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: Awaken the client every two (2) hours.

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 best describes the social determinants of health?

• A. Factors such as genetics and individual behavior
• B. Conditions in which people are born, grow, live, work, and age
• C. Availability of health services and technology
• D. Access to health care services

Correct answer: B

Rationale: The social determinants of health refer to the conditions in which people are born, grow, live, work, and age, impacting their health outcomes. These factors include social, economic, and environmental influences that play a crucial role in shaping health disparities and overall well-being.

3. When studying for an epidemiology quiz, what does public health nursing surveillance involve?

• A. Having all carriers transferred to one main facility for care
• B. Gathering data to work toward primary illness prevention
• C. Establishing the incubation period of a disease
• D. Determining the colonization rate of the disease

Correct answer: B

Rationale: Public health nursing surveillance involves the systematic collection, analysis, and interpretation of health-related data for the purpose of preventing and controlling diseases. By gathering data, public health nurses can identify trends, risks, and patterns to implement interventions aimed at preventing illnesses in communities. This process is essential for early detection, timely response, and effective prevention strategies.

4. How do social determinants impact health?

• A. They directly affect health behaviors and outcomes.
• B. They primarily influence genetic predisposition.
• C. They have minimal impact on overall health.
• D. They determine access to health resources.

Correct answer: A

Rationale: Social determinants play a significant role in impacting health by directly influencing health behaviors and outcomes. These determinants include factors such as socioeconomic status, education, neighborhood, and access to healthcare, which shape the conditions in which individuals live, work, and age, ultimately affecting their health status.

5. What is an essential skill for nurses in community health?

• A. Providing direct patient care
• B. Advocating for patients' health needs
• C. Educating about health promotion
• D. Managing chronic conditions

Correct answer: B

Rationale: Advocating for patients' health needs is a crucial skill for nurses in community health as it involves standing up for and promoting the well-being and rights of individuals within the community. While providing direct patient care, educating about health promotion, and managing chronic conditions are important aspects of nursing in community health, advocacy plays a vital role in ensuring that patients receive the necessary care, support, and resources to improve their health outcomes.

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