Nursing Elites

1. Which of the following is NOT a principle of Primary Health Care?

• A. Health promotion
• B. Community participation
• C. Inter-sectoral collaboration
• D. Accessibility

Correct answer: D

Rationale: The principles of Primary Health Care include health promotion, community participation, and inter-sectoral collaboration. Accessibility, while important, is not explicitly listed as a principle of Primary Health Care. The focus of Primary Health Care is on providing essential healthcare services to all individuals, emphasizing community involvement, prevention, and addressing social determinants of health.

2. The public health RN is engaging with a teen in his community who is concerned about how he will be able to stay part of his friend group when they are all vaping and your client does not want to take part but does not want to feel awkward. Using motivational interviewing techniques, the RN says to the client, 'I understand this concern. Please tell me more about this and how it feels awkward for you.' The RN's question is an example of:

• A. Moving the teen to find a new friend group.
• B. Addressing the problem of teen awkwardness.
• C. Agreeing that awkwardness is hard.
• D. Using open-ended questioning.

Correct answer: D

Rationale: The RN's question, 'Please tell me more about this and how it feels awkward for you,' is an example of using open-ended questioning. Open-ended questions encourage clients to share more about their feelings and thoughts, allowing for a deeper exploration of their concerns and experiences. It helps in building rapport, understanding the client's perspective, and facilitating a client-centered conversation.

3. After surgery, your patient starts to shiver uncontrollably. What nursing intervention would you do first?

• A. Apply warm blankets & continue oxygen as prescribed
• B. Take the patient's rectal temperature
• C. Page the doctor for further orders
• D. Adjust the thermostat in the room

Correct answer: A

Rationale: When a patient starts shivering uncontrollably after surgery, the priority nursing intervention is to apply warm blankets and continue oxygen as prescribed. Shivering can be a sign of hypothermia, and maintaining the patient's body temperature is crucial for their recovery. This intervention helps prevent further heat loss and supports the patient's comfort and safety. While monitoring temperature, paging the doctor, and adjusting the room temperature may be necessary, addressing the immediate need for warmth and oxygen is the priority in this situation.

4. A community hospital is an example of which level of health care?

• A. Secondary level of care
• B. Tertiary level of care
• C. Primary level of care
• D. Intermediate level of care

Correct answer: A

Rationale: Community hospitals are considered part of the secondary level of health care. They provide acute care services, including emergency care, surgeries, and specialized diagnostic services. Primary care is typically provided in outpatient settings such as clinics and doctor's offices, while tertiary care involves highly specialized services like organ transplants and neurosurgery. Intermediate care usually refers to services that are more intensive than what is provided at the primary care level but less specialized than tertiary care.

5. How does socioeconomic status impact health?

• A. It affects access to resources and health care.
• B. It has no significant impact on health.
• C. It only affects mental health.
• D. It determines genetic predisposition to diseases.

Correct answer: A

Rationale: Socioeconomic status plays a crucial role in health outcomes as it affects access to resources, education, and healthcare services. Individuals with higher socioeconomic status generally have better access to quality healthcare, leading to improved overall health compared to those with lower socioeconomic status.

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