Nokea
Based on the Right to Privacy and Confidentiality under the Patient's Bill of Rights, the patient has the right to demand on the following, but NOT _______ pertaining to his care as confidential.
- A. Information
- B. Records
- C. Communication
- D. Financial status
Correct Answer: D
Rationale: The patient has the right to demand that information, records, and communications pertaining to their care be kept confidential under the Right to Privacy and Confidentiality as outlined in the Patient's Bill of Rights. However, financial status is generally not considered part of the confidential medical information and may not fall under the same level of protection as personal health information. Therefore, the patient cannot demand that their financial status be treated as confidential under this particular right.
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A 22-year-old woman presents with cyclic pelvic pain, dysmenorrhea, and infertility. On pelvic examination, the uterus is retroverted and enlarged. Which of the following conditions is most likely to be responsible for these findings?
- A. Endometriosis
- B. Adenomyosis
- C. Leiomyomas (uterine fibroids)
- D. Pelvic inflammatory disease (PID)
Correct Answer: B
Rationale: Adenomyosis is a condition characterized by the presence of endometrial tissue within the myometrium (muscle wall) of the uterus. It can present with symptoms such as cyclic pelvic pain, dysmenorrhea (painful periods), and infertility. On pelvic examination, the uterus may be retroverted (tilted backward) and enlarged due to the presence of adenomyotic nodules within the uterine muscle. Adenomyosis can also cause heavy menstrual bleeding (menorrhagia). Endometriosis, on the other hand, involves the presence of endometrial tissue outside the uterus and can cause similar symptoms but is less likely to result in uterine enlargement or retroversion. Leiomyomas (uterine fibroids) are benign tumors of the uterine muscle and can also cause pelvic pain and abnormal uterine enlargement but are less likely to be associated with dysmenorrhea and infertility
Doing year end performance evaluation of the staff is an example of
- A. Planning
- B. Organizing
- C. Controlling
- D. Staffing
Correct Answer: C
Rationale: Conducting a year-end performance evaluation of the staff is an example of a controlling function in management. Controlling involves monitoring and evaluating the performance of employees to ensure that they are working effectively and meeting the set goals and standards. By assessing the staff's performance at the end of the year, managers can identify areas of improvement, provide feedback, and make necessary adjustments to ensure the overall success of the organization. Hence, the process of evaluating staff performance falls under the controlling function of management.
Charting are important documents that are used in court proceedings a Nurse Chona should take note that the following entry recorded would be MOST defensible in court?
- A. Large bruises on thigh upon assessment.
- B. Patient fell out of bed when reaching out for medication.
- C. Burn on the back area observed upon auscultation.
- D. Patient drunk when seen in the Emergency Room.
Correct Answer: A
Rationale: Of the options provided, documenting objective, observable findings such as large bruises on the thigh upon assessment is the most defensible entry in court. This type of entry is based on the nurse's direct observation and assessment of the patient's physical condition, which can be corroborated by other healthcare providers or evidence. It provides clear, factual information without making assumptions or subjective judgments. In court, this type of documentation can help support the nurse's credibility and reliability as a witness.
Simple hysterectomy involves the removal of which structure(s)?
- A. uterus only
- B. uterus and fallopian tubes
- C. uterus and cervix
- D. uterus, ovaries, and fallopian tubes
Correct Answer: C
Rationale: A simple hysterectomy involves the removal of the uterus and cervix. It does not involve the removal of the fallopian tubes or ovaries. In some cases, the fallopian tubes may be removed along with the uterus, but this would be specified as a different type of hysterectomy (such as a total hysterectomy or a radical hysterectomy). The removal of the ovaries, if necessary, would be indicated as an oophorectomy.
A nurse is preparing to assist with a transesophageal echocardiogram (TEE) procedure for a patient. What action should the nurse prioritize to ensure patient safety during TEE?
- A. Placing the patient in a supine position with arms at their sides
- B. Administering intravenous sedation to the patient before the procedure
- C. Instructing the patient to refrain from eating or drinking for six hours before the procedure
- D. Ensuring the availability of emergency equipment and resuscitation medications
Correct Answer: D
Rationale: Ensuring the availability of emergency equipment and resuscitation medications is crucial to prioritize patient safety during a transesophageal echocardiogram (TEE) procedure. TEE involves inserting a specialized probe (transducer) into the esophagus to obtain detailed images of the heart. While complications during TEE are rare, they can include adverse reactions to sedation, esophageal injury, arrhythmias, or other cardiac events. By having emergency equipment and resuscitation medications readily available, the healthcare team can respond promptly to any unforeseen complications or emergencies that may arise during the procedure, ensuring optimal patient safety. Placing the patient in a supine position, providing sedation, and advising the patient to fast before the procedure are important aspects of the TEE process; however, ensuring emergency preparedness takes precedence in prioritizing patient safety during the procedure.