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. In order to be effective as an occupational health nurse, you should be equipped with knowledge and skills in which of the following:

• A. public health science
• B. research process
• C. interviewing and counseling
• D. oral and written communication

Correct answer: D

Rationale: To be effective as an occupational health nurse, having knowledge and skills in public health science, the research process, interviewing and counseling, and oral and written communication are all important. However, communication skills, both oral and written, are crucial for conveying information, educating employees, documenting findings, and collaborating with other healthcare professionals. While public health science, research process, interviewing, and counseling are essential, oral and written communication is fundamental for effective communication and coordination in the workplace, making it the most critical skill for an occupational health nurse.

3. 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.

4. A client with a history of seizures is receiving phenytoin (Dilantin). The nurse should monitor the client for which of the following side effects?

• A. Hypertension
• B. Hyperglycemia
• C. Gingival hyperplasia
• D. Hypokalemia

Correct answer: C

Rationale: The correct answer is C: Gingival hyperplasia. Phenytoin can cause gingival hyperplasia, characterized by an overgrowth of gum tissue. It is important for the nurse to monitor the client for this side effect as it can lead to oral health issues. Choices A, B, and D are incorrect. Phenytoin does not typically cause hypertension, hyperglycemia, or hypokalemia as common side effects.

5. What title should be given to this occupational health nurse job description? A registered nurse who functions in a comprehensive executive role to set goals, formulate policy, and direct and evaluate the health service.

• A. manager
• B. researcher
• C. health educator
• D. health promotion specialist

Correct answer: A

Rationale: The correct answer is 'manager.' In the job description provided, the role involves setting goals, formulating policy, and directing and evaluating health services, which aligns with the responsibilities of a manager. A 'researcher' primarily focuses on conducting research, a 'health educator' specializes in educating individuals about health-related topics, and a 'health promotion specialist' concentrates on promoting health and wellness initiatives. Therefore, 'manager' is the most suitable title for the described role.

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