Nursing Elites

1. Which statement is incorrect regarding an informed consent signed by a patient?

• A. The nurse is responsible for obtaining the consent for surgery
• B. Patients under 18 years of age may need a parent or legal guardian to sign a consent form
• C. The nurse can witness the client signing the consent form
• D. It is the nurse's responsibility to ensure the patient has been educated by the physician about the procedure before informed consent is obtained

Correct answer: A

Rationale: The statement 'The nurse is responsible for obtaining the consent for surgery' is incorrect. The responsibility of obtaining informed consent for surgery lies with the physician or surgeon performing the procedure. Nurses can assist in the process by witnessing the client signing the consent form, ensuring the patient is educated about the procedure by the physician, and verifying that the consent process is voluntary and informed. For patients under 18 years of age, a parent or legal guardian typically needs to sign the consent form on behalf of the minor, as they are not legally able to provide consent themselves.

2. In a community with competencies, what characteristic demonstrates their ability effectively?

• A. Identify their needs, achieve consensus, and plan and implement goals
• B. Delegate community processes to an outside expert
• C. Conduct their own cross-sectional epidemiological studies
• D. Predict morbidity and mortality rates

Correct answer: A

Rationale: A community with competencies can identify its needs, achieve consensus, and effectively plan and implement goals. This showcases their self-sufficiency and collaborative problem-solving skills, enabling them to address community issues efficiently.

3. What action would be most effective for addressing environmental health issues in a community?

• A. Educating the community about safe disposal of hazardous waste
• B. Conducting air and water quality assessments
• C. Advocating for policies to reduce pollution
• D. Implementing community clean-up programs

Correct answer: D

Rationale: Implementing community clean-up programs is the most effective action to address environmental health issues in a community. By organizing clean-up initiatives, pollution can be reduced, and living conditions can be improved. This hands-on approach directly tackles the environmental hazards present in the community, making it a proactive and impactful solution.

4. Which level of care serves as a referral center for primary health facilities?

• A. Secondary level of care
• B. Tertiary level of care
• C. Primary level of care
• D. Intermediate level of care

Correct answer: B

Rationale: The correct answer is B - Tertiary level of care. Tertiary level of care is the highest level of care and serves as a referral center for primary health facilities, handling complex cases and providing specialized services that primary care facilities may not offer.

5. Paralysis of all or part of the trunk, legs, and pelvic organs is referred to as:

• A. Hemiplegia
• B. Tetraplegia
• C. Paraplegia
• D. Hemiparesis

Correct answer: C

Rationale: Paraplegia is the paralysis of the lower half of the body, including both legs and often the trunk and pelvic organs. Hemiplegia refers to paralysis affecting one side of the body, while tetraplegia involves paralysis of all four limbs and the trunk. Hemiparesis is a partial weakness affecting one side of the body.

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