When providing health education to a patient, what is an essential aspect of effective communication?
- A. Using complex medical terminology to convey authority.
- B. Speaking quickly to cover more information in less time.
- C. Using clear and simple language to enhance understanding.
- D. Avoiding repetition to prevent boredom.
Correct Answer: C
Rationale: When providing health education to a patient, using clear and simple language is an essential aspect of effective communication. Medical terminology can be confusing and overwhelming for individuals without a medical background. By using language that the patient can easily understand, you improve their comprehension of the information being conveyed. Speaking quickly or using complex terms can actually hinder communication and may lead to misunderstanding. Clear and simple language helps ensure that the patient fully grasps the information and can make informed decisions about their health.
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The ER nurse clarifies the doctor's prescription on the dose of the pain medication based on the pain scale assessment and patient's age. which ethical principle is applied?
- A. Fidelity
- B. Truthfulness
- C. Justice
- D. Non-maleficence
Correct Answer: D
Rationale: Non-maleficence is the ethical principle that emphasizes the obligation to avoid causing harm to patients. In this scenario, the ER nurse clarifies the doctor's prescription to ensure the correct dosage of the pain medication based on the pain scale assessment and the patient's age. By doing so, the nurse is ensuring that the medication is safe and effective for the patient, thus adhering to the principle of non-maleficence. This action demonstrates the nurse's commitment to preventing harm and promoting the well-being of the patient through proper medication management.
A patient presents with delayed puberty, short stature, and a childlike appearance. Laboratory tests reveal low levels of growth hormone (GH) and insulin-like growth factor 1 (IGF-1). Which endocrine disorder is most likely responsible for these symptoms?
- A. Hyperthyroidism
- B. Hypothyroidism
- C. Diabetes mellitus
- D. Growth hormone deficiency
Correct Answer: D
Rationale: The patient mentioned in the scenario presents with delayed puberty, short stature, and a childlike appearance. These symptoms are indicative of growth hormone deficiency (GHD). GHD is a condition where the pituitary gland does not produce enough growth hormone, which is crucial for normal growth and development.
Vangie, 73 years old, comorbid with hypertension and asthma died of COVID Ariel grieved and mourned to the loss of his mother's untimely death. He is now aware that his mother is one of those 13, 425 deaths. The nurse will consider stage of grieving process is Ariel at what experiencing?
- A. Depression
- B. Denial and Anger
- C. Bargaining
- D. Acceptance
Correct Answer: A
Rationale: Ariel is likely experiencing the stage of depression in the grieving process. The stages of grief, according to the Kubler-Ross model, are denial, anger, bargaining, depression, and acceptance. In this scenario, Ariel has come to terms with his mother's death and is mourning her loss, which aligns with the stage of depression characterized by feelings of sadness, hopelessness, and intense sorrow. It is a normal part of the grieving process for individuals to experience these emotions as they process their loss.
A patient post-thyroidectomy develops signs of hypocalcemia, including tingling around the mouth and muscle cramps. Which action should the nurse take first?
- A. Administer oral calcium supplements
- B. Notify the healthcare provider
- C. Assess the patient's calcium level
- D. Encourage increased intake of dairy products
Correct Answer: C
Rationale: The first action the nurse should take when a patient post-thyroidectomy develops signs of hypocalcemia is to assess the patient's calcium level. By assessing the patient's calcium level through laboratory testing, the nurse can confirm the presence of hypocalcemia and determine the severity of the condition. This information will guide further interventions, such as administering calcium supplements or notifying the healthcare provider for additional management. It is important to confirm the diagnosis before proceeding with treatment to ensure appropriate and safe care for the patient.
A patient presents with a small, painless, well-defined nodule on the lateral aspect of the neck, just above the clavicle. Fine-needle aspiration cytology reveals clusters of polygonal cells with abundant granular cytoplasm. Which of the following conditions is most likely responsible for this presentation?
- A. Thyroglossal duct cyst
- B. Branchial cleft cyst
- C. Lymphadenopathy
- D. Parathyroid adenoma
Correct Answer: D
Rationale: The presentation of a small, painless, well-defined nodule on the lateral aspect of the neck, above the clavicle, along with the cytology showing clusters of polygonal cells with abundant granular cytoplasm is most indicative of a parathyroid adenoma. Parathyroid adenomas are benign tumors derived from the parathyroid gland that can produce excess parathyroid hormone (PTH), leading to hyperparathyroidism. The characteristic histology of parathyroid adenomas includes chief cells with abundant granular cytoplasm.