Nursing Elites

1. James' illness can be classified as:

• A. Pneumonia
• B. Very severe illness
• C. Severe pneumonia
• D. No pneumonia

Correct answer: D

Rationale: James' illness can be classified as 'No pneumonia' because there are no general danger signs present, and his breathing rate is normal, indicating the absence of pneumonia.

2. 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.

3. Which type of facilities are capable of performing minor surgeries and simple laboratory examinations?

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

Correct answer: C

Rationale: Intermediate level of care facilities are equipped to perform minor surgeries and conduct basic laboratory tests. These facilities bridge the gap between primary health care centers and hospitals offering specialized tertiary care services.

4. Which best describes a primary goal of community health nursing?

• A. Promoting health and preventing disease
• B. Providing direct patient care
• C. Reducing health care costs
• D. Ensuring access to health care services

Correct answer: A

Rationale: The primary goal of community health nursing is to promote health and prevent disease within the community. Community health nursing focuses on improving the overall health of the population by implementing strategies that prevent illnesses and promote well-being. While providing direct patient care, reducing healthcare costs, and ensuring access to services are important aspects of nursing, the main emphasis of community health nursing is on proactive health promotion and disease prevention for the community at large.

5. 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.

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