A nurse is reviewing the Million Hearts initiative to see if it might be appropriate to use in the nurse's community. Which of the following statements by the nurse indicates an understanding of the initiative and its applications?
My community is struggling with high morbidity due to heart health, so this initiative has merit.
These initiative strategies are still in the experimental stage and have questionable merit in practice.
It is a local initiative and should not be used outside my state.
I will need to get a doctor's order or directive from the community health lead before considering outside initiatives.
The Correct Answer is A
Choice A Reason:
My community is struggling with high morbidity due to heart health, so this initiative has merit. This statement indicates a clear understanding of the Million Hearts initiative, which aims to prevent heart attacks and strokes by improving cardiovascular health. Recognizing the high morbidity due to heart health issues in the community aligns with the initiative's goals, making it a suitable and beneficial program to implement.
Choice B Reason:
These initiative strategies are still in the experimental stage and have questionable merit in practice. This statement is incorrect because the Million Hearts initiative is a well-established program with proven strategies to reduce cardiovascular disease. It is not in the experimental stage and has demonstrated effectiveness in various communities.
Choice C Reason:
It is a local initiative and should not be used outside my state. This statement is incorrect as the Million Hearts initiative is a national program in the United States, designed to be implemented across different states and communities. It is not restricted to any specific locality and can be adapted to meet the needs of various populations.
Choice D Reason:
I will need to get a doctor's order or directive from the community health lead before considering outside initiatives. While collaboration with healthcare providers and community leaders is important, this statement does not reflect an understanding of the initiative itself. The Million Hearts initiative can be implemented by various stakeholders, including nurses, without requiring a specific directive from a doctor or community health lead.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
A cluster refers to an aggregation of cases of a disease or other health-related condition in a specific area and time period that is greater than expected. Clusters are often the initial indication of an outbreak but do not describe the widespread nature of a pandemic.
Choice B Reason:
An epidemic is an outbreak of a disease that spreads quickly and affects many individuals at the same time within a specific geographic area or population. While an epidemic can be severe, it is typically confined to one region or country. The term "pandemic" is used when the disease spreads across multiple countries or continents.
Choice C Reason:
Endemic refers to the constant presence and/or usual prevalence of a disease or infectious agent within a geographic area or population group. Diseases that are endemic are consistently present but typically do not cause the widespread impact seen in pandemics.
Choice D Reason:
A pandemic is an epidemic that has spread across a large region, for instance, multiple continents or worldwide, affecting a substantial number of individuals. The COVID-19 outbreak in 2020 is a prime example of a pandemic, as it spread globally and prompted widespread disease control measures.
Correct Answer is C
Explanation
Choice A: Order a New Medication
Ordering a new medication is not typically the first step in the protocol for an employee injury. The nurse needs to assess the injury and determine the appropriate course of action based on the severity and nature of the injury. Medication may be part of the treatment plan, but it is not the initial step in the injury protocol.
Choice B: Initiate Safety and Audit Checks
Initiating safety and audit checks is an important part of workplace safety management, but it is not the immediate response to an employee injury. These checks are usually conducted to prevent future incidents and ensure compliance with safety regulations. The immediate priority is to address the employee's injury and provide necessary medical care.
Choice C: Perform a Drug Test
This is the correct choice. Performing a drug test is often part of the protocol following a workplace injury, especially in industries where safety is a critical concern. The drug test helps determine if substance use may have contributed to the accident. It is a standard procedure to ensure workplace safety and compliance with regulations.
Choice D: Vet the Injured Worker
Vetting the injured worker is not a standard part of the protocol for handling an employee injury. The focus should be on providing immediate medical care and assessing the injury. Vetting typically refers to a thorough examination or background check, which is not relevant in the context of responding to an injury.

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