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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Related Questions
Correct Answer is C
Explanation
Choice A Reason:
The first step assists with how to perform a collection of evidence. While collecting evidence is an important part of many toolkits, the University of Kansas toolkit is specifically designed to guide users through a comprehensive process. The focus is on a structured approach rather than just the initial step of evidence collection.
Choice B Reason:
It is used in planning community initiatives. This statement is true but not specific enough to be the standout feature of the toolkit. Many toolkits are used for planning community initiatives. The unique aspect of the University of Kansas toolkit is its structured, step-by-step methodology, which sets it apart from other resources.
Choice C Reason:
It uses a step-by-step approach. This is the correct answer because the University of Kansas toolkit is designed to provide a clear, structured process for users. This approach ensures that all necessary steps are followed systematically, making it easier for community groups to plan and implement their initiatives effectively. The step-by-step methodology is a core feature that enhances the usability and effectiveness of the toolkit.
Choice D Reason:
It is a proprietary document that is used solely within the state of Kansas. This statement is incorrect. The toolkit provided by the University of Kansas is intended for broader use and is not restricted to the state of Kansas. It is designed to be a resource for community groups and organizations regardless of their location, promoting best practices in community planning and development.
Correct Answer is C
Explanation
Choice A: "I Think That I Missed Two Math Tutoring Classes Last Week, But I Can Still Catch Up."
This statement indicates that the client is aware of their academic responsibilities and is optimistic about catching up. Missing a couple of classes is not uncommon, and the client's positive attitude towards catching up is a good sign. This statement does not indicate an immediate need for intervention regarding their mental health.
Choice B: "I Have Not Used Drugs in 6 Weeks."
This statement is positive and indicates progress in the client's efforts to stay away from substance use. It shows that the client is making strides towards healthier behaviors, which is a crucial aspect of their overall well-being. This statement does not require immediate intervention but should be acknowledged and supported.
Choice C: "I Don't Have Anyone I Can Talk to About My Problems."
This statement is concerning and indicates a lack of social support, which is critical for someone with a history of depression and suicidal ideation. Feeling isolated and having no one to talk to can exacerbate feelings of depression and increase the risk of suicidal thoughts. This statement requires immediate intervention to ensure the client receives the necessary support and resources to address their feelings of isolation.
Choice D: "I Have Been Participating in My Local YMCA After-School Dance Program Again."
This statement is positive and indicates that the client is engaging in social and physical activities, which can be beneficial for their mental health. Participation in such programs can provide a sense of community, improve mood, and reduce feelings of isolation. This statement does not require immediate intervention but should be encouraged and supported.
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