Nursing Elites

1. To be an effective educator, you should:

• A. listen to people's problems and decide on the approach to meet their needs
• B. select the best strategy for health action for people to implement
• C. direct people's efforts to implement community-based projects
• D. simply tell your clients what to do for their problems/needs

Correct answer: B

Rationale: The correct answer is to select the best strategy for health action for people to implement because it empowers the community to take ownership of their health. Listening to people's problems (Choice A) is important, but the effectiveness lies in empowering them to implement solutions. Directing people's efforts (Choice C) can be directive and may not foster community ownership. Just telling clients what to do (Choice D) does not promote active participation and empowerment.

2. The nurse is caring for a 5-year-old child who has the left leg in skeletal traction. Which of the following activities would be an appropriate diversional activity?

• A. Kicking balloons with the right leg
• B. Playing 'Simon Says'
• C. Playing handheld games
• D. Throwing bean bags

Correct answer: C

Rationale: Playing handheld games is an appropriate diversional activity for a child in skeletal traction because it does not require physical movement of the affected limb. This activity can help keep the child entertained and engaged without risking any harm to the tractioned leg. Choices A, B, and D involve physical movements that could potentially interfere with the skeletal traction or cause discomfort to the child.

3. What is the process of enabling people to increase control over and improve their health known as?

• A. Health promotion
• B. Disease prevention
• C. Rehabilitation
• D. Health education

Correct answer: A

Rationale: The correct answer is A: Health promotion. Health promotion focuses on empowering individuals to take control of their health by promoting healthy behaviors, lifestyles, and environments. It aims to prevent illnesses and enhance overall well-being. Choices B, C, and D are incorrect because they do not fully encompass the concept of empowering individuals to improve their health. Disease prevention specifically targets avoiding specific illnesses, rehabilitation focuses on restoring health after an illness or injury, and health education primarily involves imparting knowledge about health-related topics.

4. An 82-year-old client is prescribed eye drops for the treatment of glaucoma. What assessment is needed before the nurse begins teaching proper administration of the medication?

• A. Determine the client's manual dexterity
• B. The client’s manual dexterity
• C. Proximity to health care services
• D. Ability to use visual assistive devices

Correct answer: B

Rationale: Assessing the client’s manual dexterity is crucial before teaching the administration of eye drops. Manual dexterity is essential for the proper instillation of eye drops. If the client has limited manual dexterity, alternative methods of administration may be necessary. The other choices, such as determining third-party payment plan, proximity to health care services, and ability to use visual assistive devices, are not directly related to the immediate need for assessing manual dexterity for the proper administration of eye drops.

5. A 16-year-old female client returns to the clinic because she is pregnant for the third time by a new boyfriend. Which vaccine should the nurse plan to administer?

• A. Measles-mumps-rubella.
• B. Hepatitis B.
• C. Human papillomavirus.
• D. Pneumococcal.

Correct answer: B

Rationale: The correct answer is B: Hepatitis B. The Hepatitis B vaccine is crucial for pregnant women as it helps prevent transmission of the virus to the baby during childbirth. Measles-mumps-rubella vaccine (choice A) is not directly related to the current situation of the client being pregnant. Human papillomavirus vaccine (choice C) is recommended for adolescents but is not specifically indicated in this case. Pneumococcal vaccine (choice D) is not a priority in this scenario compared to Hepatitis B, which is crucial for preventing vertical transmission.

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