Nursing Elites

1. Under the local government code, health services must be developed by the local governments. This means that local health agencies such as health centers/rural health centers must be under the:

• A. municipal government office
• B. barangay health councils
• C. district health office
• D. provincial health office

Correct answer: A

Rationale: The correct answer is A: municipal government office. According to the local government code, local health agencies like health centers and rural health centers are managed by the municipal government office. This is because the municipal government is responsible for providing essential public services within their jurisdiction. Choice B, barangay health councils, is incorrect as they operate at a smaller administrative level than municipal government offices. Choice C, district health office, is not the correct level of government responsible for managing local health agencies. Choice D, provincial health office, is at a higher administrative level than the municipal government office and is not directly responsible for managing local health agencies.

2. The school RN is assessing a group of middle school students for signs of scoliosis and discovers a female student with noticeable unequal symmetry of the upper and lower back. Which intervention is most important for the RN to implement?

• A. Send the student home
• B. Make a referral to have the scoliosis further evaluated.
• C. Withdraw the student from all physical activities
• D. Tell the student not to carry her backpack on her back

Correct answer: B

Rationale: Referring the student for further evaluation of scoliosis is crucial to confirm the diagnosis and determine the appropriate management plan. Sending the student home (choice A) without proper assessment and intervention is not the best course of action. Withdrawing the student from all physical activities (choice C) is not necessary and may cause unnecessary distress. Instructing the student not to carry her backpack on her back (choice D) does not address the underlying issue of scoliosis and is not the most important intervention at this point.

3. Community health nurses help influence the health of communities through which of the following actions?

• A. legislating health behavior
• B. recording health status of individuals in a similar geographic region
• C. influencing health status and behavior, and engaging in health promotion
• D. none of the above

Correct answer: C

Rationale: Community health nurses play a crucial role in influencing the health of communities by engaging in health promotion activities and influencing health behaviors. Choice A is incorrect as community health nurses do not legislate health behavior but rather educate and promote healthy behaviors. Choice B is incorrect as while community health nurses may record health data, their main focus is on proactive health promotion and intervention, not just documenting health status. Choice D is incorrect because community health nurses actively work to influence health status and behaviors.

4. The nurse should consider the following when assessing the child for chest indrawing EXCEPT:

• A. Chest indrawing should be present at all times
• B. The lower chest wall does not go in when the child breathes in
• C. The lower chest goes in when the child breathes in
• D. The child should be calm

Correct answer: A

Rationale: The correct answer is A. Chest indrawing may not always be present and can vary with the child's activity level, so it should not be expected to be present at all times. Choice B is correct because the lower chest wall should not go in when the child breathes in. Choice C is correct as the lower chest should go in when the child breathes in, indicating chest indrawing. Choice D is correct as a calm child makes it easier to assess chest indrawing, but the absence of chest indrawing does not mean the child is not calm.

5. During a visit to the community health clinic, a 45-year-old Native American female, who has a BMI of 35, complains of changes in her vision. Which condition is most important for the RN to be aware of in the client's family history?

• A. Diabetes
• B. Glaucoma
• C. Hypertension
• D. Brain Tumor

Correct answer: A

Rationale: The correct answer is A: Diabetes. Given the client's Native American ethnicity, high BMI, and vision changes, diabetes is the most crucial condition for the nurse to be aware of in the client's family history. Diabetes is strongly associated with vision problems, especially diabetic retinopathy. Glaucoma (choice B) is a condition that affects the optic nerve and can lead to vision loss but is not as directly linked to the client's BMI and ethnic background. Hypertension (choice C) can also impact vision, but in this case, diabetes takes precedence based on the client's profile. Brain tumor (choice D) is less likely to be related to the client's BMI, ethnicity, and vision changes compared to diabetes.

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