Nursing Elites

1. The client diagnosed with a mild concussion is being discharged from the emergency department. Which discharge instruction should the nurse teach the client's significant other?

• A. Awaken the client every two (2) hours.
• B. Monitor for increased intracranial pressure.
• C. Observe frequently for hypervigilance.
• D. Offer the client food every three (3) to four (4) hours.

Correct answer: A

Rationale: In a client with a mild concussion, it is important to monitor for signs of deterioration, which includes changes in the client's level of consciousness. Waking the client every two hours helps in assessing their neurological status, ensuring they can awaken and respond appropriately. This intervention aids in detecting any worsening symptoms promptly and seeking medical assistance if needed.

2. Which of the following is a characteristic of a healthy work environment?

• A. High turnover rate and lack of communication
• B. Lack of teamwork and frequent conflicts
• C. Open communication and collaboration
• D. Micromanagement and strict hierarchy

Correct answer: C

Rationale: A healthy work environment is characterized by open communication and collaboration among team members. This fosters a positive atmosphere where ideas can be freely shared, conflicts resolved constructively, and teamwork thrives. High turnover rates, lack of communication, micromanagement, and strict hierarchy are detrimental to a healthy work environment as they can lead to low morale, decreased productivity, and a negative workplace culture.

3. The public health nurse is working with a client who desires to move away from eating take-out and fatty foods to maintain a healthier lifestyle. The client mentions eliminating processed foods from her diet most days of the week but still struggles to consistently add fruits and vegetables to her meals. According to the Transtheoretical Model of health behavior change, this client is in which stage:

• A. Pre-contemplation
• B. Contemplation
• C. Preparation
• D. Action

Correct answer: C

Rationale: The client is in the Preparation stage as they are actively taking steps towards behavior change by eliminating processed foods from their diet most days of the week. While they still struggle to consistently add fruits and vegetables, their efforts to make small changes indicate that they are in the Preparation stage, where individuals are getting ready to take action to change their behavior.

4. A community hospital is an example of which level of health care?

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

Correct answer: A

Rationale: Community hospitals are considered part of the secondary level of health care. They provide acute care services, including emergency care, surgeries, and specialized diagnostic services. Primary care is typically provided in outpatient settings such as clinics and doctor's offices, while tertiary care involves highly specialized services like organ transplants and neurosurgery. Intermediate care usually refers to services that are more intensive than what is provided at the primary care level but less specialized than tertiary care.

5. Which factor is most likely to enhance the success of health promotion activities?

• A. Adequate funding
• B. Support from local government
• C. Community involvement
• D. Strong leadership

Correct answer: C

Rationale: Community involvement is essential for the success of health promotion activities as it ensures that the initiatives are relevant and supported by the community. When the community actively participates in planning and implementing health promotion activities, it increases the chances of long-term success and sustainability. Community involvement fosters a sense of ownership and empowerment, leading to greater engagement and positive health outcomes.

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