: Conducting research is important but not the primary role of nurses in community health.
B: Providing direct care is a part of a nurse's role, but community health nursing involves a broader scope of practice.
C: Collaboration with other health professionals is essential, but it is not specific to the unique advocacy role that nurses play in community health.
After surgery, your patient starts to shiver uncontrollably. What nursing intervention would you do first?
- A. Apply warm blankets & continue oxygen as prescribed
- B. Take the patient's rectal temperature
- C. Page the doctor for further orders
- D. Adjust the thermostat in the room
Correct Answer: A
Rationale: The correct answer is A: Apply warm blankets & continue oxygen as prescribed. Shivering after surgery indicates the patient is cold due to anesthesia effects. Applying warm blankets helps raise body temperature, reducing shivering. Oxygen is crucial post-surgery. Taking rectal temperature or adjusting room temperature is not the priority. Paging the doctor should only be done if the patient's condition worsens.
During secondary prevention activities, what action is a healthcare professional performing?
- A. Conducting health screenings
- B. Providing early treatment for disease
- C. Administering medications
- D. Referral to specialized care
Correct Answer: B
Rationale: The correct answer is B: Providing early treatment for disease. Secondary prevention involves early detection and treatment of a disease to prevent its progression. By providing early treatment, healthcare professionals aim to minimize the impact of the disease and prevent complications. Conducting health screenings (A) is part of primary prevention to identify risk factors before a disease develops. Administering medications (C) is a treatment intervention but not specific to secondary prevention. Referral to specialized care (D) may be needed but does not directly involve providing early treatment for the disease as in secondary prevention.
What best describes the primary goal of community health nursing?
- A. Promoting health and preventing disease
- B. Providing direct care to sick individuals
- C. Managing chronic conditions
- D. Evaluating health programs
Correct Answer: A
Rationale: The correct answer is A, promoting health and preventing disease, as the primary goal of community health nursing is to focus on improving the overall health of the community. This involves implementing strategies to prevent disease and promote wellness through education, advocacy, and community partnerships. Providing direct care to sick individuals (B) is typically the role of acute care nurses. Managing chronic conditions (C) is important but not the primary goal of community health nursing. Evaluating health programs (D) is a component of community health nursing but is not the primary goal.
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: The correct answer is D: Acute respiratory failure. Tracheostomy is indicated in cases of severe respiratory compromise when the upper airway is obstructed or when long-term mechanical ventilation is needed. It ensures a patent airway and facilitates weaning from a ventilator. Choices A, B, and C are incorrect as drainage of pleural effusion, hemorrhage, and infections do not typically require a tracheostomy for management.