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A patient expresses frustration with the lack of information provided by the healthcare team. What is the nurse's best response?
- A. Dismiss the patient's frustration and assure them that the healthcare team is doing their best.
- B. Listen actively to the patient's concerns, acknowledge the lack of information, and offer to address the issue.
- C. Ignore the patient's frustration and proceed with providing care.
- D. Tell the patient that their frustration is unwarranted and unnecessary.
Correct Answer: B
Rationale: The best response for the nurse in this situation would be to listen actively to the patient's concerns, acknowledge the lack of information, and offer to address the issue. It is important for healthcare providers to validate the patient's feelings and actively work towards resolving any issues that are causing frustration. By being empathetic and willing to address the problem, the nurse can help improve the patient's experience and build trust in the healthcare team. Dismissing or ignoring the patient's frustration can lead to further dissatisfaction and breakdown in communication. It is crucial for healthcare providers to prioritize open communication and address any concerns or lack of information promptly.
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A patient presents with a rash characterized by erythematous papules and vesicles arranged in a linear distribution. Which of the following conditions is most likely responsible for this presentation?
- A. Psoriasis
- B. Contact dermatitis
- C. Scabies
- D. Atopic dermatitis
Correct Answer: C
Rationale: Scabies is a contagious skin infestation caused by the Sarcoptes scabiei mite. The classic presentation of scabies includes a rash characterized by erythematous papules and vesicles that are arranged in a linear or burrow-like distribution. These linear tracks are often seen in areas such as the interdigital spaces, wrists, elbows, axillae, belt line, and genitalia. It is commonly associated with intense itching, especially at night. Unlike psoriasis, which presents with silvery scales and well-defined borders, or contact dermatitis, which results from exposure to a specific allergen or irritant, scabies is caused by a parasitic mite infestation. Atopic dermatitis, on the other hand, is a chronic inflammatory skin condition characterized by pruritic eczematous lesions, but it typically does not manifest with a linear distribution of lesions like scabies.
The research team will use summary indicators of health as method to depict health status. What is this approach called?
- A. Analytic
- B. Descriptive
- C. Holistic
- D. Evaluative
Correct Answer: B
Rationale: The approach of using summary indicators of health to depict health status is known as a descriptive approach. In this method, researchers aim to provide a clear and concise summary of the health status of a population or group. It involves presenting information in a straightforward manner, without making judgments or interpretations about the data. Descriptive statistics are often used in public health research to provide an overview of key health indicators and trends. This approach helps to identify patterns and characteristics within the data, which can then be used to inform decision-making and interventions aimed at improving health outcomes.
Which of the following conditions does the nurse explain to the patient the contributory factor that slows uterine involution?
- A. Full bladder during labor
- B. Difficult birth
- C. Prolonged labor
- D. Infection during pregnancy
Correct Answer: C
Rationale: Prolonged labor is a condition in which labor lasts for an extended period, typically more than 20 hours for first-time mothers and more than 14 hours for experienced mothers. Prolonged labor can contribute to slowing down uterine involution because the prolonged pressure and strain on the uterus can affect its ability to return to its pre-pregnancy size and position. The prolonged contractions and stretching of the uterine muscles can hinder the normal process of uterine involution, leading to a delay in the uterus shrinking back to its non-pregnant state. Additionally, prolonged labor can increase the risk of postpartum complications such as excessive bleeding and infection, which can further impact uterine involution. Therefore, it is crucial for healthcare providers to monitor labor progress closely to prevent prolonged labor and its potential effects on uterine involution.
What bio-ethical principle is violated by a nurse if he provides his patient fraudulent information about his diagnosis and prognosis?
- A. Justice
- B. Beneficence
- C. Autonomy
- D. Veracity
Correct Answer: D
Rationale: The bio-ethical principle of veracity pertains to honesty and truthfulness in healthcare communication. By providing fraudulent information about the patient's diagnosis and prognosis, the nurse would be violating the principle of veracity. It is crucial for healthcare providers to be honest and provide accurate information to patients in order to ensure informed decision-making and uphold the trust between healthcare professionals and their patients. Misleading a patient about their diagnosis and prognosis can have serious consequences on the patient's understanding of their condition, treatment decisions, and overall well-being. Therefore, maintaining honesty and truthfulness is essential in promoting ethical healthcare practices.
Which of the following health teaching concern for the nurse as discharged plan for suicidal patient who had been taking tricyclic antidepressant drugs for 2 weeks and now ready to go home?
- A. The nurse will need to include teaching regarding signs of narcoleptic malignant syndrome.
- B. The patient will need regular laboratory work to monitor therapeutic drug levels.
- C. The nurse will evaluate the risk for suicide by overdose of tricyclic antidepressant.
- D. The patient may need a prescription for Benadryl to use for side effects.
Correct Answer: C
Rationale: When discharging a suicidal patient who has been taking tricyclic antidepressant drugs, it is crucial for the nurse to evaluate the risk for suicide by overdose of the medication. Tricyclic antidepressants have a narrow therapeutic index, meaning that the difference between a therapeutic dose and a toxic dose can be quite small. This makes them particularly dangerous in cases of overdose, as they can lead to severe toxic effects, including cardiac arrhythmias, seizures, and death.