Nursing Elites

1. A client comes into the community health center upset and crying stating, “I will die of cancer now that I have this disease.” And then the client hands the nurse a paper with one word written on it: 'Pheochromocytoma.' Which response should the nurse state initially?

• A. 'Pheochromocytomas usually aren't cancerous (malignant). But they may be associated with cancerous tumors in other endocrine glands such as the thyroid (medullary carcinoma of the thyroid).'
• B. 'This problem is diagnosed by blood and urine tests that reveal elevated levels of adrenaline and noradrenaline.'
• C. 'Computerized tomography (CT) or magnetic resonance imaging (MRI) are used to detect an adrenal tumor.'
• D. 'You probably have had episodes of sweating, heart pounding, and headaches.'

Correct answer: A

Rationale: The correct initial response for the nurse to provide in this situation is to offer reassurance. Stating that 'Pheochromocytomas usually aren't cancerous (malignant)' helps to alleviate the client's anxiety and fear of having cancer. This response also establishes a foundation for further discussion about the condition, allowing the nurse to address the client's concerns and provide accurate information. Choice B is incorrect as it focuses solely on the diagnostic tests for pheochromocytoma but does not address the client's emotional distress. Choice C is incorrect as it discusses imaging modalities without directly addressing the client's concerns. Choice D is also incorrect as it assumes symptoms without first addressing the client's emotional state and fear of cancer.

2. 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.

3. A client is scheduled to have a blood test for cholesterol and triglycerides the next day. The nurse would tell the client

• A. ''Be sure to eat a fat-free diet until the test.''
• B. ''Do not eat or drink anything but water for 12 hours before the blood test.''
• C. ''Have the blood drawn within 2 hours of eating breakfast.''
• D. ''Stay at the laboratory so 2 blood samples can be drawn an hour apart.''

Correct answer: B

Rationale: Fasting for at least 12 hours is necessary before a cholesterol and triglyceride test to ensure accurate results by avoiding fluctuations that can occur after eating. Choice A is incorrect because a fat-free diet is not required; fasting is. Choice C is incorrect as it suggests having the test right after eating, which can affect the results. Choice D is incorrect as there is no need to stay at the laboratory for 2 blood samples unless specifically instructed by a healthcare provider.

4. The delivery of basic health services was decentralized to the local government units. The legal basis for this is embodied in:

• A. RA 7035
• B. EO 119
• C. RA 7160
• D. PD 999

Correct answer: C

Rationale: The correct answer is C, RA 7160. This law, also known as the Local Government Code, decentralizes health services to local government units. RA 7035 is not the legal basis for decentralizing basic health services. EO 119 and PD 999 are also not the correct legal bases for the decentralization of health services.

5. Which of the following statements is not correct regarding family planning?

• A. Family planning services should be made available to those who need them.
• B. It is the responsibility of every parent to determine whether to have children, when, or how many.
• C. Family planning is geared towards individual and family welfare.
• D. The ultimate goal of family planning is to prevent pregnancies.

Correct answer: D

Rationale: The correct answer is D because the ultimate goal of family planning is not solely to prevent pregnancies but to promote individual and family well-being. Family planning encompasses various aspects such as helping individuals and families make informed choices about the number and spacing of their children, access to healthcare services, and overall reproductive health. Option A is correct as making family planning services available to those who need them is essential for promoting reproductive health. Option B is also correct as it emphasizes the role of parents in making decisions about having children. Option C is correct as family planning indeed aims to improve the welfare of individuals and families. Therefore, option D is not correct as the ultimate goal of family planning is not limited to preventing pregnancies, but it includes broader aspects of promoting health and well-being.

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