Nursing Elites

1. Caring is a fundamental value in nursing and serves as the basis for caring leadership. Which of the following statements is true about a caring leader?

• A. A caring leader balances serving others with effective leadership.
• B. A caring leader recognizes and acknowledges the emotions of others.
• C. Traits of a caring leader involve respecting coworkers as individuals and empathizing with their needs and concerns.
• D. A caring leader demonstrates fairness and honesty.

Correct answer: C

Rationale: A caring leader embodies traits such as respecting coworkers as unique individuals and showing empathy towards their needs and concerns. These qualities are essential for fostering a supportive and compassionate work environment, where team members feel valued and understood. Choice A is incorrect because a caring leader balances serving others with effective leadership, not prioritizing one over the other. Choice B, though important, focuses solely on recognizing emotions and does not encompass the broader traits of caring leadership. Choice D is also important but does not capture the essence of respecting individuals and empathizing with their needs, which are core aspects of caring leadership.

2. How did the Social Security Act of 1935 impact public health nursing?

• A. Disabled children
• B. Mentally disabled
• C. Older adults
• D. Opioid addicts

Correct answer: A

Rationale: The Social Security Act of 1935 impacted public health nursing by containing provisions for care for disabled children. This helped in improving the health and well-being of this vulnerable population. The Act did not specifically address care for mentally disabled individuals, older adults, or opioid addicts. Therefore, the correct answer is disabled children.

3. During a home safety assessment, a nurse is evaluating a client who is receiving supplemental oxygen. Which observation should the nurse identify as a proper safety protocol?

• A. The client has a weekly inspection checklist for oxygen equipment.
• B. The client stores an extra oxygen tank on its side under their bed.
• C. The client identifies the location of a fire extinguisher.
• D. The client uses a wool blanket on their bed.

Correct answer: A

Rationale: The correct answer is A because having a weekly inspection checklist for oxygen equipment ensures that the client can monitor the safety and functionality of the oxygen equipment regularly. This is crucial for maintaining a safe environment. Choice B is incorrect because storing an extra oxygen tank on its side under the bed can pose a safety hazard, as tanks should be stored upright. Choice C is a good safety practice, but it is not directly related to oxygen use. Choice D is incorrect because wool blankets are flammable and should not be used by clients receiving supplemental oxygen due to the increased risk of fire.

4. A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching they received about pain management?

• A. ''I think I should take my pain medication more often, since it is not controlling my pain.''
• B. ''Breathing faster will help me keep my mind off of the pain.''
• C. ''It might help me to listen to music while I'm lying in bed.''
• D. ''I don't want to walk today because I have some pain.''

Correct answer: D

Rationale: The correct answer is D because the client is demonstrating an understanding of the preoperative teaching by acknowledging the pain and relating it to the need to rest. Walking may exacerbate the pain, and the client's decision not to walk shows an awareness of their body's signals. Choices A, B, and C are incorrect as they do not reflect a good understanding of pain management. Choice A suggests self-medicating without consulting healthcare providers, choice B focuses on distraction rather than addressing the pain, and choice C offers a coping mechanism but does not address the pain directly.

5. Which of the following is an example of a tertiary prevention strategy?

• A. Administering childhood vaccinations
• B. Chemotherapy for cancer treatment
• C. Routine screening for hypertension
• D. Physical therapy for stroke rehabilitation

Correct answer: D

Rationale: The correct answer is D: Physical therapy for stroke rehabilitation. Tertiary prevention aims to prevent complications and manage existing conditions to improve the quality of life. Administering childhood vaccinations (A) is an example of primary prevention to prevent the onset of diseases. Chemotherapy for cancer treatment (B) is a form of secondary prevention focusing on early detection and treatment to stop the progression of the disease. Routine screening for hypertension (C) is also a form of secondary prevention to detect and treat hypertension early, preventing further complications.

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