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. During the beginning shift assessment of a client with asthma who is receiving oxygen via nasal cannula at 2 liters per minute, the nurse would be most concerned about which unreported finding?

• A. Pulse oximetry reading of 89%
• B. Crackles at the base of the lungs on auscultation
• C. Rapid shallow respirations with intermittent wheezes
• D. Excessive thirst with a dry cracked tongue

Correct answer: C

Rationale: Rapid, shallow respirations with intermittent wheezes are concerning as they indicate a potential worsening of the client's asthma. This finding suggests airway narrowing, which can lead to respiratory failure. Immediate intervention is required to address this respiratory distress. A pulse oximetry reading of 89% is low and indicates hypoxemia, but the respiratory pattern described in option C takes priority as it directly reflects the client's respiratory status. Crackles at the base of the lungs suggest fluid accumulation, which is important but not as immediately critical as the respiratory distress in asthma. Excessive thirst and a dry cracked tongue may indicate dehydration, which is relevant but not as urgent as the respiratory compromise presented in option C.

3. Which of the following statements about TB treatment is INCORRECT?

• A. Combination of 3-4 anti-TB drugs is the treatment of choice
• B. Single drug therapy is appropriate
• C. Treatment renders patients non-infectious and cured
• D. Tuberculosis is a curable disease

Correct answer: B

Rationale: The correct answer is B. Single drug therapy is not appropriate for TB due to the risk of developing resistance. The most effective approach to TB treatment is a combination of 3-4 anti-TB drugs. This combination helps to prevent the development of drug resistance and improve treatment outcomes. Choice C is correct as TB treatment, when completed successfully, renders patients non-infectious and cured. Choice D is also correct as tuberculosis is indeed a curable disease with appropriate treatment. Therefore, the incorrect statement is B.

4. Which of the following statements is correct regarding community health nursing?

• A. Evaluation of the health status of individuals and families should be done in consultation with them.
• B. The public health nurse (PHN) who works with communication for 6 can solely determine the needs of the community.
• C. Provision of PHN care is not in any way affected by policies of the agency where the nurse works.
• D. Professional growth and development of the PHN is the responsibility of the Department of Health (DOH).

Correct answer: A

Rationale: The correct statement is that evaluation of the health status of individuals and families should be done in consultation with them. This approach ensures that the assessment is accurate and takes into account the perspectives and concerns of the individuals and families involved. Choice B is incorrect because determining the needs of the community should involve input from various stakeholders, not solely the PHN. Choice C is incorrect as the provision of PHN care can be influenced by the policies of the agency or organization where the nurse works. Choice D is also incorrect as while the DOH may play a role in setting standards, the professional growth and development of a PHN is typically a personal and professional responsibility.

5. The nurse understands that the primary goal of the occupational health program is:

• A. curative care of workers/employees
• B. birth and death rates
• C. disease trends
• D. social environmental conditions

Correct answer: A

Rationale: The primary goal of an occupational health program is to provide curative care to workers/employees. This includes preventing and treating work-related illnesses and injuries, promoting workplace safety, and ensuring the well-being of employees in their work environment. Choice B, birth and death rates, is not directly related to the primary goal of an occupational health program. Choice C, disease trends, may be a focus of public health programs but is not the primary goal of an occupational health program. Choice D, social environmental conditions, while important for overall health, is not the primary goal of an occupational health program which is more focused on the health and safety of workers in their work settings.

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