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. A newborn presents with a pronounced cephalic hematoma following a birth in the posterior position. Which nursing diagnosis should guide the plan of care?

• A. Pain related to periosteal injury
• B. Impaired mobility related to bleeding
• C. Parental anxiety related to knowledge deficit
• D. Injury related to intracranial hemorrhage

Correct answer: C

Rationale: The correct nursing diagnosis to guide the plan of care for a newborn with a pronounced cephalic hematoma following a birth in the posterior position is 'Parental anxiety related to knowledge deficit.' This is appropriate because the parents may be worried about the appearance and potential complications of the cephalic hematoma. They may require education and reassurance from the nurse. Choices A, B, and D are incorrect because they do not address the emotional needs of the parents and the knowledge deficit they may have regarding the condition.

3. What does the nurse perform to determine the family nursing problems/needs?

• A. goal setting
• B. family health care plan formulation
• C. assessment
• D. evaluation

Correct answer: C

Rationale: The correct answer is C: assessment. Assessment is the initial step in identifying family nursing problems/needs. During assessment, the nurse collects data to understand the family's health status, strengths, weaknesses, and potential areas for intervention. This process helps in developing an accurate picture of the family's situation. Choices A, B, and D are incorrect because goal setting, family health care plan formulation, and evaluation come after the assessment phase. Goal setting occurs once the issues are identified, the family health care plan is developed based on assessment findings, and evaluation is the final step to assess the effectiveness of the interventions implemented.

4. All of the following are objectives of FHSIS EXCEPT:

• A. To complete the clinical picture of chronic diseases and describe their natural history
• B. To provide a standardized, facility-level database that can be accessed for more in-depth studies
• C. To minimize recording and reporting burden, allowing more time for patient care and promotive activities
• D. To ensure that data reported are useful and accurate and are disseminated in a timely and easy-to-use fashion

Correct answer: A

Rationale: The correct answer is A. Completing the clinical picture of chronic diseases and describing their natural history is not an objective of FHSIS. The objectives of FHSIS include providing a standardized, facility-level database for more in-depth studies (B), minimizing recording and reporting burden to allow more time for patient care and promotive activities (C), and ensuring that reported data are useful, accurate, and disseminated in a timely and easy-to-use manner (D). Therefore, A is the exception among the listed objectives.

5. A nurse working in the community assumes different roles. When the nurse acts as a community organizer, they perform which of the following functions?

• A. motivate and enhance community participation when planning and implementing health programs and services
• B. develop the family's capability to take care of a sick member
• C. identify needs, priorities, and problems of individuals, families, and the community
• D. participate in community development activities

Correct answer: D

Rationale: When a nurse acts as a community organizer, they participate in community development activities, which involve working with the community to address issues such as healthcare access, social services, and infrastructure. The other choices do not directly align with the role of a community organizer. Choice A is more related to community participation in health programs, choice B focuses on family care, and choice C pertains to identifying needs and priorities rather than organizing community development activities.

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