Nursing Elites

1. A patient who has multiple health issues is discharged after a recent hospitalization. Which of the following comprehensive programs would a community health nurse refer the patient to if the patient is not under medical supervision but does have insurance?

• A. private health care practitioner
• B. a patient-centered medical home
• C. hospital clinic
• D. subacute facility

Correct answer: B

Rationale: A patient-centered medical home is a comprehensive care model that provides coordinated healthcare services across various settings. It is an ideal referral for a patient with multiple health issues who is not under medical supervision but has insurance, as it offers a patient-focused approach to managing the patient's overall health needs.

2. 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.

3. Care provided by specialists in health facilities such as medical centers, regional, and provincial hospitals falls under which level of care?

• A. Secondary level of care
• B. Tertiary level of care
• C. Primary level of care
• D. Intermediate level of care

Correct answer: B

Rationale: Tertiary level of care encompasses specialized care provided by experts in medical centers, regional, and provincial hospitals. This level of care focuses on advanced diagnostic, treatment, and management of complex health conditions beyond what primary and secondary care levels offer.

4. During a discussion about partograph, a clinical instructor asked a midwifery student about its components. Which of the following are parts of the partograph? SELECT ALL THAT APPLY

• A. Maternal Wellbeing
• B. Fetal Wellbeing
• C. Fetal Heart Rate
• D. Maternal Vital Signs

Correct answer: D

Rationale: In the partograph, components such as Maternal Wellbeing, Fetal Wellbeing, and Fetal Heart Rate are recorded. Maternal Vital Signs are not typically part of the partograph. Therefore, 'Maternal Vital Signs' is the correct answer as it is not a part of the partograph.

5. Which source of information about a community's health would give the community health nurse information about births, deaths, and marriages and aid in providing indicators of population growth or reduction?

• A. Census tracts
• B. Vital statistics
• C. National Health Survey data
• D. Needs assessment

Correct answer: B

Rationale: Vital statistics are records of births, deaths, and marriages. They provide crucial data that help in understanding population dynamics, growth, and reduction trends within a community. By analyzing vital statistics, community health nurses can identify health needs, plan interventions, and allocate resources effectively to address the specific health challenges of the population.

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