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 A
Explanation
Choice A: Community Health Workers are Paid or Unpaid Individuals Active in Promoting the Health of a Community
This statement accurately describes community health workers (CHWs). CHWs can be either paid or unpaid and are often members of the communities they serve. They play a crucial role in promoting health, providing education, and connecting individuals to health care services. Their work is essential in improving health outcomes and reducing health disparities within communities.
Choice B: A Community Health Worker Should be a Public Health Nurse
This statement is incorrect. While public health nurses can work as community health workers, the role of a CHW is not limited to nurses. CHWs come from various backgrounds and do not necessarily have formal medical training. Their primary qualification is their close connection to the community and their ability to build trust and provide culturally appropriate health education and services.
Choice C: Community Health Workers are Unpaid Residents Within a Community Who Volunteer Their Services
This statement is partially correct but incomplete. While many CHWs volunteer their services, others are paid for their work. The key aspect of a CHW's role is their active involvement in promoting community health, regardless of whether they are paid or unpaid.
Choice D: Paid Employees Within the Community Comprise the Role of a Community Health Worker
This statement is incorrect. While some CHWs are paid, the role is not exclusively filled by paid employees. Many CHWs volunteer their time and efforts to support their communities. The defining characteristic of a CHW is their dedication to improving community health, not their employment status.
Correct Answer is D
Explanation
Choice A Reason:
The portal of entry refers to the site through which pathogens enter the body. While handwashing can indirectly affect the portal of entry by reducing the number of pathogens on the hands, it primarily targets the mode of transmission. The portal of entry includes areas such as the respiratory tract, gastrointestinal tract, and breaks in the skin.
Choice B Reason:
The susceptible host is an individual who is at risk of infection due to factors such as age, underlying health conditions, or weakened immune systems. Handwashing does not directly alter the susceptibility of the host but rather reduces the likelihood of the host coming into contact with pathogens.
Choice C Reason:
The portal of exit is the site from which pathogens leave the host to infect another individual. Common portals of exit include the respiratory tract, gastrointestinal tract, and open wounds. Handwashing does not directly impact the portal of exit but helps prevent the spread of pathogens from one person to another.
Choice D Reason:
Mode of transmission refers to the way pathogens are transferred from one host to another. Handwashing is a critical intervention that targets this link in the chain of transmission by removing pathogens from the hands, thereby preventing their spread through direct contact or contact with contaminated surfaces. This is why proper handwashing technique is emphasized in infection control practices.
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