Nursing Elites

1. A female patient is scheduled for an oral glucose tolerance test. Which information from the patient’s health history is most important for the nurse to communicate to the health care provider?

• A. The patient uses oral contraceptives.
• B. The patient runs several days a week.
• C. The patient has been pregnant three times
• D. The patient has a family history of diabetes

Correct answer: A

Rationale:

2. Which of the following is an example of a primary prevention strategy in public health?

• A. Screening for diabetes
• B. Vaccination programs
• C. Emergency response planning
• D. Chronic disease management

Correct answer: B

Rationale: The correct answer is B. Vaccination programs are considered a primary prevention strategy in public health because they aim to prevent the occurrence of diseases before they occur. Screening for diabetes (choice A) is more of a secondary prevention strategy that aims to detect and treat the disease early. Emergency response planning (choice C) is more focused on preparedness and response rather than preventing the initial occurrence of health issues. Chronic disease management (choice D) involves treating and controlling diseases that have already developed, making it a tertiary prevention strategy rather than primary.

3. When is the time to make people think about the routines that have been previously followed and to consider what might be a better plan of action?

• A. Collection of data
• B. Planning
• C. Analyzing data
• D. Identification

Correct answer: B

Rationale: The correct answer is B, 'Planning.' Planning is the phase where individuals reflect on current routines and explore alternative courses of action. This stage involves considering new strategies and approaches, making it the most suitable time to challenge existing norms. Choice A, 'Collection of data,' focuses on gathering information rather than actively reconsidering routines. Choice C, 'Analyzing data,' involves assessing the gathered data rather than proposing new plans. Choice D, 'Identification,' does not specifically address the process of reviewing routines and suggesting improvements, making it less relevant to the question.

4. What is the primary responsibility of a clinical nurse leader (CNL)?

• A. Supervise nursing staff
• B. Coordinate patient care
• C. Develop nursing policies
• D. Implement evidence-based practice

Correct answer: B

Rationale: The main role of a clinical nurse leader (CNL) is to coordinate patient care. While CNLs may oversee aspects of nursing staff, the primary focus is on coordinating patient care to ensure effective treatment and outcomes. Developing nursing policies and implementing evidence-based practice are important aspects of nursing leadership but are not the main role of a CNL.

5. What is the main concern with collective bargaining?

• A. Create tension among nurses.
• B. Reform health care.
• C. Secure economic security.
• D. Unite the nurses.

Correct answer: A

Rationale: The main concern with collective bargaining is that it can create tension among nurses. The bargaining process may lead to divisions between staff nurses and management, rather than uniting them. This tension can arise from differing priorities, goals, or interests between the two groups, potentially impacting the effectiveness of the bargaining process. Choices B, C, and D are incorrect because the primary focus of the concern is on the potential negative impact on nurse relationships, not on reforming healthcare, ensuring economic security, or uniting nurses.

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