NURSING PRACTICE IV – Care of Clients with Physiologic and Psychosocial Alterations (Part B)

Situation 1 – Because of the serious consequences of severe burns, management requires a multidisciplinary approach. You have important responsibilities as a nurse.1. While Sergio was lighting a barbecue grill with a lighter fluid, his shirt burns into flames. The most effective way to extinguish the flames with as little further damage as possible is to:A. log roll on the grass/groundB. slap the flames with his handsC. remove the burning clothesD. pour cold liquid over the flames

2. Once the flames are extinguished, it is most important to:A. cover Sergio with a warm blanketB. give him sips of waterC. calculate the extent of his burnsD. assess the Sergio’s breathing

3. Sergio is brought to Emergency Room after the barbecue grill accident. Based on the assessment of the physician, Sergio sustained superficial partial thickness burns on his trunk, right upper extremities and right lower extremities. His wife asks what that means? Your most accurate response would be:A. Structures beneath the skin are damageB. Dermis is partially damagedC. Epidermis and dermis are both damagedD. Epidermis is damaged

4. During the first 24 hours after the thermal injury, you should asses Sergio for:A. hypokalemia and hypernatremiaB. hypokalemia and hyponatremiaC. hyperkalemia and hyponatremiaD. hyperkalemia and hypernatremia

5. Teddy, who sustained deep partial thickness and full thickness burns of the face, whole anterior chest and both upper extremities two days ago begins to exhibit extreme restlessness. You recognize that this most likely indicates that Teddy is developing:A. Cerebral hypoxia C. metabolic acidosisB. Hypervolemia D. Renal failure

Situation 2 – You are now working as a staff nurse in a general hospital. You have to be prepared to handle situations with ethico-legal and moral implifications.

6. You are in night duty in surgical ward. One of your patients Martin is a prisoner who sustained an abdominal gunshot wound. He is being guarded by policeman from the local police unit. During your rounds you heard a commotion. You saw the policeman trying to hit Martin. You asked why he was trying to hit Martin. He denied the matter. Which among the following activities will you do first?A. Write an accident reportB. Call security officer and report the incidentC. Call your nurse supervisor and report the incidentD. Call the physician on duty

7. You are on morning duty in the medical ward. You have 10 patients assigned to you. During your endorsement rounds, you found out that one of your patients was not in bed. The patient next to him informed you that he went home without notifying the nurses. Which among the following will you do first?A. Make an incident reportB. Call security to report the incidentC. Wait for 2 hours before reportingD. Report the incident to your supervisor

8. You are on duty in the medical ward. You were asked to check the narcotics cabinet. You found out that what is on record does not tally with the drugs used. Which among the following will you do first?A. Write an incident report and refer the matter to the nursing directorB. Keep your findings to yourselfC. Report the matter to your supervisorD. Find out from the endorsement any patient who might have been given narcotics

9. You are on duty in the medical ward. The mother of your patient who is also a nurse, came running to the nurses station and informed you that Fiolo went into cardiopulmonary arrest.A. Start basic life support measuresB. Call for the CodeC. Bring the crash cart to the roomD. Go to see Fiolo and assess for airway patency and breathing problems

10. You are admitting Jorge to the ward and you found out that he is HIV (+). Which among the ff. will you do first?A. Take note of it and plan to endorse this to next shiftB. Keep this matter to yourselfC. Write an incident reportD. Report the matter to your head nurse

Situation 3 - Colorectal cancer can affect old and younger people. Surgical procedures and other modes of treatment are done to ensure quality of life. You are assigned in the cancer institute to care of patients with this type of cancer.11. Larry, 55 years old, who is suspected of having colorectal cancer, is admitted to the CI. After taking the history and vital signs the physician does which test as a screening test for colorectal cancer.A. Barium enemaB. Carcinoembryonic antigenC. Annual digital rectal examinationD. Proctosigmoidoscopy

12. To confirm his impression of colorectal cancer, Larry will require which diagnostic study?A. Carcinoembryonic antigenB. ProctosigmoidoscopyC. Stool hematologic testD. Abdominal computed tomography (CT) test

13. The following are risk factors for colorectal cancer, EXCEPT:A. Inflammatory bowelsB. High fat, high fiber dietC. SmokingD. Genetic factors-familial adenomatous polyposis

