Nursing Elites

1. The increasing number of people who must learn to live with chronic illness in the community implies the need for the PHN to plan and implement a program on:

• A. communicable disease control
• B. health education
• C. child survival
• D. environmental education

Correct answer: B

Rationale: The correct answer is B: health education. Health education is crucial for individuals dealing with chronic illnesses as it helps them learn how to manage their conditions effectively. Communicable disease control (choice A) focuses on preventing the spread of infectious diseases, which is not directly related to managing chronic conditions. Child survival (choice C) pertains to initiatives aimed at reducing child mortality rates, which is not directly related to addressing chronic illnesses. Environmental education (choice D) involves raising awareness about environmental issues, which is also not directly related to helping individuals live with chronic illnesses.

2. 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.

3. The occurrence of non-communicable diseases (NCDs) is on the rise and is attributed to the changing lifestyle of Filipinos. The major NCDs are cardiovascular diseases (CVDs), cancer, chronic obstructive pulmonary disease (COPD), and diabetes mellitus (DM). The community health nurse can help address these problems. The major risk factors common to the above-mentioned four major NCDs are:

• A. Unhealthy diet, physical inactivity, and smoking
• B. Hypertension, sedentary lifestyle, and poor stress management
• C. Obesity, sedentary lifestyle, and smoking
• D. Unhealthy diet, alcoholism, and sedentary lifestyle

Correct answer: A

Rationale: The correct answer is A: 'Unhealthy diet, physical inactivity, and smoking.' These are major risk factors associated with cardiovascular diseases (CVDs), cancer, chronic obstructive pulmonary disease (COPD), and diabetes mellitus (DM). Unhealthy diet can lead to obesity and other health issues, physical inactivity contributes to various chronic conditions, and smoking is a well-known risk factor for cancer and respiratory diseases. Choice B is incorrect as hypertension is a condition that can result from these risk factors rather than being a risk factor itself. Poor stress management, although important for overall health, is not a major risk factor for the mentioned NCDs. Choice C is incorrect as although obesity is a risk factor, it is not mentioned in the question stem. Choice D is incorrect as alcoholism is not listed among the major NCDs or the common risk factors provided.

4. 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.

5. Which of these statements by the nurse is incorrect to use to reinforce information about cancers to a group of young adults?

• A. "You can reduce your risk of this serious type of stomach cancer by eating lots of fruits and vegetables, limiting red meat, and avoiding nitrate-containing foods."
• B. "Prostate cancer is the most common cancer in American men, impacting sexuality and life quality."
• C. "Colorectal cancer is the second-leading cause of cancer-related deaths in the United States."
• D. "Lung cancer is the leading cause of cancer deaths in the United States. However, it is the most preventable of all cancers."

Correct answer: A

Rationale: The corrected statement in choice A emphasizes limiting red meat for the prevention of stomach cancer, which is more accurate than avoiding all meats. By focusing on red meat specifically, it provides clearer guidance to young adults. Choice B is not the correct answer as it provides accurate information about prostate cancer being the most common cancer in American men and its impact on sexuality and life quality. Choice C is also a valid statement, correctly highlighting colorectal cancer as the second-leading cause of cancer-related deaths in the United States. Choice D provides accurate information about lung cancer being the leading cause of cancer deaths in the United States and emphasizes its preventability among cancers, making it a valid statement for reinforcing information about cancers to young adults.

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