Nursing Elites

1. A Hispanic client refuses emergency room treatment until a curandero is called. The nurse understands that this person brings what to situations of illness?

• A. Holistic healing
• B. Spiritual advising
• C. Herbal preparations
• D. Witchcraft potions

Correct answer: A

Rationale: A curandero practices holistic healing, which includes addressing the physical, spiritual, and emotional aspects of illness. Choice A is correct because holistic healing aligns with the curandero's approach. Choices B, C, and D are incorrect because while spiritual advising, herbal preparations, and witchcraft potions may be part of some cultural healing practices, they do not fully capture the comprehensive nature of holistic healing provided by a curandero.

2. The nurse is teaching a group of adults about modifiable cardiac risk factors. Which of the following should the nurse focus on first?

• A. Weight reduction
• B. Stress management
• C. Physical exercise
• D. Smoking cessation

Correct answer: D

Rationale: The correct answer is D, smoking cessation. Smoking is a major and modifiable risk factor for cardiovascular disease. It is often the highest priority in cardiac risk reduction because stopping smoking has immediate and long-term benefits for heart health. Choices A, B, and C are also important in reducing cardiac risk factors, but smoking cessation takes precedence due to its significant impact on cardiovascular health.

3. Local health boards were established at the provincial, city, and municipal levels. At the municipal level, the chairman of the board is the:

• A. rural health physician
• B. public health nurse
• C. municipal mayor
• D. chairman of the committee on health

Correct answer: C

Rationale: The correct answer is C, the municipal mayor. In the local health board structure, the municipal mayor chairs the board at the municipal level, overseeing health-related matters in that specific locality. Choices A, B, and D are incorrect because while a rural health physician or a public health nurse may be involved in health-related activities, they do not serve as the chairman of the board at the municipal level. Similarly, the chairman of the committee on health may have a role in health matters, but the municipal mayor holds the position of chairman of the local health board at the municipal level.

4. A public health nurse is working with a community to develop a disaster response plan. Which of the following is the priority action?

• A. Identifying available resources and services
• B. Conducting disaster drills
• C. Educating the community about disaster preparedness
• D. Developing a communication plan

Correct answer: A

Rationale: Identifying available resources and services is the priority action when developing a disaster response plan. This step is crucial as it helps the community understand what resources and services are already in place and what additional support may be needed during a disaster. Conducting disaster drills, educating the community about disaster preparedness, and developing a communication plan are important steps in disaster preparedness but come after identifying available resources and services. Without knowing the available resources, it would be challenging to effectively plan and respond to a disaster.

5. The following statements pertain to devolution as mandated by the local government code. Which of these is not correct?

• A. People can participate in policymaking relative to healthcare delivery.
• B. Devolution will enhance the quality of community life.
• C. The barangay shall set criteria as to who shall be given priority in the delivery of healthcare services.
• D. The DOH shall transfer regulatory function of inspecting food establishments to local government units.

Correct answer: D

Rationale: The correct answer is D. The Department of Health (DOH) retains regulatory functions for inspecting food establishments, and it is not transferred to local government units. Choices A, B, and C are correct because devolution allows people to participate in policymaking for healthcare, enhances community life quality, and empowers the barangay to set criteria for healthcare service prioritization.

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