Nursing Elites

1. A female client diagnosed with genital herpes simplex virus 2 (HSV 2) complains of dysuria, dyspareunia, leukorrhea, and lesions on the labia and perianal skin. A primary nursing action with the focus of comfort should be to

• A. Suggest 3 to 4 warm sitz baths per day
• B. Cleanse the genitalia twice a day with soap and water
• C. Spray warm water over genitalia after urination
• D. Apply heat or cold to lesions as desired

Correct answer: A

Rationale: The correct answer is to suggest 3 to 4 warm sitz baths per day. Warm sitz baths can soothe the irritated genital area, reduce pain, and promote healing of the lesions associated with genital herpes. Cleansing the genitalia with soap and water or spraying warm water over the genitalia after urination may further irritate the lesions. Applying heat or cold to lesions as desired may not provide the same level of comfort and healing as warm sitz baths.

2. Which bioterrorism agent poses a high risk for use as a potential biological weapon due to its ability to be readily transmitted through several portals of entry?

• A. Anthrax.
• B. Smallpox.
• C. Botulism.
• D. Tularemia.

Correct answer: A

Rationale: The correct answer is Anthrax. Anthrax is a high-risk bioterrorism agent because it can be readily transmitted through multiple portals of entry such as inhalation, ingestion, or skin contact. This makes it a significant concern for use as a biological weapon. Smallpox, though highly contagious, is not known for multiple portals of entry like Anthrax. Botulism is a potent toxin but is not as easily transmissible through various routes as Anthrax. Tularemia, while a serious bacterial infection, does not have the same ease of transmission through multiple portals of entry as Anthrax.

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. Which of the following is an example of a modifiable risk factor for chronic diseases?

• A. Age
• B. Gender
• C. Genetic predisposition
• D. Physical inactivity

Correct answer: D

Rationale: Physical inactivity is a modifiable risk factor for chronic diseases because individuals have control over their level of physical activity. By increasing physical activity, the risk of chronic diseases can be reduced. Choices A, B, and C are not modifiable risk factors: Age is a non-modifiable factor, gender is a biological characteristic, and genetic predisposition is inherent and cannot be altered.

5. To be an effective educator, you should:

• A. listen to people's problems and decide on the approach to meet their needs
• B. select the best strategy for health action for people to implement
• C. direct people's efforts to implement community-based projects
• D. simply tell your clients what to do for their problems/needs

Correct answer: B

Rationale: The correct answer is to select the best strategy for health action for people to implement because it empowers the community to take ownership of their health. Listening to people's problems (Choice A) is important, but the effectiveness lies in empowering them to implement solutions. Directing people's efforts (Choice C) can be directive and may not foster community ownership. Just telling clients what to do (Choice D) does not promote active participation and empowerment.

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