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. Which action would be classified as tertiary prevention?

• A. Providing rehabilitation services
• B. Administering medications
• C. Conducting health education sessions
• D. Conducting follow-up appointments

Correct answer: A

Rationale: The correct answer is providing rehabilitation services. Tertiary prevention focuses on improving the quality of life and minimizing the impact of chronic conditions. Rehabilitation services help individuals with chronic illnesses or disabilities to restore or enhance their functioning, making it a crucial aspect of tertiary prevention efforts.

3. In population health management, a nurse overseeing a panel of 1,500 patients will primarily engage in which of the following activities?

• A. Proactively assessing the health needs of the entire panel and planning accordingly
• B. Focusing on providing care to young and seemingly vulnerable patients
• C. Spending most time with patients who regularly attend their visits
• D. Prioritizing care by responding to the oldest patients first

Correct answer: A

Rationale: In population health management, a nurse overseeing a large panel of patients needs to proactively assess the health needs of the entire panel to plan and provide appropriate care effectively. This approach ensures that all patients receive necessary attention and interventions, contributing to better health outcomes for the population as a whole.

4. The healthcare provider should consider the following when assessing the child for chest indrawing EXCEPT

• A. Chest indrawing should be present at all times
• B. The lower chest wall does not move in when the child breathes in
• C. The lower chest moves in when the child breathes in
• D. The child should be calm

Correct answer: A

Rationale: When assessing a child for chest indrawing, it is important to note that chest indrawing should NOT be present at all times, as this would suggest a significant respiratory distress. Chest indrawing is an abnormal inward movement of the lower chest wall during inhalation, indicating increased work of breathing. Therefore, the absence of chest indrawing during normal breathing is a normal finding. The healthcare provider should observe for the lower chest moving in with each breath, which is abnormal, while ensuring that the child is calm during the assessment.

5. Which of the following is an example of a health disparity?

• A. Differences in health outcomes based on geographic location
• B. Differences in health outcomes based on socioeconomic status
• C. Differences in health outcomes based on age
• D. Differences in health outcomes based on genetic factors

Correct answer: B

Rationale: A health disparity refers to differences in health outcomes based on socioeconomic status, indicating unequal access to healthcare services and variations in health outcomes due to economic factors.

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