Nokea
As a newly 1icensed nurse employed in a tertiary hospital, you are required to attend Continuing Professional Development (CPD) program. When the training program is for the enrichment of nurses in the hospital, it is called __________.
- A. informal training program
- B. formal education program
- C. self-directed
- D. In-service training program
Correct Answer: D
Rationale: In-service training programs are specifically designed to provide continuing education and professional development for employees within a particular organization, in this case, a hospital. These programs are tailored to meet the needs of the staff and enhance their skills and knowledge within their work environment. Since the CPD program in the tertiary hospital is aimed at enriching and supporting the growth of the nurses' knowledge and expertise within the hospital setting, it falls under the category of an in-service training program.
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Which of the following is NOT TRUE of type 2 diabetes Mellitus?
- A. Increased production of glucose from the liver
- B. Insulin resistance in the peripheral tissues
- C. Destruction of beta cell from autoimmune mechanism which result in lack of insulin and hyperglycemia
- D. Defective beta cell secretion with loss of insulin
Correct Answer: C
Rationale: Type 2 diabetes mellitus is characterized by insulin resistance in the peripheral tissues and defective beta cell secretion with loss of insulin. In type 2 diabetes, there is typically not destruction of beta cells from an autoimmune mechanism that leads to lack of insulin and hyperglycemia as seen in type 1 diabetes mellitus. Instead, in type 2 diabetes, the pancreas initially produces insulin, but the body's cells become resistant to its effects. This results in hyperglycemia due to the inability of the body to properly regulate blood sugar levels. Therefore, choice C is not true for type 2 diabetes mellitus.
The patient's diagnostic tests revealed he was positive for bacterial pneumonia. The MOST likely causative organism of this type of pneumonia is ______.
- A. legionella pneumoniae
- B. streptococcus pneumoniae
- C. mycoplasma pneumoniae
- D. hemophilus pneumoniae
Correct Answer: B
Rationale: Streptococcus pneumoniae is the most common causative organism of bacterial pneumonia in adults. It is responsible for the majority of community-acquired pneumonia cases. Streptococcus pneumoniae is a gram-positive bacteria and is known to cause typical pneumonia characterized by sudden onset of high fever, productive cough with blood-tinged or rust-colored sputum, chest pain, and consolidation on chest imaging. Other organisms like Legionella pneumophila (choice A), Mycoplasma pneumoniae (choice C), and Haemophilus influenzae (choice D) can also cause pneumonia, but Streptococcus pneumoniae is the most likely culprit based on the patient's test results.
Nurse Carmi plans to gather 6 participants who are victims of domestic violence where she will base her questionnaires. What technique in qualitative research is applicable to this plan?
- A. Data triangulation
- B. Interview
- C. Focus group discussion
- D. Case study
Correct Answer: C
Rationale: In qualitative research, a focus group discussion is a technique where a group of participants are brought together to discuss specific topics in depth. In this case, Nurse Carmi's plan to gather 6 participants who are victims of domestic violence aligns well with the focus group discussion technique. By involving multiple participants who have experienced domestic violence, she can facilitate a dynamic conversation to gather rich data and insights. This approach allows for the exploration of diverse perspectives, experiences, and opinions within the group setting, providing a deeper understanding of the issue at hand. Additionally, focus group discussions can be more cost-effective and efficient than conducting individual interviews when working with a small group of participants. Therefore, conducting a focus group discussion would be an appropriate qualitative research technique for Nurse Carmi's plan to gather data from victims of domestic violence for her questionnaires.
Therapeutic treatment for Mrs. Juan should be directed towards helping her to ______.
- A. learn that her behavior is not serving a realistic purpose
- B. forget her fears by administering antianxiety medications
- C. redirect her energy into activities to help others
- D. understand her behavior is caused by unconscious impulses that she fears
Correct Answer: C
Rationale: Mrs. Juan's therapeutic treatment should focus on redirecting her energy into activities that involve helping others. By engaging in altruistic activities, Mrs. Juan can shift her focus away from her fears and anxieties towards something positive and fulfilling. This approach can help her to find purpose and meaning outside of her own concerns, fostering a sense of well-being and satisfaction. Additionally, helping others can provide Mrs. Juan with a sense of accomplishment and self-worth, ultimately contributing to her overall mental health and emotional resilience.
As a QA nurse, which of the following can Nurse Jen adopts as a concurrent evaluation of patient's outcomes in the unit? I Direct observation of patient's condition. II Patient's interview in the unit. III Face to face interview with nursing staff. IV Nursing audit from the patient's chart.
- A. III & IV
- B. I, II, III, & IV
- C. I, II, & I
- D. I & II
Correct Answer: A
Rationale: As a QA nurse, Nurse Jen can adopt concurrent evaluation methods to assess patient outcomes in the unit. The most appropriate options for concurrent evaluation are Face to face interview with nursing staff (III) and Nursing audit from the patient's chart (IV).