Nursing Elites

1. 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.

2. When working with moms and babies from diverse backgrounds in the community, what is a necessary competence for a public health nurse to have self-awareness and humility?

• A. I am confident in my ability to teach the new mom about all the necessary aspects of evidence-based newborn care before the baby is born.
• B. I often notice that newly expectant moms underestimate the challenges of caring for a new baby, and I emphasize this to them.
• C. Sometimes, young moms lack knowledge about self-care, and I try to correct their behavior promptly.
• D. I understand that I may not always be perfect with my patients, but I acknowledge this openly and listen to their feedback.

Correct answer: D

Rationale: Self-awareness and humility are vital qualities for a public health nurse. Option D demonstrates these qualities by acknowledging personal fallibility and actively engaging with patients to address any shortcomings. This approach fosters trust and open communication, essential for providing effective care across diverse cultural backgrounds.

3. Which best describes an example of health advocacy?

• A. Educating policymakers about health issues
• B. Providing direct patient care
• C. Organizing community health fairs
• D. Developing new health technologies

Correct answer: A

Rationale: The correct answer is A: 'Educating policymakers about health issues.' Health advocacy involves advocating for improved health outcomes by influencing policy changes through educating policymakers about health issues. This can lead to systemic changes that benefit public health on a broader scale. Providing direct patient care (Choice B) is important but falls under healthcare delivery rather than advocacy. Organizing community health fairs (Choice C) is a community health promotion activity rather than advocacy. Developing new health technologies (Choice D) is related to innovation and research, not advocacy efforts focused on policy change.

4. Which of the following is used to monitor specific groups eligible for a certain program of the DOH?

• A. Family treatment record
• B. Target Client list
• C. Reporting forms
• D. Output record

Correct answer: B

Rationale: The Target Client List is specifically designed to monitor and track specific groups that are eligible for the programs offered by the DOH. This list helps in identifying and managing the individuals or populations that qualify for specific services or interventions, ensuring that resources are allocated efficiently and effectively to those who meet the eligibility criteria.

5. 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.

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