14. Symptoms associated with cancer of the colon include:A. constipation, ascites and mucus in the stoolB. diarrhea, heart burn and eructationC. blood in the stools, anemia, and “pencil shaped” stoolsD. anorexia, hematemesis, and increased peristalasis

15. Several days prior to bowel surgery, Larry may be given sulfasuxidine and neomycin primarily to:A. promote rest of the bowel by minimizing peristalsisB. reduce the bacterial content of the colonC. empty the bowel of solid wasteD. soften the stool by retaining water in the colon

Situation 4 – ENTEROSTOMAL THERAPY is now considered a specialty in nursing. You are participating in the OSTOMY CARE CLASS.16. You plan to teach Fermin how to irrigate the colostomy when:A. The perineal wound heals And Fermin can sit comfortably on the commodeB. Fermin can lie on the side comfortably, about the 3rd postoperative dayC. The abdominal incision is closed and contamination is no longer a dangerD. The stools starts to become formed, around the 7th postoperative day

17. When preparing to teach Fermin how to irrigate colostomy, you should plan to do the procedure:A. When Fermin would have normal bowel movementB. At least 2 hours before visiting hoursC. Prior to breakfast and morning careD. After Fermin accepts alteration in body image

18. When observing a return demonstration of a colostomy irrigation, you know that more teaching is required if Fermin:A. Lubricates the tip of the catheter prior to inserting into the stomaB. Hangs the irrigating bag on the bathroom door cloth hook during fluid insertionC. Discontinues the insertion of fluid after only 500 ml of fluid has been instilledD. Clamps of the flow of fluid when felling uncomfortable

19. You are aware that teaching about colostomy care is understood when Fermin states, “I will contact my physician and report:A. If I have any difficulty inserting the irrigating tub into the stoma.”B. If I noticed a loss of sensation to touch in the stoma tissue.”C. The expulsion of flatus while the irrigating fluid is running out.”D. When mucus is passed from the stoma between the irrigations.”

20. You would know after teaching Fermin that dietary instruction for him is effective when he states, “It is important that I eat:A. Soft food that are easily digested and absorbed by my large intestines.”B. Bland food so that my intestines do not become irritated.”C. Food low in fiber so that there is less stool.”

D. Everything that I ate before the operation, while avoiding foods that cause gas.”

Situation 5 – Ensuring safety is one of your most important responsibilities. You will need to provide instructions and information to your clients to prevent complications.21. Randy has chest tubes attached to a pleural drainage system. When caring for him you should:A. empty the drainage system at the end of the shiftB. clamp the chest tube when suctioningC. palpate the surrounding areas for crepitusD. change the dressing daily using aseptic techniques

22. Fanny, came in from PACU after pelvic surgery. As Fanny’s nurse you know that the sign that would be indicative of a developing thrombophlebitis would be:A. a tender, painful area on the legB. a pitting edema of the ankleC. a reddened area at the ankleD. pruritus on the calf and ankle

23. To prevent recurrent attacks on Terry who has acute glumerulonephritis, you should instruct her to:A. seek early treatment for respiratory infectionsB. take showers instead of tub bathC. continue to take the same restrictions on fluid intakeD. avoid situations that involve physical activity

24. Herbert had a laryngectomy and he is now for discharge. He verbalized his concern regarding his laryngectomy tube being dislodged. What should you teach him first?A. Recognize that prompt closure of the tracheal opening may occurB. Keep calm because there is no immediate emergencyC. Reinsert another tubing immediatelyD. Notify the physician at once

25. When caring for Larry after an exploratory chest surgery and pneumonectomy, your priority would be to maintain:A. supplementary oxygenB. ventilation exchangeC. chest tube drainageD. blood replacement

Situation 6 – Infection can cause debilitating consequences when host resistance is compromised and virulence of microorganisms and environmental factors are favorable. Infection control is one important responsibility of the nurse to ensure quality of care.

26. Honrad, who has been complaining of anorexia and feeling tired, develops jaundice, after a workup he is diagnosed of having Hepatitis A. his wife asks you about gamma globulin for herself and her household help. Your most appropriate response would be:A. “Don’t worry your husband’s type of hepatitis is no longer communicable”B. “Gamma globulin provides passive immunity for hepatitis B”C. “You should contact your physician immediately about getting gammaglobulin.”D. “A vaccine has been developed for this type of hepatitis”

27. Voltaire develops a nosocomial respiratory tract infection. He ask you what that means? Your best response would be:A. “You acquired the infection after you have been admitted to the hospital.”B. “This is a highly contagious infection requiring complete isolation.”C. “The infection you had prior to hospitalization flared up.”D. “As a result of medical treatment, you have acquired a secondary infection.’

