Nursing Elites

1. Which action represents a secondary prevention strategy?

• A. Screening for hypertension
• B. Providing immunizations
• C. Offering rehabilitation services
• D. Administering antibiotics for infections

Correct answer: A

Rationale: Screening for hypertension is a secondary prevention strategy as it involves early detection and management of a health condition before it progresses. Secondary prevention aims to identify and treat diseases in their early stages to prevent complications and improve outcomes.

2. James' illness can be classified as:

• A. Pneumonia
• B. Very severe illness
• C. Severe pneumonia
• D. No pneumonia

Correct answer: D

Rationale: James' illness can be classified as 'No pneumonia' because there are no general danger signs present, and his breathing rate is normal, indicating the absence of pneumonia.

3. All of the following are characteristics of the Patient Centered Medical Home (PCMH) except:

• A. Comprehensive in scope of care
• B. Guarantees safety at home
• C. Patient needs come first
• D. Providers work together

Correct answer: B

Rationale: The Patient Centered Medical Home (PCMH) model is designed to provide comprehensive care, prioritize patient needs, and ensure that healthcare providers work together to coordinate care effectively. However, guaranteeing safety at home is not a specific characteristic of the PCMH model. Home safety is an important aspect of patient care but is not explicitly part of the PCMH model's core principles.

4. What is the learning process aimed at improving health status through changes in knowledge, attitudes, and practices?

• A. Motivating
• B. Counseling
• C. Disease prevention
• D. Health education

Correct answer: D

Rationale: Health education is a structured process that focuses on enhancing health outcomes by modifying individuals' knowledge, attitudes, and behaviors. It aims to empower individuals, families, or communities to make informed decisions and adopt healthy practices, thereby improving overall health status.

5. Which statement is incorrect regarding an informed consent signed by a patient?

• A. The nurse is responsible for obtaining the consent for surgery
• B. Patients under 18 years of age may need a parent or legal guardian to sign a consent form
• C. The nurse can witness the client signing the consent form
• D. It is the nurse's responsibility to ensure the patient has been educated by the physician about the procedure before informed consent is obtained

Correct answer: A

Rationale: The statement 'The nurse is responsible for obtaining the consent for surgery' is incorrect. The responsibility of obtaining informed consent for surgery lies with the physician or surgeon performing the procedure. Nurses can assist in the process by witnessing the client signing the consent form, ensuring the patient is educated about the procedure by the physician, and verifying that the consent process is voluntary and informed. For patients under 18 years of age, a parent or legal guardian typically needs to sign the consent form on behalf of the minor, as they are not legally able to provide consent themselves.

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