Nursing Elites

1. The nurse is assessing a newborn the day after birth. A high-pitched cry, irritability, and lack of interest in feeding are noted. The mother signed her own discharge against medical advice. What intervention is appropriate nursing care?

• A. Reduce the environmental stimuli
• B. Offer formula every 2 hours
• C. Talk to the newborn while feeding
• D. Rock the baby frequently

Correct answer: A

Rationale: The correct intervention is to reduce the environmental stimuli. In this scenario, the newborn is displaying signs of overstimulation and distress, which can be exacerbated by environmental factors. Offering formula every 2 hours (Choice B) may not address the underlying issue of overstimulation. Talking to the newborn while feeding (Choice C) and rocking the baby frequently (Choice D) may further stimulate the newborn, which is not appropriate in this case.

2. The organization of nurses employed in the DOH is the:

• A. Philippine Nurses Association
• B. National League of Nurses
• C. Catholic Nurses Guild of the Philippines
• D. MCNAP

Correct answer: A

Rationale: The Philippine Nurses Association is the correct organization for nurses employed in the DOH. The Philippine Nurses Association is a professional organization that represents and serves the interests of Filipino nurses. The National League of Nurses focuses on nursing education and is not specific to nurses employed in the DOH. The Catholic Nurses Guild of the Philippines is a religious organization for Catholic nurses and is not directly linked to nurses employed in the DOH. MCNAP is not a known organization related to nursing in the context provided.

3. The new graduate nurse interviews for a position in a nursing department of a large health care agency, described by the interviewer as having shared governance. Which of these statements best illustrates the shared governance model?

• A. An appointed board oversees any administrative decisions
• B. Nursing departments share responsibility for client outcomes
• C. Staff groups are appointed to discuss nursing practice and client education issues
• D. Non-nurse managers supervise nursing staff in groups of units

Correct answer: B

Rationale: The correct answer is B because shared governance involves nurses and other staff sharing responsibility for decisions related to patient care and outcomes, promoting collaborative practice and shared accountability. Choice A is incorrect as shared governance includes active participation of frontline staff, not just an appointed board. Choice C is incorrect because shared governance goes beyond just discussing issues to actively sharing responsibility for decision-making. Choice D is incorrect as shared governance encourages nurses to have a significant role in decision-making rather than being supervised by non-nurse managers.

4. A client is admitted for COPD. Which finding would require the nurse's immediate attention?

• A. Nausea and vomiting
• B. Restlessness and confusion
• C. Low-grade fever and cough
• D. Irritating cough and liquefied sputum

Correct answer: B

Rationale: Restlessness and confusion are signs of hypoxia and hypercapnia in a client with COPD, indicating that the client's condition may be deteriorating rapidly. Immediate attention is necessary to prevent further complications. Nausea and vomiting (Choice A) may be related to various factors but do not directly indicate respiratory distress. Low-grade fever and cough (Choice C) are common in COPD and may not require immediate intervention. Irritating cough and liquefied sputum (Choice D) are typical symptoms of COPD exacerbation but do not signal an immediate need for attention as restlessness and confusion.

5. With the present system, family planning programs at the municipal barangay levels are managed by:

• A. non-governmental organizations
• B. LGUs
• C. all these units/organizations are managing family planning programs
• D. other government organizations

Correct answer: C

Rationale: The correct answer is C because family planning programs at the municipal barangay levels are managed by a combination of non-governmental organizations (NGOs), Local Government Units (LGUs), and other government organizations. Therefore, all these units/organizations are involved in managing family planning programs. Choices A, B, and D are incorrect because they individually do not capture the full scope of the entities involved in managing family planning programs at the specified levels.

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