28. As a nurse you know that one of the complications that you have to watch out for when caring for Omar who is receiving total parenteral nutrition is:A. stomatitisB. hepatitisC. dysrhythmiaD. infection

29. A solution used to treat Pseudomonas wound infection is:A. Dakin’s solutionB. Half-strength hydrogen peroxideC. Acetic acidD. Betadine

30. Which of the following is the most reliable in diagnosing a wound infection?A. Culture and sensitivityB. Purulent drainage from a woundC. WBC count of 20,000/μLD. Gram stain testing

Situation 7 – As a nurse you need to anticipate the occurrence of complications of stroke so that life threatening situations can be prevented.

31. Wendy is admitted to the hospital with signs and symptoms of stroke. Her Glasgow Coma Scale is 6 on admission. A central venous catheter was inserted an I.V. infusion was started. As a nurse assigned to Wendy what will be your priority goal?A. Prevent skin breakdownB. Preserve muscle functionC. Promote urinary eliminationD. Maintain a patent airway

32. Knowing that for a comatose patient hearing is the last sense to be lost, as Judy’s nurse, what should you do?A. Tell her family that probably she can’t hear themB. Talk loudly so that Wendy can hear youC. Tell her family who are in the room not to talkD. Speak softly then hold her hands gently

33. Which among the following interventions should you consider as the highest priority when caring for June who has hemiparesis secondary to stroke?A. Place June on an upright lateral positionB. Perform range of motion exercisesC. Apply antiembolic stockingsD. Use hand rolls or pillows for support

34. Ivy, age 40, was admitted to the hospital with a severe headache, stiff neck and photophobia. She was diagnosed with a subarachnoid hemorrhage secondary to ruptured aneurysm. While waiting for surgery, you can provide a therapeutic environment by doing which of the following?A. honoring her request for a televisionB. placing her bed near the windowC. dimming the light in her roomD. allowing the family unrestricted visiting privileges

35. When performing a neurologic assessment on Walter, you find that his pupils are fixed and dilated. This indicated that he:A. probably has meningitisB. is going to be blind because of traumaC. is permanently paralyzedD. has received a significant brain injury

Situation 8 – With the improvement in life expectancies and the emphasis in the quality of life it is important to provide quality care to our older patients. There are frequently encountered situations and issues relevant to the older patients.36. Hypoxia may occur in the older patients because of which of the following physiologic changes associated with aging.A. Ineffective airway clearanceB. Decreased alveolar surfaced areaC. Decreased anterior-posterior chest diameterD. Hyperventilation

37. The older patient is at higher risk for incontinence because of:A. dilated urethraB. increased glomerular filtration rateC. diuretic useD. decreased bladder capacity

38. Merle, age 86, is complaining of dizziness when she stands up. This may indicate:A. dementiaB. a visual problemC. functional declineD. drug toxicity

39. Cardiac ischemia in an older patient usually produces:A. ST-T wave changesB. Very high creatinine kinase levelC. Chest pain radiating to the left armD. Acute confusion

40. The most dependable sign of infection in the older patient is:A. change in mental statusB. feverC. painD. decreased breath sounds with crackles

Situation 9 – A “disaster” is a large-scale emergency—even a small emergency left unmanaged may turn into a disaster. Disaster preparedness is crucial and is everybody’s business. There are agencies that are in charge of ensuring prompt

response. Comprehensive Emergency Management (CEM) is an integrated approach to the management of emergency programs and activities for all four emergency phases (mitigation, preparedness, response, and recovery), for all types of emergencies and disasters (natural, man-made, and attack) and for all levels of government and the private sector.

