Nursing Elites

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

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

Correct answer: B

Rationale: The correct answer is B: Target Client list. The Target Client list is specifically designed to monitor groups that are eligible for a particular DOH program. It helps in identifying and tracking individuals or populations that qualify for the said program. Choice A, Family treatment record, is incorrect because it pertains to the medical history and treatment information of a particular family, not eligibility monitoring. Choice C, Reporting forms, is incorrect as they are used for documenting and submitting information, not for monitoring eligibility. Choice D, Output record, is also incorrect as it refers to the results or outcomes produced by a system, not for monitoring eligibility.

2. Which of the following best describes the goal of primary health care?

• A. Treating chronic diseases
• B. Providing specialized medical services
• C. Promoting health and preventing illness
• D. Conducting medical research

Correct answer: C

Rationale: The correct answer is C: 'Promoting health and preventing illness.' Primary health care aims to provide essential health services, promote health, prevent diseases, and manage common health problems. Choices A, B, and D are incorrect because primary health care focuses on a holistic approach to health that includes health promotion, disease prevention, treatment of common illnesses, and community participation, rather than specialized services, chronic disease treatment, or medical research.

3. The multidisciplinary home health care team is discussing a female client diagnosed with Parkinson's disease. The home health care nurse reports the client is getting worse, and her husband is no longer able to care for her in the home. Which action should the home health nurse implement first?

• A. Request a chaplain to counsel the couple.
• B. Assign a home health care aide to provide daily care.
• C. Discuss placing the wife in a nursing home with the husband.
• D. Contact the client's children to discuss the situation.

Correct answer: B

Rationale: In situations where a client's condition worsens and the caregiver is no longer able to provide sufficient care, the first action to implement is to assign a home health care aide to provide daily care. This ensures that the client's immediate needs are met and that they receive proper care and support. Requesting a chaplain for counseling (Choice A) may be beneficial but is not the most urgent action. Discussing placing the wife in a nursing home (Choice C) should only be considered after assessing the client's needs and exploring all other options. Contacting the client's children (Choice D) can be helpful but does not address the immediate need for daily care that the client requires.

4. While discussing the science of nursing, the nurse identifies the domain of nursing theory. Which linkages should the nurse provide to describe nursing's paradigm?

• A. The person, the environment or situation, and health.
• B. Stress reduction, self-care, and a systems model.
• C. Curative care, restorative care, and terminal care.
• D. Self-actualization, fundamental needs, and belonging.

Correct answer: A

Rationale: The correct answer is A: 'The person, the environment or situation, and health.' In nursing theory, the paradigm includes these core components: the person receiving care, the environment or situation influencing care, and the goal of achieving optimal health outcomes. Choices B, C, and D are incorrect as they do not align with the fundamental aspects of nursing theory and its paradigm.

5. At a nursing staff meeting, there is a discussion of perceived inequities in weekend staff assignments. As a follow-up, what should the nurse manager do initially?

• A. Allow the staff to change assignments
• B. Clarify reasons for current assignments
• C. Help staff see the complexity of issues
• D. Facilitate creative thinking on staffing

Correct answer: D

Rationale: Facilitating creative thinking on staffing is the most appropriate initial action for the nurse manager in addressing perceived inequities in weekend staff assignments. By encouraging creative thinking, the manager promotes innovative solutions and fosters a sense of ownership and collaboration among staff members. Choices A, B, and C are not the best initial steps in this situation. Allowing staff to change assignments may not address the underlying issues, clarifying reasons for current assignments may not resolve perceived inequities, and helping staff see the complexity of issues may not lead to actionable solutions.

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