Nursing Elites

1. In which of the following settings would a community health nurse be less likely to be involved?

• A. neighborhood clinic, community clinic, or senior center
• B. physician's office with a focus on individual client care
• C. home-based care
• D. neighborhood planning board

Correct answer: B

Rationale: Community health nurses are less likely to be involved in a physician's office with a focus on individual client care because their role primarily revolves around promoting and maintaining the health of populations and communities rather than providing direct care to individual clients. Options A, C, and D are more aligned with the community health nurse's role as they involve working in community-based settings, providing home-based care, and participating in community planning and advocacy.

2. A unit of Girl Scouts went hiking over Mt. Makiling. While resting, scout Jaymee, 14 years of age, complained of a sudden moderately bearable toothache. In checking their first-aid kit, they found none of mefenamic acid, BUT they luckily chanced upon a home that uses alternative pain-relieving medicinal plants. What would this plant be?

• A. Bawang
• B. Lagundi
• C. Sambong
• D. Tsaang gubat

Correct answer: A

Rationale: The correct answer is A, Bawang (garlic), which is traditionally used for its pain-relieving properties. While Lagundi, Sambong, and Tsaang gubat are also medicinal plants with various health benefits, they are not specifically known for their pain-relieving properties like garlic.

3. A client with multiple sclerosis is receiving baclofen (Lioresal). The nurse should monitor the client for which of the following side effects?

• A. Hypertension
• B. Muscle spasms
• C. Drowsiness
• D. Tachycardia

Correct answer: C

Rationale: The correct answer is C: Drowsiness. Baclofen, a muscle relaxant commonly used to treat conditions like multiple sclerosis, can cause drowsiness as a side effect. Monitoring for drowsiness is important to ensure the client's safety and well-being. Choice A, Hypertension, is incorrect because baclofen is not known to cause hypertension. Choice B, Muscle spasms, is not a common side effect of baclofen but rather the symptom it is used to treat. Choice D, Tachycardia, is also incorrect as baclofen is not associated with causing an increase in heart rate.

4. When designing a home health care program for disabled children, which factor should be considered when assessing reimbursement for services from private insurance companies?

• A. greater access to any healthcare provider
• B. allowance for early discharge
• C. concern for the quality of care
• D. approval by the network healthcare provider

Correct answer: D

Rationale: When assessing reimbursement for services from private insurance companies, approval by the network healthcare provider is crucial. This approval ensures that the services provided are within the approved network, allowing for reimbursement. Choices A, B, and C are not directly related to the reimbursement process by private insurance companies. While greater access to any healthcare provider, allowance for early discharge, and concern for the quality of care are important considerations when designing a home health care program, they do not specifically impact the reimbursement process from private insurance companies.

5. Manny Pacquiao, a Filipino and world boxing champion, used to advertise a muscle pain-relieving drug popularly known in the Philippine market. What can be an equally effective medicinal alternative, especially in far-flung communities and provinces, to relieve muscles and joint pains and prove to be non-costly?

• A. Sambong
• B. Lagundi
• C. Akapulko
• D. Yerba Buena

Correct answer: D

Rationale: Yerba Buena is a suitable alternative for muscle and joint pain relief, particularly in remote areas due to its cost-effectiveness and proven efficacy. Sambong is more commonly used for urinary tract problems, Lagundi is known for respiratory conditions, and Akapulko is primarily used for skin diseases, making them less effective alternatives for muscle and joint pain relief.

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