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. While using technique of motivational interviewing with a college student engaged in binge drinking several times per week, the public health RN should begin with which intervention:

• A. Discussing how the student is managing his overall academic studies since drinking has become a problem
• B. Explaining to the student the full range of harmful impacts binge drinking has on the body and mind
• C. Asking open-ended questions and actively listening to the student while trying to remove any judgement
• D. Asking the student to make a validated survey that reveals attitudes and knowledge about binge drinking

Correct answer: C

Rationale: Asking open-ended questions and actively listening without judgement is a key technique in motivational interviewing.

3. Which of the following is an indication for tracheostomy?

• A. Drainage of pleural effusion
• B. Hemorrhage
• C. Infections
• D. Acute respiratory failure

Correct answer: D

Rationale: Tracheostomy is a surgical procedure where an incision is made in the windpipe to help with breathing. Acute respiratory failure, which can occur due to various reasons such as upper airway obstruction, is a common indication for tracheostomy. While drainage of pleural effusion, hemorrhage, and infections may require medical intervention, they are not direct indications for a tracheostomy like acute respiratory failure.

4. While on a hiking trip, a Girl Scout unit rested on Mt. Makiling when scout Jaymee, 14 years old, complained of a sudden, moderately bearable toothache. In their first-aid kit, they discovered they had no mefenamic acid but luckily stumbled upon a home that uses alternative pain-relieving medicinal plants. Which plant would be helpful for the toothache?

• A. Bawang (garlic)
• B. Lagundi
• C. Sambong
• D. Tsaang gubat

Correct answer: A

Rationale: Bawang (garlic) is traditionally used as a pain reliever, especially for toothaches due to its antimicrobial properties that can help reduce pain and inflammation associated with dental issues.

5. In evaluating the healthcare provided, which of the following vital statistics in the communities served will BEST indicate their health status?

• A. 0 crude death rate for the year 2012
• B. 50% (Swaroop's) index for the year 2011
• C. 0 infant mortality rate for the year 2011
• D. 0 crude birth rate for the year 2011

Correct answer: C

Rationale: The infant mortality rate is a critical indicator of a community's health status as it reflects the impact of economic and social conditions on the health of mothers and infants, as well as the effectiveness of healthcare systems. A low infant mortality rate signifies better overall health outcomes and healthcare access within a community.

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