Nursing Elites

1. The occupational health nurse is completing a yearly self-evaluation. Which activity should the nurse document as an example of proficient performance criteria in professionalism?

• A. Contributes money to a professional society or organization
• B. Maintains chairmanship of the hospital nursing council
• C. Documents the nursing process in care management
• D. Develops policy initiatives that impact occupational health and safety

Correct answer: B

Rationale: Maintaining chairmanship of the hospital nursing council demonstrates leadership and professionalism. This role involves overseeing and leading nursing activities at the hospital, showcasing a high level of responsibility and professionalism. Choices A, C, and D do not directly relate to demonstrating professionalism. Contributing money to a professional society, documenting the nursing process, or developing policy initiatives, while valuable activities, do not directly reflect the same level of leadership and professionalism as maintaining chairmanship.

2. A client with a history of alcoholism is admitted to the hospital for detoxification. The nurse knows that the client's risk for withdrawal symptoms is greatest within:

• A. 2-4 hours
• B. 4-6 hours
• C. 6-12 hours
• D. 12-24 hours

Correct answer: D

Rationale: The correct answer is D: 12-24 hours. Withdrawal symptoms typically begin within 12-24 hours after the last drink. This period is when the client is at the highest risk for experiencing withdrawal symptoms. Choices A, B, and C are incorrect because they do not align with the typical timeline for alcohol withdrawal symptoms to manifest. Symptoms usually peak within the first 24 to 48 hours after the last drink, making the 12-24 hour window critical for monitoring and managing any potential withdrawal complications.

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

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

Correct answer: A

Rationale: A community hospital is categorized under secondary level health care. Secondary level health care facilities, like community hospitals, provide specialized outpatient care, diagnostic services, and treatment that are more complex than what is offered in primary health care settings. Choice B, primary health care, refers to basic and routine health care services typically provided by family doctors or general practitioners, which is not the level of care provided by community hospitals. Tertiary level care (choice C) involves highly specialized and complex medical services such as neurosurgery or organ transplants, which are beyond the scope of services provided by community hospitals. Intermediate level care (choice D) is not a recognized category in the hierarchy of health care levels.

4. A nurse is practicing community health nursing when:

• A. leading a support group for obese adolescents
• B. visiting an old woman in her condominium to change her postsurgical dressing
• C. being in a clinic instructing a couple about newborn care
• D. performing any of these activities

Correct answer: D

Rationale: Correct! Community health nursing involves a broad scope of activities that focus on promoting and preserving the health of populations rather than individuals. This includes leading support groups, providing home care, and educating communities. The other options represent different aspects of nursing care such as home health nursing, wound care, and maternal-child health - which are not exclusive to community health nursing.

5. Which of the following health behavior choices are essential to promoting health and preventing diseases?

• A. Getting the right kind of food, adequate sleep, physical activity, and effectively handling stress
• B. Stopping smoking and taking vacations
• C. Making sure that all prescription medications are taken properly and at the right time
• D. Avoiding crowds during flu season

Correct answer: A

Rationale: The correct answer is A. Proper nutrition, adequate sleep, engaging in physical activity, and effective stress management are crucial for promoting health and preventing diseases. Choices B, C, and D do not encompass the comprehensive approach needed for overall health and disease prevention. Stopping smoking is important for health but is not the only factor to consider. Taking vacations can contribute to well-being but is not a core health behavior choice. Ensuring proper medication intake is essential for managing specific health conditions but does not cover all aspects of health promotion. Avoiding crowds during flu season is a preventive measure for infectious diseases but is not a fundamental health behavior choice for overall well-being.

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