Nokea
The nurse reviewed Mr. Gary's care to reduce errors. This is an example of?
- A. Quality improvement
- B. Patient-centered care
- C. Nursing informatics
- D. Health promotion
Correct Answer: A
Rationale: Reviewing care to reduce errors is quality improvement (A) enhancing processes, per definition. Patient-centered (B) tailors, informatics (C) tech, promotion (D) well-being not error-focused. A fits QI's aim, making it correct.
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Which of the following statement best describe cultural competence?
- A. Ignoring client's cultural beliefs
- B. Providing care that respects cultural differences
- C. Forcing client to follow hospital culture
- D. Treating all clients the same way
Correct Answer: B
Rationale: Cultural competence is providing care respecting cultural differences (B), per nursing standards tailoring to beliefs (e.g., diet, rituals). Ignoring (A), forcing (C), or sameness (D) dismiss diversity. B best defines competence as culturally sensitive care, aligning with Purnell's model, making it correct.
One of the expectations is for nurses to join professional association primarily because of
- A. Promotes advancement and professional growth among its members
- B. Works for raising funds for nurse's benefit
- C. Facilitate and establishes acquaintances
- D. Assist them and securing jobs abroad
Correct Answer: A
Rationale: Professional associations, like the PNA, promote growth e.g., offering training, certifications enhancing skills and standards. Fundraising, networking, or job placement are secondary. This advancement focus, rooted in nursing's professionalization, ensures competence and leadership, critical for career development and patient care quality.
Which of the following statement is TRUE about do-not-resuscitate (DNR) orders?
- A. Stops all treatment
- B. Prevents CPR
- C. Only for emergencies
- D. All of the above
Correct Answer: B
Rationale: DNR prevents CPR (B), per definition specific to resuscitation. Not all treatment (A), not emergency-only (C), not all (D) focused order. B truly defines DNR's scope, like Mr. Gary's potential choice, ensuring no CPR if heart stops, making it correct.
Which of the following do not correctly correlates the increase BP of Ms. Aida, a 70 year old diabetic?
- A. Females, after the age 65 tends to have lower BP than males
- B. Disease process like Diabetes increase BP
- C. BP is highest in the morning, and lowest during the night
- D. Africans, have a greater risk of hypertension than Caucasian and Asians.
Correct Answer: A
Rationale: Females over 65 often have higher BP e.g., post-menopause than males, not lower, contradicting Aida's rise. Diabetes (vessel damage), morning peaks (circadian), and African risk (genetics) align. Nurses note this e.g., in elderly diabetics for accurate hypertension management.
The nurse notes small, pimple-like pustules all over the newborn's body. When charting the integumentary assessment of this newborn, which normal finding does the nurse note?
- A. Strawberry hemangiomas
- B. Port-wine stain
- C. Erythema toxicum
- D. Telangiectatic nevi simplex
Correct Answer: C
Rationale: Small, pimple-like pustules on a newborn's body suggest erythema toxicum (C), a benign, self-limiting rash common in the first week of life, often with erythematous macules and pustules. Strawberry hemangiomas (A) are vascular growths, not pustular. Port-wine stains (B) are flat, purple birthmarks. Telangiectatic nevi simplex (D) are salmon-colored patches, not pustules. C is correct. Rationale: Erythema toxicum affects up to 70% of newborns, caused by an immune response, resolving without treatment, distinct from vascular or permanent lesions, aligning with normal neonatal skin findings.