Nokea
A nurse is resistant to the change and is not taking an active part in facilitating the process of change. Which is the BEST approach in dealing with the nurse?
- A. Exert coercion on the nurse
- B. Provide a positive reward system for the nurse
- C. Talk and encourage verbalizing feelings of the change
- D. Ignore the resistance of the nurse.
Correct Answer: C
Rationale: The best approach in dealing with a nurse who is resistant to change and not actively participating is to communicate and encourage verbalizing feelings about the change. By talking with the nurse and allowing them to express their concerns and feelings, you can address any underlying issues that may be causing the resistance. This approach can help build trust, improve communication, and ultimately increase the nurse's engagement in the change process. Coercion (Choice A) can create negative feelings and resistance, while ignoring the nurse's resistance (Choice D) will not resolve the issue. Providing positive rewards (Choice B) may be helpful but may not address the underlying reasons for resistance. Communication is key in addressing resistance to change and fostering a positive, open environment for all involved.
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In the performance of her role and functions a school nurse, which guiding principle should be consider very IMPORTANT?
- A. Health is an integral part of the education process.
- B. The nurse is in full authority over the children
- C. The local health authority supervises the school health
- D. School nursing is more focused on socialization
Correct Answer: A
Rationale: The guiding principle that health is an integral part of the education process is of utmost importance for a school nurse in performing their role and functions. This principle emphasizes the interconnectedness of health and academic success, highlighting that healthy students are better able to learn and succeed in school. As a school nurse, understanding and prioritizing this principle means focusing on promoting health and wellness, providing healthcare services, and implementing health education programs to support the overall well-being and academic achievement of students. By recognizing the significance of this principle, school nurses can effectively contribute to creating a healthy and supportive school environment that fosters student growth and development.
A patient presents with a painless, slowly enlarging mass in the right neck, just above the clavicle. Fine-needle aspiration cytology reveals clusters of polygonal cells with clear cytoplasm and centrally located nuclei. Which of the following conditions is most likely responsible for this presentation?
- A. Parathyroid adenoma
- B. Thyroglossal duct cyst
- C. Lymphadenopathy
- D. Thyroid carcinoma
Correct Answer: A
Rationale: The described presentation of a painless, slowly enlarging mass in the right neck just above the clavicle, along with the cytology findings of clusters of polygonal cells with clear cytoplasm and centrally located nuclei, is classic for parathyroid adenoma. Parathyroid adenomas are benign tumors arising from one of the parathyroid glands, which are typically located in the neck region close to the thyroid gland. The clear cytoplasm and centrally located nuclei of the cells are characteristic histological features of parathyroid adenomas. This condition can often lead to hyperparathyroidism, characterized by increased levels of parathyroid hormone (PTH) and hypercalcemia. Treatment involves surgical removal of the adenoma.
A pregnant woman presents with severe lower abdominal pain and vaginal bleeding. On examination, cervical motion tenderness and unilateral adnexal tenderness are noted, along with an adnexal mass on the affected side. Which of the following conditions is the most likely cause of these symptoms?
- A. Ectopic pregnancy
- B. Pelvic inflammatory disease
- C. Placenta previa
- D. Ovarian torsion
Correct Answer: A
Rationale: The clinical presentation of severe lower abdominal pain and vaginal bleeding in a pregnant woman, along with cervical motion tenderness, unilateral adnexal tenderness, and an adnexal mass on the affected side, is highly concerning for an ectopic pregnancy. Ectopic pregnancy occurs when a fertilized egg implants outside the uterus, most commonly in the fallopian tube. The presence of an adnexal mass and tenderness on one side is indicative of potential tubal involvement and can mimic symptoms of pelvic inflammatory disease. Prompt evaluation and management are crucial in ectopic pregnancy to prevent life-threatening complications associated with rupture of the fallopian tube.
Before the education plan of the staff nurse can be finalized and implemented, it is best that it is reviewed by the
- A. Nurse supervisor
- B. Head nurse
- C. Medical Director
- D. Chief nurse
Correct Answer: A
Rationale: Before finalizing and implementing the education plan for the staff nurse, it is important to have the plan reviewed by the nurse supervisor. The nurse supervisor is directly responsible for overseeing the staff nurses and their education and training needs. They have a good understanding of the staff nurse's current skills, areas for improvement, and training requirements. By involving the nurse supervisor in the review process, you can ensure that the education plan is aligned with the overall goals and needs of the nursing staff and the department. Additionally, the nurse supervisor can provide valuable input and insights to help tailor the education plan to meet the specific needs of the staff nurses under their supervision.
To have a better analysis and interpretation of the findings, Nurse Carmi reviewed and compared them with other findings of previous researches on the same topic. This is done MAINLY by going back to which part of the study? The _____________.
- A. Statement of the problem
- B. Related literature and studies
- C. Conceptual framework of the studies
- D. Theoretical framework of the study
Correct Answer: B
Rationale: Reviewing and comparing the findings with other researches on the same topic is done mainly by going back to the related literature and studies section of the study. This section provides a comprehensive overview of existing knowledge and research findings related to the topic being studied. By comparing the current findings with what has been previously discovered and reported by other researchers, Nurse Carmi can better analyze and interpret the results within the broader context of the existing body of knowledge. This helps in identifying the significance of the new findings, highlighting potential contributions to the field, and determining areas for further research or discussion.