41. Which of the four phases of emergency management is defined as “sustained action that reduces or eliminates long-term risk to people and property from natural hazards and their effects.”?A. RecoveryB. MitigationC. ResponseD. Preparedness

42. You are a community health nurse collaborating with the Red Cross and working with disaster relief following a typhoon which flooded and devastated the whole province. Finding safe housing for survivors, organizing support for the family, organizing counseling debriefing sessions and securing physical care are the services you are involved with. To which type of prevention are these activities included:A. Tertiary preventionB. Primary preventionC. Aggregate care preventionD. Secondary prevention

43. During the disaster you see a victim with a green tag, you know that the person:A. has injuries that are significant and require medical care but can wait hours with threat to life or limbB. has injuries that are life threatening but survival is good with minimal interventionC. indicates injuries that are extensive and chances of survival are unlikely even with definitive careD. has injuries that are minor and treatment can be delayed from hours to days

44. The term given to a category of triage that refers to life threatening or potentially life threatening injury or illness requiring immediate treatment:A. ImmediateB. EmergentC. Non-acuteD. Urgent

45. Which of the following terms refer to a process by which the individual receives education about recognition of stress reaction and management strategies for handling stress which may be instituted after a disaster?A. Clinical incident stress managementB. Follow-upC. DefriefingD. Defusion

Situation 10 – As a member of the health and nursing team you have a crucial role to play in ensuring that all the members participate actively is the various tasks agreed upon.46. While eating his meal, Matthew accidentally dislodges his IV lines and bleeds. Blood oozes on the surface of the over-bed table. It is most appropriate that you instruct the housekeeper to clean the table with:A. AcetoneB. AlcoholC. AmmoniaD. Bleach

47. You are a member of the infection control team of the hospital. Based on a feedback during the meeting of the committee there is an increased incidence of pseudomonas infection in the Burn Unit (3 out of 10 patients had positive blood and wound culture). What is your priority activity?A. Establish policies for surveillance and monitoringB. Do data gathering about the possible sources of infection (observation, chart review, interview).C. Assign point persons who can implement policies.D. Meet with the nursing group working in the burn unit and discuss problem with them.

48. Part of your responsibility as a member of the diabetes core group is to get referrals from the various wards regarding diabetic patients needing diabetes education. Prior to discharge today, 4 patients are referred to you. How would you start prioritizing your activities?A. Bring your diabetes teaching kit and start your session taking into consideration their distance from your officeB. Contact the nurse in-charge and find out from her the reason for the referralC. Determine their learning needs then prioritizeD. Involve the whole family in the teaching class

49. You have been designated as a member of the task force to plan activities for the Cancer Consciousness Week. Your committee has 4 months to plan and implement the plan. You are assigned to contact the various cancer support groups in your hospital. What will be your priority activity?A. Find out if there is a budget for this activityB. Clarify objectives of the activity with the task force before contacting the support groupsC. Determine the VIPs and Celebrities who will be invitedD. Find out how many support groups there are in the hospital and get the contact number of their president

50. You are invited to participate in the medical mission activity of your alumni association. In the planning stage

everybody is expected to identify what they can do during the medical mission and what resources are needed. You thought it is also your chance to share what you can do for others. What will be your most important role where you can demonstrate the impact of nursing in health?

A. Conduct health education on healthy life styleB. Be a triage nurseC. Take the initial history and document findingsD. Act as a coordinator

ANSWER KEY

NURSING PRACTICE IV – Care of Clients with Physiologic and Psychosocial Alterations (Part B)

Situation 1 – Because of the serious consequences of severe burns, management requires a multidisciplinary approach. You have important responsibilities as a nurse.

1. While Sergio was lighting a barbecue grill with a lighter fluid, his shirt burns into flames. The most effective way to extinguish the flames with as little further damage as possible is to:log roll on the grass/ground

2. Once the flames are extinguished, it is most important to:assess the Sergio’s breathing

3. Sergio is brought to Emergency Room after the barbecue grill accident. Based on the assessment of the physician, Sergio sustained superficial partial thickness burns on his trunk, right upper extremities and right lower extremities. His wife asks what that means? Your most accurate response would be:Epidermis and dermis are both damaged

4. During the first 24 hours after the thermal injury, you should asses Sergio for:hyperkalemia and hyponatremia

5. Teddy, who sustained deep partial thickness and full thickness burns of the face, whole anterior chest and both upper extremities two days ago begins to exhibit extreme restlessness. You recognize that this most likely indicates that Teddy is developing:metabolic acidosis

Situation 2 – You are now working as a staff nurse in a general hospital. You have to be prepared to handle situations with ethico-legal and moral implifications.

