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. Which level of care serves as a referral center for primary health facilities?

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

Correct answer: B

Rationale: The correct answer is B - Tertiary level of care. Tertiary level of care is the highest level of care and serves as a referral center for primary health facilities, handling complex cases and providing specialized services that primary care facilities may not offer.

3. Donna needs further teaching about the use of partograph if she said to her CI that:

• A. I will start using the partograph if the patient's cervix is already 4 cm dilated.
• B. I can use the partograph in all pregnant women.
• C. I will plot the cervical dilatation using 'x'.
• D. I need to refer my patient to the hospital if the cervical dilatation reaches the action line.

Correct answer: B

Rationale: Donna needs further teaching because using a partograph in all pregnant women is incorrect. The partograph is specifically used when labor is established to monitor the progress of labor and identify deviations from normal patterns. It is not meant to be used indiscriminately in all pregnant women, but rather in those who are in labor to enhance safe delivery practices.

4. Which of the following is the best intervention for a client with less than 6 months to live who is seeking comfort care?

• A. Set up a meeting with the hospice team
• B. Arrange a meeting with the client’s family
• C. Discuss advance directives (DNR & living will) with the patient
• D. Ask the provider to decrease the patient’s heart medications

Correct answer: A

Rationale: Setting up a meeting with the hospice team is the most appropriate intervention for a client with less than 6 months to live who is seeking comfort care. Hospice care focuses on providing comfort and support for individuals with terminal illnesses. By involving the hospice team, the client can receive specialized care aimed at improving their quality of life and managing symptoms effectively during this challenging time.

5. Which action exemplifies the role of a nurse in policy advocacy?

• A. Meeting with legislators to discuss health issues
• B. Administering vaccines in the community
• C. Conducting health screenings
• D. Providing direct care to underserved populations

Correct answer: A

Rationale: Meeting with legislators to discuss health issues exemplifies the role of a nurse in policy advocacy. Nurses engage in policy advocacy to influence decisions that impact health outcomes at the population level. By meeting with legislators, nurses can advocate for policies that support healthcare access, quality, and equity, ultimately contributing to improved health outcomes for individuals and communities.

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