Nursing Elites

1. What is the primary role of community health nurses in disaster preparedness?

• A. Developing emergency response plans
• B. Providing direct patient care
• C. Coordinating care among various providers
• D. Conducting health screenings

Correct answer: A

Rationale: Community health nurses primarily focus on developing emergency response plans in disaster preparedness. This involves creating strategies to address various aspects of a disaster, such as evacuation procedures, resource management, and communication plans. While providing direct patient care and coordinating care among providers are important aspects of nursing, in the context of disaster preparedness, the emphasis is on planning and preparedness to ensure an effective response in times of crisis.

2. Which of the following is the best intervention for a client with less than 6 months to live who is seeking comfort care?

• A. Set up a meeting with the hospice team
• B. Arrange a meeting with the client’s family
• C. Discuss advance directives (DNR & living will) with the patient
• D. Ask the provider to decrease the patient’s heart medications

Correct answer: A

Rationale: Setting up a meeting with the hospice team is the most appropriate intervention for a client with less than 6 months to live who is seeking comfort care. Hospice care focuses on providing comfort and support for individuals with terminal illnesses. By involving the hospice team, the client can receive specialized care aimed at improving their quality of life and managing symptoms effectively during this challenging time.

3. 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.

4. Which task will be most helpful in meeting the public health agency’s goals?

• A. Complete staff evaluations in preparation for individual meetings to plan their agency and individual goals for the next year.
• B. Actively participate in community agencies’ collaborative action plan to meet the community’s health goals for the year.
• C. Meet with the college of nursing faculty to finalize student objectives and schedules for the next semester.
• D. Teach a free course on healthful living for community residents.

Correct answer: B

Rationale: Actively participating in community agencies’ collaborative action plan to meet the community’s health goals is the most helpful task in meeting the public health agency’s goals. By engaging with external partners and working towards the health goals of the community as a whole, the agency can have a more significant impact on public health outcomes.

5. Which action demonstrates an effective health communication strategy?

• A. Using medical jargon to explain complex health issues
• B. Distributing printed brochures in the community
• C. Hosting large community health fairs
• D. Using social media platforms for health campaigns

Correct answer: B

Rationale: Distributing printed brochures in the community is an effective health communication strategy as it allows for the dissemination of health information to a broad audience in a tangible and accessible format. Brochures can be distributed widely and provide concise, easy-to-understand information, making them a valuable tool for promoting health awareness and education within the community.

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