6. You are in night duty in surgical ward. One of your patients Martin is a prisoner who sustained an abdominal gunshot wound. He is being guarded by policeman from the local police unit. During your rounds you heard a commotion. You saw the policeman trying to hit Martin. You asked why he was trying to hit Martin. He denied the matter. Which among the following activities will you do first?Call your nurse supervisor and report the incident

7. You are on morning duty in the medical ward. You have 10 patients assigned to you. During your endorsement rounds, you found out that one of your patients was not in bed. The patient next to him informed you that he went home without notifying the nurses. Which among the following will you do first?Report the incident to your supervisor

8. You are on duty in the medical ward. You were asked to check the narcotics cabinet. You found out that what is on record does not tally with the drugs used. Which among the following will you do first?Report the matter to your supervisor

9. You are on duty in the medical ward. The mother of your patient who is also a nurse, came running to the nurses station and informed you that Fiolo went into cardiopulmonary arrest.Bring the crash cart to the room

10. You are admitting Jorge to the ward and you found out that he is positive for HIV. Which among the following will you do first?Report the matter to your head nurse

Situation 3 - Colorectal cancer can affect old and younger people. Surgical procedures and other modes of treatment are done to ensure quality of life. You are assigned in the cancer institute to care of patients with this type of cancer.

11. Larry, 55 years old, who is suspected of having colorectal cancer, is admitted to the CI. After taking the history and vital signs the physician does which test as a screening test for colorectal cancer.Annual digital rectal examination

12. To confirm his impression of colorectal cancer, Larry will require which diagnostic study?Proctosigmoidoscopy

13. The following are risk factors for colorectal cancer, EXCEPT:

Smoking

14. Symptoms associated with cancer of the colon include:blood in the stools, anemia, and “pencil shaped” stools

15. Several days prior to bowel surgery, Larry may be given sulfasuxidine and neomycin primarily to:reduce the bacterial content of the colon

Situation 4 – ENTEROSTOMAL THERAPY is now considered a specialty in nursing. You are participating in the OSTOMY CARE CLASS.16. You plan to teach Fermin how to irrigate the colostomy when:The stools starts to become formed, around the 7th postoperative day

17. When preparing to teach Fermin how to irrigate colostomy, you should plan to do the procedure:When Fermin would have normal bowel movement

18. When observing a return demonstration of a colostomy irrigation, you know that more teaching is required if Fermin:Hangs the irrigating bag on the bathroom door cloth hook during fluid insertion

19. You are aware that teaching about colostomy care is understood when Fermin states, “I will contact my physician and report:If I have any difficulty inserting the irrigating tub into the stoma.”

20. You would know after teaching Fermin that dietary instruction for him is effective when he states, “It is important that I eat:A. Everything that I ate before the operation, while avoiding foods that cause gas.”

Situation 5 – Ensuring safety is one of your most important responsibilities. You will need to provide instructions and information to your clients to prevent complications.21. Randy has chest tubes attached to a pleural drainage system. When caring for him you should:palpate the surrounding areas for crepitus

22. Fanny, came in from PACU after pelvic surgery. As Fanny’s nurse you know that the sign that would be indicative of a developing thrombophlebitis would be:a tender, painful area on the leg

23. To prevent recurrent attacks on Terry who has acute glumerulonephritis, you should instruct her to:seek early treatment for respiratory infections

24. Herbert had a laryngectomy and he is now for discharge. He verbalized his concern regarding his laryngectomy tube being dislodged. What should you teach him first?Notify the physician at once

25. When caring for Larry after an exploratory chest surgery and pneumonectomy, your priority would be to maintain:ventilation exchange

Situation 6 – Infection can cause debilitating consequences when host resistance is compromised and virulence of microorganisms and environmental factors are favorable. Infection control is one important responsibility of the nurse to ensure quality of care.

26. Honrad, who has been complaining of anorexia and feeling tired, develops jaundice, after a workup he is diagnosed of having Hepatitis A. his wife asks you about gamma globulin for herself and her household help. Your most appropriate response would be:“You should contact your physician immediately about getting gammaglobulin.”

27. Voltaire develops a nosocomial respiratory tract infection. He ask you what that means? Your best response would be:“You acquired the infection after you have been admitted to the hospital.”

