Nursing Elites

1. A 15-year-old client with a lengthy confining illness is at risk for altered growth and development of which task?

• A. Loss of control
• B. Insecurity
• C. Dependence
• D. Lack of trust

Correct answer: C

Rationale: A 15-year-old client with a lengthy confining illness is at risk for altered growth and development of the task of dependence. Prolonged illness and confinement can lead to the development of dependence as the individual may become reliant on others for their care and needs. Choices A, B, and D are incorrect in this context. Loss of control, insecurity, and lack of trust are important factors to consider but are not directly related to the altered growth and development task of dependence due to illness and confinement.

2. As an important tool for planning a community health survey was conducted, the first tangible outcome of collaboration and teamwork with the Local Health Department and its Rural Health Units (RHUs) was seen. This later led to case-finding activities via collection and examination of stools from children for suspected parasitism. Which of the following community nursing diagnoses will guide the Parish Health Team for concrete action?

• A. Parasitism as a foreseeable crisis
• B. Malnutrition as a health deficit
• C. Parasitism as a health deficit
• D. Parasitism as a health threat

Correct answer: D

Rationale: The correct answer is 'Parasitism as a health threat.' This choice accurately describes the ongoing issue of parasitic infections in the community, highlighting the seriousness and urgency of the problem. Choice A ('Parasitism as a foreseeable crisis') is incorrect as it does not emphasize the immediate danger posed by parasitic infections. Choice B ('Malnutrition as a health deficit') is not the most relevant diagnosis considering the context provided. Choice C ('Parasitism as a health deficit') is also incorrect as it fails to capture the level of risk and urgency associated with parasitic infections in this scenario.

3. What refers to a systematic approach of obtaining, organizing, and analyzing numerical facts so that conclusions may be drawn from them?

• A. Vital statistics
• B. Statistics
• C. Morbidity
• D. Mortality

Correct answer: B

Rationale: The correct answer is B: 'Statistics'. Statistics is the systematic approach of obtaining, organizing, and analyzing numerical facts to draw conclusions. Vital statistics, morbidity, and mortality are more specific terms within the field of statistics. Vital statistics focus on births, deaths, marriages, and divorces. Morbidity refers to the incidence of illness or disease in a population. Mortality specifically deals with deaths in a population. Hence, B is the most comprehensive and fitting choice for the definition provided.

4. What title should be given to this role in occupational health? An advanced practice nurse who provides workers with primary care services with an emphasis on the diagnosis and management of common acute illnesses/injuries and stable chronic diseases.

• A. case manager
• B. nurse consultant
• C. clinician nurse practitioner
• D. health promotion specialist

Correct answer: C

Rationale: The correct title for this role is a clinician nurse practitioner as they provide primary care services, including diagnosing and managing illnesses. Choice A, case manager, typically focuses on coordinating care and services for patients. Choice B, nurse consultant, involves providing expert advice and guidance. Choice D, health promotion specialist, concentrates on promoting health and preventing diseases rather than diagnosing and treating illnesses.

5. Which finding would be the most characteristic of an acute episode of reactive airway disease?

• A. Auditory gurgling
• B. Inspiratory laryngeal stridor
• C. Auditory expiratory wheezing
• D. Frequent dry coughing

Correct answer: C

Rationale: The correct answer is C: Auditory expiratory wheezing. Expiratory wheezing is a common sign of reactive airway disease, such as asthma, where airways are constricted, making it difficult to expel air from the lungs. Choices A, B, and D are incorrect as they are not typically associated with reactive airway disease. Auditory gurgling may suggest airway secretions or fluid accumulation, inspiratory laryngeal stridor indicates upper airway obstruction, and frequent dry coughing is more commonly seen in conditions like upper respiratory infections or postnasal drip.

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