Nursing Elites

1. Which of the following is an example of a communicable disease?

• A. Diabetes
• B. Hypertension
• C. HIV/AIDS
• D. Cholera

Correct answer: D

Rationale: Cholera is caused by the bacterium Vibrio cholerae and is transmitted through contaminated water or food. It spreads rapidly in areas with poor sanitation and can lead to severe dehydration and even death if untreated. Unlike diabetes and hypertension, which are non-communicable diseases often influenced by lifestyle factors, HIV/AIDS and cholera are infectious diseases that can be transmitted from person to person.

2. The appropriate order of steps in active management of the third stage of labor include:

• A. Cord clamping and cutting, controlled cord traction, ergometrine administration, and inspection to be sure the placenta is intact.
• B. Intravenous oxytocin, cord clamping and cutting, and fundal massage
• C. Intramuscular injection oxytocin, controlled cord traction with counter traction to the uterus, uterine massage
• D. Controlled cord traction, fundal massage and oxytocin

Correct answer: C

Rationale: Intramuscular injection of oxytocin, controlled cord traction with counter traction to the uterus, and uterine massage are the appropriate steps in active management of the third stage of labor.

3. Which is an example of a policy-level intervention in community health?

• A. Implementing new treatment protocols
• B. Educating individuals about healthy behaviors
• C. Establishing community health clinics
• D. Advocating for legislative changes

Correct answer: D

Rationale: Advocating for legislative changes is a policy-level intervention that can bring about significant improvements in community health. This involves influencing laws and regulations to create a healthier environment for the community as a whole, impacting a larger population than individual-level interventions. Implementing new treatment protocols, educating individuals about healthy behaviors, and establishing community health clinics are important interventions but are more focused on the individual or community level rather than policy-level changes.

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. Which best describes a tertiary prevention strategy?

• A. Providing rehabilitation services
• B. Screening for early signs of disease
• C. Educating the public about healthy lifestyles
• D. Offering health education workshops

Correct answer: A

Rationale: The correct answer is A: Providing rehabilitation services. Tertiary prevention involves interventions that focus on managing and improving the outcomes of existing conditions. Rehabilitation services fall under tertiary prevention as they aim to help individuals recover and manage long-term health issues. Screening for early signs of disease (Choice B) is part of secondary prevention, while educating the public about healthy lifestyles (Choice C) and offering health education workshops (Choice D) typically fall under primary prevention strategies.

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