Nursing Elites

1. 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.

2. In population health management, a nurse overseeing a panel of 1,500 patients will primarily engage in which of the following activities?

• A. Proactively assessing the health needs of the entire panel and planning accordingly
• B. Focusing on providing care to young and seemingly vulnerable patients
• C. Spending most time with patients who regularly attend their visits
• D. Prioritizing care by responding to the oldest patients first

Correct answer: A

Rationale: In population health management, a nurse overseeing a large panel of patients needs to proactively assess the health needs of the entire panel to plan and provide appropriate care effectively. This approach ensures that all patients receive necessary attention and interventions, contributing to better health outcomes for the population as a whole.

3. Match the following terms in column A with the correct definition in Column B:

• A. I. Topical anesthesia C. The agent is applied directly to the skin and mucous membranes of the skin. II. Epidural anesthesia D. Injecting the anesthesia in the epidural mater of the spinal cord.
• B. II. Epidural anesthesia B. Anesthesia is introduced in the subarachnoid space at the lumbar area L4 and L5. I. Topical anesthesia C. The agent is applied directly to the skin and mucous membranes of the skin.
• C. I. Topical anesthesia C. The agent is applied directly to the skin and mucous membranes of the skin. II. Epidural anesthesia D. Injecting the anesthesia in the epidural mater of the spinal cord.
• D. I. Topical anesthesia C. The agent is applied directly to the skin and mucous membranes of the skin. II. Epidural anesthesia B. Anesthesia is introduced in the subarachnoid space at the lumbar area L4 and L5.

Correct answer: A

Rationale: Topical anesthesia involves applying the anesthetic agent directly to the skin and mucous membranes to numb the area. On the other hand, epidural anesthesia involves injecting the anesthetic into the epidural space surrounding the spinal cord. Therefore, the correct matches are: I. Topical anesthesia with the definition of applying the agent directly to the skin and mucous membranes (Choice C), and II. Epidural anesthesia with the definition of injecting the anesthesia in the epidural space around the spinal cord (Choice D).

4. A rural sanitary inspector falls under which level of primary health care workers?

• A. Village health workers
• B. Intermediate level health workers
• C. Barangay health workers
• D. All of the above

Correct answer: B

Rationale: Rural sanitary inspectors are categorized as intermediate level health workers within the primary health care system. They typically have more specialized training and responsibilities compared to village health workers and barangay health workers.

5. Which is an example of tertiary prevention?

• A. Providing rehabilitation services
• B. Diagnosing and treating disease
• C. Health education to prevent complications
• D. Screening for complications

Correct answer: A

Rationale: Tertiary prevention aims to manage long-term health problems and prevent complications in individuals who already have a disease or condition. Providing rehabilitation services falls under tertiary prevention as it helps individuals recover and improve their quality of life after the initial treatment of a health issue.

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