Nursing Elites

1. Which of the following is the best intervention for a client with less than 6 months to live who is seeking comfort care?

• A. Set up a meeting with the hospice team
• B. Arrange a meeting with the client’s family
• C. Discuss advance directives (DNR & living will) with the patient
• D. Ask the provider to decrease the patient’s heart medications

Correct answer: A

Rationale: Setting up a meeting with the hospice team is the most appropriate intervention for a client with less than 6 months to live who is seeking comfort care. Hospice care focuses on providing comfort and support for individuals with terminal illnesses. By involving the hospice team, the client can receive specialized care aimed at improving their quality of life and managing symptoms effectively during this challenging time.

2. How does critical theory differ from other nursing theories such as the Health Belief Model or Orem’s self-care deficit theory?

• A. Critical theory can be utilized by professionals other than nurses.
• B. Critical theory focuses on oppression and enables group action.
• C. Critical theory is indirectly associated with health promotion.
• D. Critical theory addresses challenging an individual’s beliefs.

Correct answer: B

Rationale: Critical theory differs from other nursing theories like the Health Belief Model or Orem's self-care deficit theory by focusing on oppression and enabling group action. Unlike these nursing theories that may concentrate more on individual beliefs, critical theory aims to address broader societal issues and promote collective action for social change.

3. In evaluating the healthcare provided, which of the following vital statistics in the communities served will BEST indicate their health status?

• A. 0 crude death rate for the year 2012
• B. 50% (Swaroop's) index for the year 2011
• C. 0 infant mortality rate for the year 2011
• D. 0 crude birth rate for the year 2011

Correct answer: C

Rationale: The infant mortality rate is a critical indicator of a community's health status as it reflects the impact of economic and social conditions on the health of mothers and infants, as well as the effectiveness of healthcare systems. A low infant mortality rate signifies better overall health outcomes and healthcare access within a community.

4. What is a primary objective of public health?

• A. Lowering the prevalence of chronic diseases
• B. Eliminating health disparities among populations
• C. Delivering health education
• D. Extending life expectancy

Correct answer: B

Rationale: A fundamental goal of public health is to address and eliminate health disparities among different populations, aiming to ensure that everyone has equal access to resources and opportunities for good health outcomes.

5. Donna needs further teaching about the use of partograph if she said to her CI that:

• A. I will start using the partograph if the patient's cervix is already 4 cm dilated.
• B. I can use the partograph in all pregnant women.
• C. I will plot the cervical dilatation using 'x'.
• D. I need to refer my patient to the hospital if the cervical dilatation reaches the action line.

Correct answer: B

Rationale: Donna needs further teaching because using a partograph in all pregnant women is incorrect. The partograph is specifically used when labor is established to monitor the progress of labor and identify deviations from normal patterns. It is not meant to be used indiscriminately in all pregnant women, but rather in those who are in labor to enhance safe delivery practices.

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