Nokea
A patient is prescribed an antipsychotic medication for the management of bipolar disorder. Which adverse effect should the nurse monitor closely in the patient?
- A. Hypertension
- B. Hyperglycemia
- C. Hypotension
- D. Hypernatremia
Correct Answer: B
Rationale: Antipsychotic medications can cause metabolic side effects, including hyperglycemia (high blood sugar). Patients with bipolar disorder who are prescribed antipsychotic medications are at risk for developing new-onset diabetes or exacerbating preexisting diabetes. Monitoring blood glucose levels is essential to detect hyperglycemia early and prevent complications such as diabetic ketoacidosis. While hypertension, hypotension, and hypernatremia are possible side effects of certain medications, they are not typically associated with antipsychotic medications commonly used in the management of bipolar disorder. Hyperglycemia is a serious concern in this population due to the risk of developing diabetes or worsening of existing diabetes.
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Nurse Vince is going to refer patient to secondary health facility. Which of the following is an example of secondary health facility?
- A. District hospital
- B. Rural health unit
- C. Puereculture Center
- D. Barangay health station
Correct Answer: A
Rationale: A district hospital is an example of a secondary health facility. Secondary health facilities are the intermediate level of healthcare services, providing a higher level of care compared to primary health facilities like rural health units and barangay health stations. District hospitals typically offer more specialized medical services, diagnostic facilities, and inpatient care that are not available at lower-level health facilities. When Nurse Vince refers a patient to a district hospital, it means that the patient requires more extensive and specialized medical care beyond what can be provided at the primary level of care.
Which of the following is NOT covered in Patient's Bill of Rights?
- A. Refusal to treatment
- B. Informed consent
- C. Right to treatment
- D. Civil commitment
Correct Answer: D
Rationale: The Patient's Bill of Rights typically focuses on ensuring patients have the right to certain aspects of their healthcare, such as the right to refuse treatment, the right to informed consent, and the right to receive treatment. Civil commitment, on the other hand, refers to the legal process through which an individual is involuntarily placed in a psychiatric facility for evaluation and treatment. This issue is not typically addressed in the Patient's Bill of Rights, as it involves specific legal procedures rather than general patient rights.
Population structure is a diagram of population typically presented in a pyramid-like style format based on ___________.
- A. Sex and educational attainment
- B. Age and civil status
- C. Age and fertility
- D. Age and sex
Correct Answer: D
Rationale: Population structure is a diagram that presents the distribution of a population based on age and sex. It is typically displayed in a pyramid-like style format, with the horizontal axis showing the age groups and the vertical axis showing the percentage or number of individuals in each age group, divided by sex. This helps to visualize how the population is distributed in terms of age and sex, providing important insights into demographic trends, such as age dependency ratio and potential future trends in population growth or decline. Age and sex are the key demographic variables used to construct a population structure diagram.
An infant's current weight indicates that the maximum safe dose of Tylenol is 30 mg by mouth. The physician orders 65 mg to be given, the pharmacist is responsible for filling the medication order, and the nurse administers Tylenol 65 mg. Who is legally responsible in the event that the infant has a toxic reaction to the medication?
- A. nurse
- B. physician
- C. pharmacist
- D. pharmacist and physician
Correct Answer: C
Rationale: The pharmacist is legally responsible in this situation because they are the healthcare professional authorized to dispense medications according to the physician's order. In this case, the physician ordered a dose higher than the maximum safe dose recommended based on the infant's current weight. While the nurse administers the medication, the pharmacist has the responsibility to ensure that the correct dose is dispensed and to alert the physician if there is a discrepancy in the order. If the pharmacist dispensed the incorrect dose without verifying with the physician, they would bear legal responsibility for any adverse effects resulting from the medication error.
The reasons for the nurse wishing to enhance his/her communication skill is to be able to establish Rapport, EXCEPT
- A. brings about change to promote well-being of patients
- B. decreased incidents
- C. gets better evaluation rating of care and delivery of legal problems
- D. generates threat between the nurse and the patient
Correct Answer: D
Rationale: The primary goal of enhancing communication skills for a nurse is to establish rapport with patients, which can lead to better outcomes, increased patient satisfaction, and improved quality of care. Generating a threat between the nurse and the patient is counterproductive to building rapport and does not align with the intention of enhancing communication skills in healthcare settings.