Nursing Elites

1. To succeed in her health education program, the PHN needs to be adept in:

• A. teaching-learning strategies
• B. providing accurate information
• C. communicating ideas effectively
• D. all of these

Correct answer: D

Rationale: To excel in a health education program, a Public Health Nurse (PHN) must possess a combination of teaching-learning strategies to effectively impart knowledge, provide accurate information to ensure credibility, and communicate ideas effectively to engage and interact with the audience. Therefore, all of these skills are essential for a PHN to succeed in her health education program. Choices A, B, and C are integral components of a successful health education program, making option D the correct answer.

2. Which of the following tools is used by community health nurses to identify the health needs of a population?

• A. Health survey
• B. Medical records
• C. Patient interviews
• D. Epidemiological studies

Correct answer: D

Rationale: Epidemiological studies are used by community health nurses to identify the health needs of a population. These studies involve investigating patterns, causes, and effects of health and disease conditions in defined populations. While health surveys, medical records, and patient interviews are valuable tools in healthcare, epidemiological studies provide a broader population-based perspective essential for understanding and addressing community health needs.

3. As a community Health Nurse, you are a change agent. Which of the following roles must you play to succeed as a change agent?

• A. information provider
• B. information seeker
• C. motivator
• D. leader

Correct answer: B

Rationale: To succeed as a change agent, being an information seeker is crucial. While being an information provider, motivator, and leader are important roles, actively seeking information is fundamental to understanding the community's needs, concerns, and challenges before implementing effective changes. This active information seeking helps in making informed decisions and developing strategies that address the specific issues faced by the community. Therefore, the correct choice is B. Choices A, C, and D are also important roles but may not be as fundamental as actively seeking information.

4. A home health nurse is at the home of a client with diabetes and arthritis. The client has difficulty drawing up insulin. It would be most appropriate for the nurse to refer the client to:

• A. A social worker from the local hospital
• B. An occupational therapist from the community center
• C. A physical therapist from the rehabilitation agency
• D. Another client with diabetes mellitus who takes insulin

Correct answer: B

Rationale: An occupational therapist is the most appropriate professional to refer the client to in this situation. Occupational therapists can provide assistance with techniques and tools to help the client manage insulin administration despite arthritis. Referring the client to a social worker (Choice A) may not directly address the client's difficulty with insulin. While physical therapists (Choice C) focus on mobility and strength, they may not specialize in techniques for insulin administration. Referring the client to another client with diabetes (Choice D) is not a professional or appropriate solution to address the client's difficulty.

5. Care provided by specialists in health facilities such as medical centers, regional, and provincial hospitals falls under which level of care?

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

Correct answer: C

Rationale: Tertiary care is the correct answer because it involves specialized care provided by medical centers and regional or provincial hospitals. Primary care (Choice B) refers to basic healthcare services usually delivered by general practitioners, nurses, and other healthcare professionals. Secondary care (Choice A) involves specialized services provided by medical specialists and other health professionals who generally do not have first contact with patients. Intermediate care (Choice D) is not a recognized level of care in the typical healthcare system hierarchy; it may cause confusion as it's not a standard term used to describe levels of care.

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