28. As a nurse you know that one of the complications that you have to watch out for when caring for Omar who is receiving total parenteral nutrition is:infection

29. A solution used to treat Pseudomonas wound infection is:Dakin’s solution

30. Which of the following is the most reliable in diagnosing a wound infection?WBC count of 20,000/μL

Situation 7 – As a nurse you need to anticipate the occurrence of complications of stroke so that life threatening situations can be prevented.31. Wendy is admitted to the hospital with signs and symptoms of stroke. Her Glasgow Coma Scale is 6 on admission. A central venous catheter was inserted an I.V. infusion was started. As a nurse assigned to Wendy what will be your priority

goal?Maintain a patent airway

32. Knowing that for a comatose patient hearing is the last sense to be lost, as Judy’s nurse, what should you do?Speak softly then hold her hands gently

33. Which among the following interventions should you consider as the highest priority when caring for June who has hemiparesis secondary to stroke?Perform range of motion exercises

34. Ivy, age 40, was admitted to the hospital with a severe headache, stiff neck and photophobia. She was diagnosed with a subarachnoid hemorrhage secondary to ruptured aneurysm. While waiting for surgery, you can provide a therapeutic environment by doing which of the following?dimming the light in her room

35. When performing a neurologic assessment on Walter, you find that his pupils are fixed and dilated. This indicated that he:has received a significant brain injury

Situation 8 – With the improvement in life expectancies and the emphasis in the quality of life it is important to provide quality care to our older patients. There are frequently encountered situations and issues relevant to the older patients.

36. Hypoxia may occur in the older patients because of which of the following physiologic changes associated with aging.Decreased alveolar surfaced area

37. The older patient is at higher risk for incontinence because of:decreased bladder capacity

38. Merle, age 86, is complaining of dizziness when she stands up. This may indicate:functional decline

39. Cardiac ischemia in an older patient usually produces:Acute confusion

40. The most dependable sign of infection in the older patient is:change in mental status

Situation 9 – A “disaster” is a large-scale emergency—even a small emergency left unmanaged may turn into a disaster. Disaster preparedness is crucial and is everybody’s business. There are agencies that are in charge of ensuring prompt response. Comprehensive Emergency Management (CEM) is an integrated approach to the management of emergency programs and activities for all four emergency phases (mitigation, preparedness, response, and recovery), for all types of emergencies and disasters (natural, man-made, and attack) and for all levels of government and the private sector.

41. Which of the four phases of emergency management is defined as “sustained action that reduces or eliminates long-term risk to people and property from natural hazards and their effects.”?Mitigation

42. You are a community health nurse collaborating with the Red Cross and working with disaster relief following a typhoon which flooded and devastated the whole province. Finding safe housing for survivors, organizing support for the family, organizing counseling debriefing sessions and securing physical care are the services you are involved with. To which type of prevention are these activities included:Tertiary prevention

43. During the disaster you see a victim with a green tag, you know that the person:has injuries that are minor and treatment can be delayed from hours to days

44. The term given to a category of triage that refers to life threatening or potentially life threatening injury or illness requiring immediate treatment:Emergent

45. Which of the following terms refer to a process by which the individual receives education about recognition of stress reaction and management strategies for handling stress which may be instituted after a disaster?Defusion

Situation 10 – As a member of the health and nursing team you have a crucial role to play in ensuring that all the members participate actively is the various tasks agreed upon.

46. While eating his meal, Matthew accidentally dislodges his IV lines and bleeds. Blood oozes on the surface of the over-bed table. It is most appropriate that you instruct the housekeeper to clean the table with:Bleach

47. You are a member of the infection control team of the hospital. Based on a feedback during the meeting of the

committee there is an increased incidence of pseudomonas infection in the Burn Unit (3 out of 10 patients had positive blood and wound culture). What is your priority activity?Do data gathering about the possible sources of infection (observation, chart review, interview).

48. Part of your responsibility as a member of the diabetes core group is to get referrals from the various wards regarding diabetic patients needing diabetes education. Prior to discharge today, 4 patients are referred to you. How would you start prioritizing your activities?Determine their learning needs then prioritize

49. You have been designated as a member of the task force to plan activities for the Cancer Consciousness Week. Your committee has 4 months to plan and implement the plan. You are assigned to contact the various cancer support groups in your hospital. What will be your priority activity?Clarify objectives of the activity with the task force before contacting the support groups

50. You are invited to participate in the medical mission activity of your alumni association. In the planning stage everybody is expected to identify what they can do during the medical mission and what resources are needed. You thought it is also your chance to share what you can do for others. What will be your most important role where you can demonstrate the impact of nursing in health?Conduct health education on healthy life style