1 :

Hint : 🙏 Nurse supports through groups

Correct Answers:

  • The faith community nurse can facilitate substance use disorder support groups.


Rationale :

🔷 Faith community nurses focus on spiritual and emotional health, not direct medical interventions like prescribing medication.

🔷 They act as health educators and advocates, promoting wellness in the congregation and community.

🔷 Facilitating support groups aligns with their role of providing spiritual support and health promotion.

🔷 They collaborate with clergy and healthcare providers, bridging faith and health needs.

🔷 This role encourages prevention, education, and connection to resources rather than acute medical care.


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2 :

Client Comes to the clinic today and reports unintentional weight loss, fatigue, and night sweats over the last month. Client is frequently coughing during assessment. Bilateral crackles in lungs. Chest x-ray and sputum culture prescribed.

1200:

Client admitted to ED directly from Community health clinic following a new diagnosis of Mycobacterium tuberculosis,


Which of the following isolation precautions should the nurse plan on implementing? Select all that apply.


Answer Options

Hint : 😷 Airborne = N95 + closed doors

Correct Answers:

  • a box Of N95 respirators by the entrance to the clients room,
  • Ensure that the doors to the client's room remain closed.


Rationale :

🟢 Airborne precautions are required for tuberculosis, including the use of N95 respirators.

🟢 keeping the door closed ensures containment of infectious particles.

🟢 TB spreads through airborne droplets, so positive airflow or co-habiting with others is unsafe.

🟢 Isolation prevents cross-infection in hospital settings.

🟢 Education on correct PPE ensures visitor and staff safety.


Distractor Analysis :

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3 :

Hint : 💉 Skill = psychomotor

Correct Answers:

  • Observe the client's technique for drawing up insulin.


Rationale :

✳️ The psychomotor domain involves physical skills and practice.

✳️ Drawing up insulin requires manual dexterity and technique evaluation.

✳️ Observation allows the nurse to assess accuracy and safety.

✳️ Reinforcement and correction ensure proper learning outcomes.

✳️ This differs from cognitive (knowledge) or affective (feelings) domains.


Distractor Analysis :

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4 :

Hint : 📞 Referral = tertiary care

Correct Answers:

  • Provide clients who experience violence with referral information to crisis lines.


Rationale :

✔️ Tertiary prevention focuses on reducing long-term effects of existing problems.

✔️ Providing referrals and resources addresses consequences of violence.

✔️ Crisis lines connect victims to immediate support and safety planning.

✔️ This intervention promotes healing and prevention of further harm.

✔️ It aligns with community health practice of rehabilitation and recovery support.


Distractor Analysis :

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5 :

Hint : 🚶 Walker = safety after hip surgery

Correct Answers:

  • "l Will remind my partner to use a walker when moving around in the house."


Rationale :

🍃 Mobility safety is key to preventing falls post-surgery.

🍃 Walkers provide stability and proper weight distribution.

🍃 This reduces risk of dislocation or injury after hip replacement.

🍃 Education empowers caregivers to reinforce safety measures.

🍃 Correct assistive device use improves recovery outcomes.


Distractor Analysis :

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6 :

Hint : 👶 Early violence → risk later

Correct Answers:

  • client says they were spanked as a child.


Rationale :

⪢ Childhood experiences of physical punishment increase risk for later violence.

⪢ Early exposure to aggression often normalizes violent behavior.

⪢ This is a known predictive risk factor in community health.

⪢ Prevention strategies target those with such histories.

⪢ Recognizing early signs allows for counseling and intervention.


Distractor Analysis :

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7 :

Hint : 🔒 Never disclose individual sources

Correct Answers:

  • "The circulation supervisor at the library is concerned about the amount of air pollution coming from the town's industrial corridor."


Rationale :

◈ This response identifies a person by role, breaching confidentiality.

◈ Public health info must be presented as aggregate data, not individuals.

◈ Protecting identity builds trust with community members.

◈ Violations can lead to loss of cooperation in health initiatives.

◈ Nurses must distinguish between confidential vs. public data.


Distractor Analysis :

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8 :

Hint : 🍲 Food reflects culture

Correct Answers:

  • Food preferences


Rationale :

💎 Culture shapes dietary practices and food preferences.

💎 Assessing diet identifies needs and barriers in care planning.

💎 Culturally appropriate food supports adherence to treatment.

💎 This builds trust and respect for beliefs.

💎 Food is a central part of cultural identity in assessments.


Distractor Analysis :

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9 :

Hint : 💊 Ginkgo + Warfarin = bleed risk

Correct Answers:

  • Warfarin


Rationale :

🔶 Ginkgo biloba has antiplatelet effects, increasing bleeding risk.

🔶 When combined with warfarin, it can cause serious hemorrhage.

🔶 Nurses must assess herbal-medication interactions.

🔶 Education ensures clients disclose alternative therapy use.

🔶 Safety teaching prevents adverse drug reactions.


Distractor Analysis :

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10 :

Hint : 💔 Express anger = healthy grief

Correct Answers:

  • A component of healthy grieving is the ability to openly express your anger."


Rationale :

🟠 Healthy grieving involves expressing various emotions, including anger.

🟠 Suppressing emotions may lead to complicated grief.

🟠 Open expression promotes emotional healing and adaptation.

🟠 Families should be taught that anger is normal in grief.

🟠 This validates feelings and prevents stigmatization of grief responses.


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Total Questions: 10

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