Nursing Elites

1. Which best describes a tertiary prevention strategy?

• A. Providing rehabilitation services
• B. Screening for early signs of disease
• C. Educating the public about healthy lifestyles
• D. Offering health education workshops

Correct answer: A

Rationale: The correct answer is A: Providing rehabilitation services. Tertiary prevention involves interventions that focus on managing and improving the outcomes of existing conditions. Rehabilitation services fall under tertiary prevention as they aim to help individuals recover and manage long-term health issues. Screening for early signs of disease (Choice B) is part of secondary prevention, while educating the public about healthy lifestyles (Choice C) and offering health education workshops (Choice D) typically fall under primary prevention strategies.

2. Which fluid is used in the management of gastrointestinal tract (GIT) loss and burns?

• A. Ringer's lactate
• B. Normal saline
• C. Dextrose
• D. Blood

Correct answer: A

Rationale: Ringer's lactate is the preferred fluid for managing gastrointestinal tract (GIT) losses and burns due to its balanced electrolyte composition. It helps replace lost fluids and electrolytes, making it an ideal choice for resuscitation in such scenarios. Normal saline is commonly used for volume resuscitation but may not be the best choice for these specific conditions. Dextrose is a source of glucose and is not typically used as the primary fluid for GIT losses and burns. Blood transfusion is indicated for specific situations like severe hemorrhage or anemia but is not the primary fluid for GIT losses and burns.

3. Identify the etiologic or causal statement component of the following community diagnosis: 'There is an increased risk for undetected testicular cancer among young men related to insufficient knowledge about the disease and the methods for preventing and detecting it at an early stage as demonstrated by high rates of late initiation of treatment.'

• A. Risk for undetected testicular cancer
• B. Young men
• C. Insufficient knowledge about the disease and methods of prevention
• D. High rates of late initiation of treatment

Correct answer: C

Rationale: The etiologic or causal statement in the community diagnosis is the part that explains the cause of the increased risk for undetected testicular cancer among young men. In this scenario, the insufficient knowledge about the disease and methods of prevention is the cause identified as contributing to the high rates of late initiation of treatment. It is important to identify the root cause to develop effective interventions and strategies to address the issue.

4. What is the MOST COMMON cause of vaginal bleeding immediately after birth?

• A. Uterine atony
• B. Genital lacerations
• C. Abnormal clotting mechanisms
• D. Endometritis

Correct answer: A

Rationale: Vaginal bleeding immediately after birth is most commonly due to uterine atony. Uterine atony is the failure of the uterine muscle to contract adequately after childbirth, leading to postpartum hemorrhage. This condition is more frequent than genital lacerations, abnormal clotting mechanisms, or endometritis as a cause of immediate postpartum bleeding.

5. What best describes the role of cultural competence in health promotion?

• A. Respecting and incorporating diverse cultural practices
• B. Avoiding cultural stereotypes
• C. Providing care that is free from cultural biases
• D. Ensuring language access services

Correct answer: A

Rationale: Cultural competence in health promotion encompasses respecting and incorporating diverse cultural practices. This involves understanding and valuing the beliefs, customs, and traditions of different cultural groups to provide effective and inclusive care and education.

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