Nursing Elites

1. The RN working within the NFP model of care uses the Minnesota Health Wheel to describe what she does in her role to her own family. Which intervention is the RN likely to describe that is consistent with the public health nurse role of delegation:

• A. I administered IV antibiotics every 6 hours when the physician or nurse practitioner prescribed them.
• B. I conducted a full respiratory exam on a mother who might need asthma follow-up.
• C. I collaborated with the social work services team when I noted that my patient was unhoused.
• D. I taught the newly pregnant mom about necessary vaccinations to have at this time.

Correct answer: C

Rationale: Collaborating with social work services is a form of delegation, ensuring that clients receive comprehensive care.

2. What is the primary goal of case management?

• A. Coordinating care among various providers
• B. Reducing health care costs
• C. Enhancing patients' quality of life
• D. Improving patient satisfaction

Correct answer: A

Rationale: The primary goal of case management is to coordinate care among various providers to ensure seamless and effective care delivery. By facilitating communication and collaboration between different healthcare professionals, case management aims to optimize patient outcomes and experiences.

3. Which of the following is an example of a communicable disease?

• A. Diabetes
• B. Hypertension
• C. HIV/AIDS
• D. Cholera

Correct answer: D

Rationale: Cholera is caused by the bacterium Vibrio cholerae and is transmitted through contaminated water or food. It spreads rapidly in areas with poor sanitation and can lead to severe dehydration and even death if untreated. Unlike diabetes and hypertension, which are non-communicable diseases often influenced by lifestyle factors, HIV/AIDS and cholera are infectious diseases that can be transmitted from person to person.

4. After surgery, your patient starts to shiver uncontrollably. What nursing intervention would you do first?

• A. Apply warm blankets & continue oxygen as prescribed
• B. Take the patient's rectal temperature
• C. Page the doctor for further orders
• D. Adjust the thermostat in the room

Correct answer: A

Rationale: When a patient starts shivering uncontrollably after surgery, the priority nursing intervention is to apply warm blankets and continue oxygen as prescribed. Shivering can be a sign of hypothermia, and maintaining the patient's body temperature is crucial for their recovery. This intervention helps prevent further heat loss and supports the patient's comfort and safety. While monitoring temperature, paging the doctor, and adjusting the room temperature may be necessary, addressing the immediate need for warmth and oxygen is the priority in this situation.

5. Joseph, a 45-year-old community resident of Baranggay 22-A, suddenly had 2 bouts of soft to almost watery stools after having lunch. While observing his condition at home to decide whether to refer him for medical treatment, you recommended that he boil a decoction of 10-15 leaves of what medicinal plant for 15 minutes on low heat?

• A. Bayabas
• B. Pancit pacitan
• C. Sambong
• D. Lagundi

Correct answer: A

Rationale: Bayabas (guava) leaves are traditionally used for treating diarrhea due to their antimicrobial properties. The decoction of guava leaves can help alleviate diarrhea symptoms and aid in recovery.

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