Category: Management

during assessment of a 15-year-old with abdominal pain, the patient refuses to let the rescuers check the stomach because of the pain. What is the best response to the situation?

Oral contraceptives containing estrogen should NOT be used forMultiple Choicewomen who smoke.women who are nursing mothers.women under the age of 18 .women with several children.

Question 2The combination of food deserts and high poverty rates make Native American populations more at risk for what?Poor economic statusFood insecurityObesityType 2 Diabetes

Give examples of community health strategies that can be used for improving the health status of adolescents, young adults and adults and give examples and support your responses
Adolescents (approx. ages 10–19)
School-based health programs
Example: Regular health screenings, vaccination drives, and health education integrated into the school curriculum. Support: Schools reach most adolescents, enabling early detection of health issues and delivery of preventive services (e.g., HPV vaccination, nutrition education).
Youth-friendly sexual and reproductive health services
Example: Confidential clinics or hours with trained staff providing contraception, STI testing, and counseling. Support: Reduces unintended pregnancies and untreated STIs by lowering access barriers and stigma.
Peer education and mentoring programs
Example: Trained adolescent peer educators delivering sessions on mental health, substance use prevention, and healthy behaviors. Support: Peers often increase engagement and credibility, improving uptake of positive behaviors.
Mental health promotion and early intervention
Example: School counselors, community-based youth clubs, and digital mental health screening with referral pathways. Support: Early identification and support reduce progression to severe disorders and improve school and social outcomes.
Safe spaces and youth empowerment initiatives
Example: Community centers offering after-school activities, life-skills training, and sexual health workshops. Support: Reduces risky behaviors, fosters resilience, and increases social support networks.
Young adults (approx. ages 20–29)
Workplace and college health promotion
Example: On-campus health clinics, workplace wellness programs offering screenings, counseling, and vaccination. Support: Reaches young adults during transitions (education to employment), promoting preventive care and healthy lifestyles.
Accessible sexual and reproductive health services
Example: Extended-hour clinics, telehealth for contraception/PrEP, and mobile testing for STIs. Support: Improves continuity of care during life transitions and reduces barriers to timely treatment.
Mental health and substance use interventions
Example: Brief interventions, digital CBT apps, peer support groups, and confidential counseling services. Support: Early treatment of depression, anxiety, and substance use limits progression and improves productivity and relationships.
Employment and skills programs linked to health services
Example: Job training programs that incorporate health education, occupational safety, and enrollment assistance for health insurance. Support: Improves socioeconomic determinants of health and access to care.
Digital health outreach
Example: Social-media campaigns, appointment booking apps, and SMS reminders for screenings and medication adherence. Support: Meets young adults on common platforms to improve engagement and continuity of care.
Adults (approx. ages 30+)
Chronic disease prevention and management programs
Example: Community-based hypertension and diabetes screening, group education, and self-management support (e.g., peer groups, nurse-led clinics). Support: Early detection and ongoing management reduce complications, hospitalizations, and healthcare costs.
Community screening and referral systems
Example: Mobile screening events for cancers, cardiovascular risk assessments, and follow-up referral pathways to primary care. Support: Increases detection in underserved populations and links people to timely treatment.
Workplace wellness and occupational health
Example: Tobacco cessation, healthy eating campaigns, ergonomic assessments, and stress management programs at workplaces. Support: Improves productivity, reduces absenteeism, and addresses major adult health risks.
Policy and environmental interventions
Example: Smoke-free public places, taxes on sugary beverages, improved urban design (walkable spaces, safe cycling lanes). Support: Structural measures shift population risk and support sustained healthier behaviors.
Primary care strengthening and continuity
Example: Expanding community health centers, care coordination for multimorbidity, and chronic care models (e.g., multidisciplinary teams). Support: Continuous primary care improves outcomes across adult life stages and reduces preventable complications.
Cross-cutting community strategies
Community engagement and participatory planning
Example: Community advisory boards, focus groups, and participatory needs assessments to design services. Support: Ensures interventions are culturally appropriate, acceptable, and sustainable.
Multisectoral partnerships
Example: Collaboration between health services, education, social services, local government, and NGOs. Support: Addresses social determinants (housing, employment, education) that strongly influence health.
Health education and mass media campaigns
Example: Targeted campaigns on vaccination, healthy eating, mental health awareness, and preventive behaviors. Support: Raises knowledge, shifts norms, and can drive behavior change when combined with services.
Monitoring, evaluation, and quality improvement
Example: Community health indicators, routine data collection, and feedback loops to refine programs. Support: Ensures resources are effective, equitable, and responsive to changing needs.
Key considerations for effective implementation
Tailor interventions to the age group and local context; involve target populations in design.
Address access barriers (cost, location, hours, stigma) to improve uptake.
Combine individual-level interventions with policy and environmental changes for sustained impact.
Use evidence-based approaches and monitor outcomes to adapt programs over time.

Question 12Which statement is true regarding major depressive disorder (MDD)? Select all that apply.One, some, or all responses may be correct.
MDD affects men and women equally.

In the last half of the twentieth century and the first several years of the twenty-first century, U.S. high school dropout ratesremained unchanged.plateaued.declined.increased.

QUESTION 13 OF 30For which condition might a resident be prescribed the antimalarial agent hydroxychloroquine?Choose only ONE best answer.ALupusAIDSinfluenzaRheumatoid arthritis

Question 6 (3 points)The order for a healthcare professional to bring only the portion of information requestedto court is known as:disclosuresubpoena duces tecumsummonssubpoena