Nursing Elites

1. After surgery, your patient starts to shiver uncontrollably. What nursing intervention would you do first?

• A. Apply warm blankets & continue oxygen as prescribed
• B. Take the patient's rectal temperature
• C. Page the doctor for further orders
• D. Adjust the thermostat in the room

Correct answer: A

Rationale: When a patient starts shivering uncontrollably after surgery, the priority nursing intervention is to apply warm blankets and continue oxygen as prescribed. Shivering can be a sign of hypothermia, and maintaining the patient's body temperature is crucial for their recovery. This intervention helps prevent further heat loss and supports the patient's comfort and safety. While monitoring temperature, paging the doctor, and adjusting the room temperature may be necessary, addressing the immediate need for warmth and oxygen is the priority in this situation.

2. What is a common barrier to effective health education?

• A. Lack of funding for educational programs
• B. Cultural differences
• C. Complex medical terminology
• D. Resistance to behavior change

Correct answer: D

Rationale: Resistance to behavior change is a common barrier to effective health education because individuals may be resistant or hesitant to change their behaviors even when presented with health education interventions.

3. Community organizing is an important part of the community nursing function. Given the following elements - choosing an organizational structure, identifying and recruiting members, defining mission, vision, and goals, clarifying roles and responsibilities - at which stage do these elements belong?

• A. Program maintenance-consolidation
• B. Dissemination-Reassessment
• C. Community Analysis/diagnosis
• D. Design and initiation

Correct answer: D

Rationale: These elements of choosing an organizational structure, identifying and recruiting members, defining mission, vision, and goals, and clarifying roles and responsibilities are part of the initial stage of community organizing, which is the design and initiation stage. During this phase, the framework and groundwork for the community organizing efforts are established, setting the direction and structure for the subsequent implementation and maintenance of the program.

4. When assessing a community to determine its health needs, which data would be most useful?

• A. Demographic data
• B. Health behavior data
• C. Environmental data
• D. Morbidity and mortality data

Correct answer: D

Rationale: Morbidity and mortality data are essential for assessing the health needs of a community as they provide critical insights into the prevalence of diseases, causes of death, and areas that require intervention. By analyzing morbidity and mortality data, healthcare professionals can identify health trends, prioritize resources, and implement targeted interventions to improve the overall health outcomes of the community.

5. When planning a health promotion program for a community, what information should be considered first?

• A. The health needs of the population
• B. The available resources for the program
• C. The current health status of the population
• D. The demographic characteristics of the population

Correct answer: A

Rationale: When planning a health promotion program for a community, the health needs of the population should be considered first. Understanding the specific health needs of the community helps in designing a program that addresses relevant health issues and is tailored to be effective. By identifying the prevalent health concerns, the program can be targeted towards making a meaningful impact on the community's well-being.

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