Nokea
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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Ella states'I will hang my self' this is a manifestation of:
- A. Denial
- B. Suicidal intent
- C. Suicidal threat
- D. Paranoia.
Correct Answer: B
Rationale: Ella's statement "I will hang myself" directly indicates a desire and intent to commit suicide. This is classified as a suicidal intent, which is a serious concern that requires immediate attention and intervention. It is crucial to take any mention or indication of suicide seriously and seek help from mental health professionals or crisis intervention services.
Which of the following interventions is most appropriate for a patient experiencing an acute asthma exacerbation with severe respiratory distress and hypoxemia?
- A. Administration of high-flow oxygen via nasal cannula
- B. Initiation of non-invasive positive pressure ventilation (NIPPV)
- C. Nebulized albuterol/ipratropium combination therapy
- D. Intravenous corticosteroid therapy
Correct Answer: B
Rationale: In a patient experiencing an acute asthma exacerbation with severe respiratory distress and hypoxemia, the most appropriate intervention is to initiate non-invasive positive pressure ventilation (NIPPV). NIPPV can help improve ventilation, decrease work of breathing, and correct hypoxemia by providing positive pressure to keep the airways open, reduce air trapping, and increase the elimination of carbon dioxide. This intervention can help improve oxygenation and reduce the need for invasive mechanical ventilation in patients with severe asthma exacerbations. Administering high-flow oxygen via nasal cannula alone may not provide enough support for patients with severe respiratory distress. Nebulized albuterol/ipratropium combination therapy and intravenous corticosteroid therapy are also important treatments for asthma exacerbations but are not the first-line interventions for patients with severe respiratory distress and hypoxemia.
To grow as a person, the student nurse can attend lecture-demonstration on which of the following procedures?
- A. Bathing the newborn
- B. Doing first aid
- C. Proper bandaging
- D. Doing makeup
Correct Answer: B
Rationale: Attending a lecture-demonstration on doing first aid is essential for the growth of a student nurse as it equips them with crucial knowledge and skills to respond effectively in emergency situations. First aid training teaches basic life-saving techniques and how to provide immediate care until medical professionals arrive. This knowledge is vital in the healthcare field, allowing the student nurse to provide immediate assistance and potentially save lives. By learning first aid procedures, the student nurse can enhance their skills, confidence, and overall capability to care for patients in various settings. This continuous learning and improvement are key to personal growth and professional development in the healthcare industry.
Cell-mediated immunity is NOT usually associated with what condition:
- A. Rejection of tissue graft
- B. Production of antibodies
- C. Skin hypersensitivity reaction
- D. Surveying for malignant cells
Correct Answer: B
Rationale: Cell-mediated immunity is a type of immune response that involves the activation of cytotoxic T cells and other immune cells to directly target and destroy infected or abnormal cells. It does not involve the production of antibodies, which are the primary component of humoral immunity. Antibodies are produced by B cells and are responsible for targeting extracellular pathogens such as bacteria and viruses. In contrast, cell-mediated immunity is more focused on targeting intracellular pathogens, cancerous cells, and other cells that have been compromised. So, production of antibodies is not usually associated with cell-mediated immunity.
In the care of families, crisis intervention is an important part of _____.
- A. Secondary prevention
- B. Primary prevention
- C. Tertiary prevention
- D. Health promotion
Correct Answer: A
Rationale: Crisis intervention is an important part of secondary prevention in the care of families. Secondary prevention involves activities that aim to reduce the impact of a crisis or event that has already occurred. Crisis intervention provides immediate support and strategies to help families cope with and overcome a crisis situation. By addressing the crisis quickly and effectively, secondary prevention can help prevent further negative outcomes and promote the well-being of the family members.