Nursing Elites

1. A confused client has been placed in physical restraints by order of the healthcare provider. Which task could be assigned to an unlicensed assistive personnel (UAP)?

• A. Assist the client with activities of daily living
• B. Monitor the client's physical safety
• C. Evaluate for basic comfort needs
• D. Document mental status and muscle strength

Correct answer: A

Rationale: The correct answer is A: 'Assist the client with activities of daily living.' Unlicensed assistive personnel (UAP) can help clients with activities of daily living, such as feeding, bathing, and dressing. This task is appropriate for UAP as it does not require professional judgment. Choices B, C, and D involve monitoring safety, evaluating needs, and documenting assessments, which require a licensed nurse's professional judgment and expertise.

2. Which of the following is an example of a social determinant of health?

• A. Blood pressure
• B. Genetic mutations
• C. Housing conditions
• D. Age

Correct answer: C

Rationale: The correct answer is C: Housing conditions. Social determinants of health are the conditions in which people are born, grow, live, work, and age. Housing conditions directly impact health outcomes as they can affect exposure to toxins, safety, and overall well-being. Choice A, blood pressure, is a physiological measure and not a social determinant. Choice B, genetic mutations, relates to an individual's genetic makeup and is not influenced by social factors. Choice D, age, is a demographic factor and not a social determinant of health.

3. A traditional plant used to lower uric acid is used by Rosario, a 55-year-old client with rheumatism. This herbal plant called “ulasimang bato” is commonly known as:

• A. Lagundi
• B. Pancit pacitan
• C. Bayabas
• D. Sambong

Correct answer: B

Rationale: The correct answer is B, Pancit pacitan (Peperomia pellucida), which is known for its uric acid-lowering properties. Ulasimang bato is the local name for this traditional plant. Choices A, C, and D are incorrect. Lagundi (Choice A) is commonly used for its antitussive and anti-asthmatic properties. Bayabas (Choice C) refers to guava, which is known for its high vitamin C content and other health benefits. Sambong (Choice D) is used for its diuretic properties and is often utilized for kidney health.

4. The nurse has just admitted a client with severe depression. From which focus should the nurse identify a priority nursing diagnosis?

• A. Nutrition
• B. Elimination
• C. Activity
• D. Safety

Correct answer: D

Rationale: In severe depression, the priority nursing diagnosis is safety. Individuals with severe depression are at risk of self-harm or suicide. Ensuring the client's safety by implementing measures to prevent harm to themselves or others is crucial. While nutrition, elimination, and activity are important aspects of care, ensuring the client's immediate safety takes precedence in this situation.

5. The family health care plan includes the following listed in sequence:

• A. objective, statement of the problem, intervention, and evaluation
• B. objectives, intervention, evaluation, and statement of the problem
• C. evaluation, statement of the problems, objectives, and interventions
• D. statement of the problems, objectives, intervention, and evaluation

Correct answer: D

Rationale: In a family health care plan, the correct sequence should start with identifying the problems (statement of the problems), setting objectives, planning interventions, and then evaluating the outcomes. This sequence ensures a logical and structured approach to healthcare planning. Choices A, B, and C are incorrect as they do not follow the logical order of healthcare planning steps.

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