Nursing Elites

1. How should a healthcare provider determine a client’s reading level?

• A. Ask the client how they would rate their ability to read.
• B. Have the client assess their own health literacy and provide examples.
• C. Determine the client's completed years of formal education.
• D. Utilize literacy assessment tools available in the literature.

Correct answer: A

Rationale: In assessing a client's reading level, asking the client to rate their own reading ability is a quick and straightforward method. It allows for a self-assessment that may provide insights into the individual's perception of their literacy skills. This approach can be efficient in initiating discussions about reading abilities and can serve as a starting point for further literacy evaluation if needed.

2. Which is a key component of program evaluation in community health?

• A. Identifying program goals and objectives
• B. Ensuring program sustainability
• C. Monitoring program implementation
• D. Evaluating health outcomes

Correct answer: D

Rationale: Evaluating health outcomes is a crucial component of program evaluation in community health. It allows for assessing the effectiveness of the program and identifying areas that require improvement. By analyzing health outcomes, organizations can determine the impact of their interventions and make data-driven decisions to enhance community health initiatives.

3. The client diagnosed with a mild concussion is being discharged from the emergency department. Which discharge instruction should the nurse teach the client's significant other?

• A. Awaken the client every two (2) hours.
• B. Monitor for increased intracranial pressure.
• C. Observe frequently for hypervigilance.
• D. Offer the client food every three (3) to four (4) hours.

Correct answer: A

Rationale: In a client with a mild concussion, it is important to monitor for signs of deterioration, which includes changes in the client's level of consciousness. Waking the client every two hours helps in assessing their neurological status, ensuring they can awaken and respond appropriately. This intervention aids in detecting any worsening symptoms promptly and seeking medical assistance if needed.

4. State whether each of the following statement is true (T) or false (F): I. Epilepsy has a genetic predisposition and can be inherited II. Old age is a risk factor for Parkinson's disease

• A. TT
• B. FT
• C. TF
• D. FF

Correct answer: A

Rationale: The correct answer is TT. I. Epilepsy does have a genetic predisposition, and in some cases, it can be inherited. Genetic factors play a role in the development of epilepsy. II. Old age is indeed a risk factor for Parkinson's disease. The incidence and prevalence of Parkinson's disease increase with age, making it more common in older individuals.

5. Where does the classic definition of public health originate from?

• A. Ruth B. Freeman
• B. Lilian Wald
• C. Dr. C. E. Winslow
• D. World Health Organization Expert Committee on Nursing

Correct answer: C

Rationale: The classic definition of public health originates from Dr. C. E. Winslow. He defined public health as 'the science and art of preventing disease, prolonging life, and promoting health through organized efforts and informed choices of society, organizations, public and private, communities, and individuals.' Winslow's definition is widely recognized and used as a foundational concept in the field of public health.

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