Nursing Elites

1. Barangay Mabulaklak has poor hygienic practices and poor environmental conditions. These are contributing factors to which of the following disease conditions?

• A. influenza
• B. hepatitis B
• C. parasitism
• D. measles

Correct answer: C

Rationale: Poor hygienic practices and poor environmental conditions often create an environment conducive to the spread of parasites. Parasitism refers to the condition where parasites live on or in a host organism, potentially causing harm. In this scenario, the unsanitary conditions in Barangay Mabulaklak can lead to an increased risk of parasitic infections. The other options, influenza, hepatitis B, and measles, are not directly linked to poor hygiene and environmental conditions as parasitism is.

2. The client with acute hypocalcemia is admitted to the unit. Nursing action should include:

• A. Implement seizure precautions
• B. Assess for hypoglycemia
• C. Monitor for visual changes
• D. Observe for muscle weakness

Correct answer: A

Rationale: The correct action for a client with acute hypocalcemia is to implement seizure precautions. Hypocalcemia can lead to tetany and seizures due to neuromuscular irritability. Assessing for hypoglycemia (choice B) is not directly related to hypocalcemia. Monitoring for visual changes (choice C) is more indicative of conditions like hyperglycemia or retinal disorders. Observing for muscle weakness (choice D) is a common symptom of hypocalcemia but does not address the immediate risk of seizures, which is why implementing seizure precautions is the priority nursing action.

3. As a community Health Nurse, you are a change agent. Which of the following roles must you play to succeed as a change agent?

• A. information provider
• B. information seeker
• C. motivator
• D. leader

Correct answer: B

Rationale: To succeed as a change agent, being an information seeker is crucial. While being an information provider, motivator, and leader are important roles, actively seeking information is fundamental to understanding the community's needs, concerns, and challenges before implementing effective changes. This active information seeking helps in making informed decisions and developing strategies that address the specific issues faced by the community. Therefore, the correct choice is B. Choices A, C, and D are also important roles but may not be as fundamental as actively seeking information.

4. Which of the following patients should the home care nurse assess first?

• A. A 65-year-old male with known COPD and difficulty breathing after climbing a flight of stairs.
• B. A 78-year-old with CHF who has gained 4 lbs according to her tele-monitoring.
• C. A 50-year-old with bilateral leg swelling and difficulty walking.
• D. A 60-year-old with lower back pain.

Correct answer: A

Rationale: The correct answer is A. A patient with known COPD and difficulty breathing after physical exertion like climbing stairs requires immediate assessment by the nurse. This could indicate a potential exacerbation of COPD, which needs prompt intervention to prevent respiratory distress. Choices B, C, and D describe important patient situations that also require attention, but the urgency is higher with a COPD patient experiencing difficulty breathing.

5. Certain health policies/strategies serve as guidelines in the delivery of services. Which of these is incorrect?

• A. A growth monitoring chart is a tool recommended for assessing and recording the child's health condition.
• B. Voluntary blood donation should be promoted through the organization of walking blood banks in rural areas.
• C. Public sectors should collaborate with the private sector for effective utilization of resources.
• D. Traditional birth attendants should be trained and allowed to provide prenatal care to mothers.

Correct answer: C

Rationale: Choice C is incorrect because public sectors are encouraged to collaborate with the private sector for effective utilization of resources, not work separately. Collaborating with the private sector can lead to improved resource allocation, better service delivery, and enhanced healthcare outcomes. Choices A, B, and D are correct as growth monitoring charts are indeed recommended for assessing child health, promoting voluntary blood donation through walking blood banks is beneficial, and training traditional birth attendants to provide prenatal care can improve maternal health.

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