Nursing Elites

1. Conditions that promote disease or injury and prevent people from realizing their health potential are termed as:

• A. Aggregate of people
• B. Health threats
• C. Health need
• D. Foreseeable crisis

Correct answer: B

Rationale: The correct term for conditions that promote disease or injury and hinder people from achieving their health potential is 'health threats.' These are factors that pose a risk to an individual or community's health, such as environmental hazards, lifestyle choices, or infectious diseases.

2. After organizing, follow-up visits are also necessary. What should you do first?

• A. Explain the purpose of the visit
• B. Wash your hands and perform the necessary procedure
• C. Conduct environmental surveillance
• D. Greet the patient/resident and introduce yourself

Correct answer: A

Rationale: Explaining the purpose of the visit is the first step in a follow-up visit as it establishes the reason for the interaction. This communication helps set expectations for both the provider and the patient/resident, ensuring that the visit is focused and productive. It allows the patient/resident to understand the goals of the follow-up and promotes a patient-centered approach to care.

3. Which statement is incorrect regarding an informed consent signed by a patient?

• A. The nurse is responsible for obtaining the consent for surgery
• B. Patients under 18 years of age may need a parent or legal guardian to sign a consent form
• C. The nurse can witness the client signing the consent form
• D. It is the nurse's responsibility to ensure the patient has been educated by the physician about the procedure before informed consent is obtained

Correct answer: A

Rationale: The statement 'The nurse is responsible for obtaining the consent for surgery' is incorrect. The responsibility of obtaining informed consent for surgery lies with the physician or surgeon performing the procedure. Nurses can assist in the process by witnessing the client signing the consent form, ensuring the patient is educated about the procedure by the physician, and verifying that the consent process is voluntary and informed. For patients under 18 years of age, a parent or legal guardian typically needs to sign the consent form on behalf of the minor, as they are not legally able to provide consent themselves.

4. 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.

5. Which of the following is NOT a principle of Primary Health Care?

• A. Health promotion
• B. Community participation
• C. Inter-sectoral collaboration
• D. Accessibility

Correct answer: D

Rationale: The principles of Primary Health Care include health promotion, community participation, and inter-sectoral collaboration. Accessibility, while important, is not explicitly listed as a principle of Primary Health Care. The focus of Primary Health Care is on providing essential healthcare services to all individuals, emphasizing community involvement, prevention, and addressing social determinants of health.

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