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 is a key component of the chronic care model?

• A. Implementing community health education programs
• B. Improving access to care for all individuals
• C. Increasing funding for health care services
• D. Coordinating care across different health care settings

Correct answer: A

Rationale: A key component of the chronic care model involves implementing community health education programs. These programs are essential for supporting self-management among individuals with chronic conditions and have been shown to improve health outcomes by empowering patients with the knowledge and skills needed to manage their conditions effectively.

3. The public health RN is engaging with a teen in his community who is concerned about how he will be able to stay part of his friend group when they are all vaping and your client does not want to take part but does not want to feel awkward. Using motivational interviewing techniques, the RN says to the client, 'I understand this concern. Please tell me more about this and how it feels awkward for you.' The RN's question is an example of:

• A. Moving the teen to find a new friend group.
• B. Addressing the problem of teen awkwardness.
• C. Agreeing that awkwardness is hard.
• D. Using open-ended questioning.

Correct answer: D

Rationale: The RN's question, 'Please tell me more about this and how it feels awkward for you,' is an example of using open-ended questioning. Open-ended questions encourage clients to share more about their feelings and thoughts, allowing for a deeper exploration of their concerns and experiences. It helps in building rapport, understanding the client's perspective, and facilitating a client-centered conversation.

4. Why is interdisciplinary collaboration important in community health?

• A. It enhances the quality of care by integrating different perspectives.
• B. It reduces the workload of individual health professionals.
• C. It ensures that all community health needs are met.
• D. It facilitates access to more resources and services.

Correct answer: A

Rationale: Interdisciplinary collaboration is crucial in community health as it brings together professionals from different fields to provide a holistic approach to patient care. By integrating various perspectives and expertise, it enhances the quality of care, leading to better health outcomes for the community. This teamwork allows for comprehensive assessments, innovative solutions, and improved coordination of services, ultimately benefiting the overall health and well-being of individuals in the community.

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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