Nursing Elites

1. Which factor is most critical for the sustainability of health programs?

• A. Continuous community involvement
• B. Support from local government
• C. Availability of funding
• D. Regular program evaluation

Correct answer: A

Rationale: Continuous community involvement is the most critical factor for the sustainability of health programs. When the community is actively engaged and involved in health initiatives, there is a higher likelihood of long-term support and success. Community involvement fosters ownership, collaboration, and ensures that health programs are tailored to meet the specific needs of the community, leading to better outcomes and sustainability over time.

2. The client diagnosed with a mild concussion is being discharged from the emergency department. Which discharge instruction should the nurse teach the client's significant other?

• A. Awaken the client every two (2) hours.
• B. Monitor for increased intracranial pressure.
• C. Observe frequently for hypervigilance.
• D. Offer the client food every three (3) to four (4) hours.

Correct answer: A

Rationale: In a client with a mild concussion, it is important to monitor for signs of deterioration, which includes changes in the client's level of consciousness. Waking the client every two hours helps in assessing their neurological status, ensuring they can awaken and respond appropriately. This intervention aids in detecting any worsening symptoms promptly and seeking medical assistance if needed.

3. Paralysis of all or part of the trunk, legs, and pelvic organs is referred to as:

• A. Hemiplegia
• B. Tetraplegia
• C. Paraplegia
• D. Hemiparesis

Correct answer: C

Rationale: Paraplegia is the paralysis of the lower half of the body, including both legs and often the trunk and pelvic organs. Hemiplegia refers to paralysis affecting one side of the body, while tetraplegia involves paralysis of all four limbs and the trunk. Hemiparesis is a partial weakness affecting one side of the body.

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. Which is an essential aspect of developing a community health intervention?

• A. Assessing the availability of local health resources
• B. Engaging policymakers in the planning process
• C. Developing culturally appropriate health materials
• D. Allocating funding for health services

Correct answer: A

Rationale: Assessing the availability of local health resources is a crucial step in the development of a community health intervention. By understanding the resources already present in the community, intervention strategies can be tailored to effectively address the specific health needs of the population. This assessment helps in identifying gaps, strengths, and areas for improvement, ensuring that the intervention is well-informed and targeted towards improving community health outcomes.

Similar Questions