Nursing Elites

1. 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.

2. 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.

3. What is essential for successful health promotion activities?

• A. Community involvement
• B. Government support
• C. Adequate funding
• D. Strong leadership

Correct answer: A

Rationale: Community involvement is crucial for successful health promotion activities because it ensures that the initiatives are relevant, culturally appropriate, and supported by the community members. When the community actively participates in health promotion activities, it enhances the chances of long-term success and sustainability.

4. While using technique of motivational interviewing with a college student engaged in binge drinking several times per week, the public health RN should begin with which intervention:

• A. Discussing how the student is managing his overall academic studies since drinking has become a problem
• B. Explaining to the student the full range of harmful impacts binge drinking has on the body and mind
• C. Asking open-ended questions and actively listening to the student while trying to remove any judgement
• D. Asking the student to make a validated survey that reveals attitudes and knowledge about binge drinking

Correct answer: C

Rationale: Asking open-ended questions and actively listening without judgement is a key technique in motivational interviewing.

5. Failure of muscle coordination, including unsteady movements and staggering walk due to disorders in the cerebellum is called:

• A. Anoxia
• B. Dyslexia
• C. Paraplegia
• D. Ataxia

Correct answer: D

Rationale: Ataxia is the correct term for the failure of muscle coordination, resulting in unsteady movements and a staggering walk due to disorders in the cerebellum. Anoxia refers to a lack of oxygen supply to tissues, Dyslexia is a learning disorder related to reading, and Paraplegia is paralysis of the lower half of the body.

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