Nursing Elites

1. As of 2002, the following data was obtained from municipality X: No. of live births - 750, No. of infant deaths - 10, No. of maternal deaths - 6, Total population - 25,000. The 2002 maternal mortality rate of municipality X is:

• A. 15/1000 live births
• B. 12.5/1000 live births
• C. 6/1000 live births
• D. 8/1000 live births

Correct answer: C

Rationale: The maternal mortality rate is calculated as 6 maternal deaths per 1000 live births. The correct answer is C because to calculate the maternal mortality rate, you divide the number of maternal deaths by the number of live births and then multiply by 1000. Choices A, B, and D are incorrect as they do not match the given data on maternal deaths and live births for municipality X.

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. On admission to the psychiatric unit, the client is trembling and appears fearful. The nurse’s initial response should be to

• A. Give the client orientation materials and review the unit rules and regulations
• B. Introduce oneself and accompany the client to their room
• C. Take the client to the day room and introduce them to the other clients
• D. Ask the nursing assistant to get the client’s vital signs and complete the admission search

Correct answer: B

Rationale: In situations where a client is trembling and fearful upon admission to a psychiatric unit, it is essential to prioritize building trust and reducing anxiety. By introducing oneself and accompanying the client to their room, the nurse can establish a therapeutic relationship, provide a sense of security, and address the client's immediate emotional needs. Choices A, C, and D are not the most appropriate initial responses as they do not directly address the client's emotional state or focus on establishing a supportive relationship.

4. Who was the first Filipino nurse supervisor appointed in the Bureau of Health in 1919?

• A. Ms. Carmen del Rosario
• B. Mrs. Genara de Guzman
• C. Mrs. Annie Sand
• D. Mrs. Anastacio Giron-Tupas

Correct answer: D

Rationale: The correct answer is Mrs. Anastacio Giron-Tupas, who was the first Filipino nurse supervisor appointed in the Bureau of Health in 1919. Ms. Carmen del Rosario, Mrs. Genara de Guzman, and Mrs. Annie Sand were not the first Filipino nurse supervisors appointed to this position. Therefore, they are incorrect choices.

5. The community health nurse is planning a series of educational courses about the healthcare system and meeting healthcare needs for the community center. Which adjunct issue should the nurse address for a group of older adults?

• A. Peer concerns.
• B. Adult daycare.
• C. Retirement issues.
• D. Vocational concerns.

Correct answer: B

Rationale: When planning educational courses for older adults, addressing adult daycare is crucial as it is a relevant issue that can impact their daily lives and access to healthcare services. Peer concerns may not be directly related to healthcare needs, retirement issues are important but not as immediate in terms of healthcare access, and vocational concerns are more pertinent to working-age individuals.

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