Adult Health Nursing Answer Key

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An 80-years-old male, admitted for emergency suturing of the forehead sustained from accident fall while gardening under local sedation us received in the ward. Which nursing intervention is APPROPRIATE to facilitate effective communication with this patient?

  • A. Talk to patient when ful1y awake and inform him and family events which may occur post-surgery .
  • B. Provide the patient with instruction materials about discharge.
  • C. Tell the patient, "You are fine nothing to worry."
  • D. Ask the patient, "Do you know where you are?''
Correct Answer: A

Rationale: Option A is the most appropriate nursing intervention to facilitate effective communication with the 80-year-old male patient. This approach involves waiting for the patient to be fully awake before discussing important information about the surgery and potential post-surgery events with both the patient and family. This allows the patient to fully comprehend the information provided and ask any necessary questions. Effective communication is crucial in promoting patient understanding and cooperation, especially in older adults who may require additional time to process information due to factors such as age-related cognitive changes. It is important to ensure that the patient receives clear and accurate information to support their recovery process and reduce anxiety.

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After 3 years being assigned in the Operating Room, Merle in interested to actively join which appropriate professional organization?

  • A. ORNAP
  • B. ADPCN
  • C. NLGN
  • D. APO
Correct Answer: A

Rationale: ORNAP stands for Operating Room Nurses Association of the Philippines. As Merle has been assigned in the Operating Room for 3 years and is interested in actively joining a professional organization related to this field, ORNAP would be the most appropriate choice. ORNAP focuses on promoting excellence in perioperative nursing practice through education, research, and collaboration. By joining ORNAP, Merle can further enhance her knowledge and skills in the Operating Room setting, as well as network with other professionals in the same field.

During a shift handover, the nurse receives information about a patient's condition from the outgoing nurse. What action by the nurse demonstrates effective communication during the handover process?

  • A. Interrupting the outgoing nurse to ask questions
  • B. Writing down the information without asking for clarification
  • C. Summarizing key points and asking clarifying questions as needed
  • D. Disregarding the information and relying on personal assessment later
Correct Answer: C

Rationale: Option C, summarizing key points and asking clarifying questions as needed, demonstrates effective communication during the handover process. This action ensures that the nurse fully understands the information being provided and helps to prevent misunderstandings or missing critical details. By summarizing key points, the nurse confirms their understanding and can ask for clarification on any areas that are unclear. Effective communication during handovers is essential for maintaining patient safety and continuity of care.

When conducting a nursing history on the Health Perception, Health Management pattern of functioning what is the APPROPRIATE question to be asked pre-operatively?

  • A. Do you experience your wound to heal quickly?
  • B. Do you have shortness of breath when exercising?
  • C. Are you aware of risk factors for your disease?
  • D. Have you experience weight changes in the past?
Correct Answer: C

Rationale: When conducting a nursing history on the Health Perception, Health Management pattern of functioning pre-operatively, an appropriate question to ask would be "Are you aware of risk factors for your disease?" This question helps assess the individual's level of awareness and understanding of their health condition and the factors that may impact it. Understanding the patient's knowledge of their risk factors can help guide interventions and education before surgery to optimize their health outcomes. Asking about perceived wound healing, shortness of breath, or weight changes may not be directly related to the patient's awareness of their disease risk factors in the pre-operative setting.

Which of the following structures is responsible for producing hydrochloric acid and intrinsic factor, essential for the digestion of proteins and absorption of vitamin B12, respectively?

  • A. Liver
  • B. Stomach
  • C. Pancreas
  • D. Small intestine
Correct Answer: B

Rationale: The stomach is responsible for producing hydrochloric acid and intrinsic factor. Hydrochloric acid helps in the breakdown of proteins during digestion, while intrinsic factor aids in the absorption of vitamin B12 in the small intestine. These two components are crucial for the proper functioning of the digestive system, particularly in breaking down food and absorbing essential nutrients. The liver is involved in bile production, the pancreas in the production of digestive enzymes, and the small intestine in nutrient absorption, but the specific functions related to hydrochloric acid and intrinsic factor are primarily attributed to the stomach.

The nurse instructs the patient that the BEST time for an incontinent patient to take his diuretics is

  • A. Any time of the day
  • B. In the morning
  • C. After 4:00 PM
  • D. At bedtime
Correct Answer: D

Rationale: The best time for an incontinent patient to take diuretics is at bedtime. This timing allows for increased urine production during the night, consequently reducing the need for frequent toileting during the day. By taking the diuretic at bedtime, the patient can manage their incontinence more effectively and have better rest without disruptions from frequent urination during the day.

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