Nursing Elites

1. Directly Observed Treatment Short Course (D.O.T.S.) can do all of the following except:

• A. Stop resistance to anti-TB drugs
• B. Cure TB patients
• C. Require hospitalization
• D. Prevent new infection among children and adults

Correct answer: C

Rationale: Directly Observed Treatment Short Course (D.O.T.S.) is an effective strategy for treating tuberculosis (TB) that involves ensuring patients receive and complete their medication regimen under observation. DOTS aims to cure TB patients, stop resistance to anti-TB drugs, and prevent new infections among children and adults. One of the key advantages of DOTS is that it does not require hospitalization, allowing patients to receive treatment in their communities. Therefore, the statement that DOTS requires hospitalization is incorrect, making option C the correct answer.

2. You organize community groups to participate in the community activities. You can BEST motivate to participate in community health development program by:

• A. Conducting group works
• B. Instructing the people to agree with your plans
• C. Allowing the people to exercise decision-making
• D. Assigning people participative roles

Correct answer: C

Rationale: Allowing people to exercise decision-making empowers the community and fosters greater participation and ownership of health initiatives.

3. How can integration be best achieved in the community?

• A. Conversing with the people where they are and participating in social activities
• B. Bringing gifts to win acceptance from the community
• C. Engaging in household chores and cleaning the house
• D. Sponsoring a sports festival to meet more people

Correct answer: A

Rationale: The most effective way to achieve integration in a community is by conversing with people where they are and engaging in social activities. This approach fosters rapport-building and helps in understanding the community's dynamics and needs.

4. 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.

5. Which best describes an example of primary prevention in maternal newborn care?

• A. Providing prenatal education classes
• B. Screening for gestational diabetes
• C. Providing postpartum support groups
• D. Offering breastfeeding support

Correct answer: A

Rationale: Providing prenatal education classes is a prime example of primary prevention in maternal newborn care. These classes aim to educate expectant mothers about healthy practices, nutrition, and prenatal care to prevent potential health issues for both the mother and the newborn before they occur. By providing education and promoting healthy behaviors during pregnancy, the goal is to avoid complications and promote overall well-being.

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