Nursing Elites

1. Which best describes a primary role of nurses in promoting community health?

• A. Conducting individual health assessments
• B. Advocating for health policy changes
• C. Providing health education to groups
• D. Developing health policies

Correct answer: B

Rationale: A primary role of nurses in promoting community health involves advocating for health policy changes. By advocating for policy changes, nurses can address systemic issues that impact the health of the community as a whole, rather than focusing solely on individual assessments or education. This proactive approach allows nurses to influence broader health determinants and create sustainable improvements in community health outcomes.

2. 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.

3. Which is an important consideration when conducting a community health assessment?

• A. Using standardized assessment tools
• B. Collecting both qualitative and quantitative data
• C. Engaging community stakeholders
• D. Analyzing health trends

Correct answer: C

Rationale: Engaging community stakeholders is crucial when conducting a community health assessment as it helps ensure that the assessment captures the diverse perspectives and needs of the community. Involving stakeholders promotes community buy-in, enhances the validity of the data collected, and increases the likelihood of implementing effective interventions based on the assessment findings.

4. Which of the following are major veins commonly used in parenteral cannulation?

• A. Basilic vein
• B. Femoral vein
• C. Subclavian vein
• D. Aorta

Correct answer: D

Rationale: The aorta is not a vein; it is the main artery in the body that carries oxygenated blood from the heart to the rest of the body. In parenteral cannulation, major veins like the basilic vein, femoral vein, and subclavian vein are typically used for access. Therefore, the correct answer is the aorta, as it is an artery and not a vein used for cannulation.

5. For a complete spinal injury, which statement is true?

• A. Some of the motor and sensory functions are lost
• B. Only the motor functions are lost
• C. Only the sensory functions are lost
• D. Both the motor and sensory functions are lost

Correct answer: D

Rationale: In a complete spinal injury, there is total loss of motor and sensory functions below the level of the injury. This means that both motor (ability to move) and sensory (ability to feel) functions are affected. It is important to distinguish between complete and incomplete spinal injuries, as complete injuries result in the loss of all functions below the level of injury, while incomplete injuries allow for some preservation of motor or sensory functions.

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