Nursing Elites

1. What is a primary responsibility of a community health nurse?

• A. Providing direct patient care
• B. Conducting health education sessions
• C. Advocating for policy changes
• D. Developing health policies

Correct answer: C

Rationale: A primary responsibility of a community health nurse is advocating for policy changes that positively impact health outcomes within the community. By advocating for policy changes, community health nurses can address social determinants of health and help create sustainable improvements in the overall health and well-being of the community.

2. Which of the following is not a therapeutic indication of bone marrow puncture?

• A. Analgesia
• B. Antibiotics
• C. Anaesthesia
• D. Inflammation

Correct answer: A

Rationale: Bone marrow puncture is not typically performed for analgesia purposes. It is primarily done for diagnostic or therapeutic reasons, such as obtaining a sample for testing, administering medications like antibiotics, providing anesthesia during the procedure, or treating conditions related to inflammation. Analgesia, which refers to pain relief, is not a direct therapeutic indication for bone marrow puncture.

3. In value-based care, which equation represents the focus on achieving the best outcomes relative to cost?

• A. Cost X Quality
• B. Cost X Quality/Consumer satisfaction
• C. Quality/Cost
• D. Fee for service/discount rate

Correct answer: C

Rationale: Value-based care aims to deliver the highest quality of care while efficiently managing costs. The equation Quality/Cost represents this focus by emphasizing achieving superior outcomes relative to the resources invested.

4. 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.

5. After 3 days, the nurse notes that James has chest indrawing and stridor. His mother returned him to the health center immediately. The nurse should:

• A. Change the medication to the second-line antibiotics
• B. Advise the mother to observe the child and continue giving the antibiotics
• C. Give the first dose of antibiotics and refer urgently
• D. Observe the child at the center

Correct answer: C

Rationale: In the scenario described, the presence of chest indrawing and stridor indicates respiratory distress, which requires immediate attention. Giving the first dose of antibiotics and referring urgently is the correct course of action to ensure prompt and appropriate management of the child's condition.

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