Disposal of medical records in government hospitals/institutions must be done in close coordination with what agency?
- A. Department of Interior and Local Government (DILG)
- B. Metro Manila Development Authority (MMDA)
- C. Records Management Archives Office (RMAO)
- D. Department of Health (DOH)
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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As a nurse assigned for care for geriatric patients, you need to frequently assess your patient using the nursing process. Which of the following needs be considered with the highest priority?
- A. Patients own feeling about his illness
- B. Safety of the client especially those elderly clients who frequently falls
- C. Nutritional status of the elderly client
- D. Physiologic needs that are life threatening
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which dietary approach is most beneficial for managing hypertension?
- A. Increasing caffeine intake
- B. Reducing sodium intake
- C. Increasing dietary cholesterol
- D. Reducing fiber intake
Correct Answer: B
Rationale: Reducing sodium intake is the most beneficial dietary approach for managing hypertension. High sodium intake can lead to increased blood pressure, so lowering sodium intake is crucial in managing hypertension. Choices A, C, and D are incorrect because increasing caffeine intake, dietary cholesterol, or reducing fiber intake are not recommended dietary approaches for managing hypertension and may even have adverse effects on blood pressure levels.
Before Dianne performs the formal research study, what do you call the pre-testing, small-scale trial run to determine the effectiveness of data collection and methodological problems that might be encountered?
- A. Sampling
- B. Pre-testing
- C. Pre-Study
- D. Pilot Study
Correct Answer: D
Rationale: The correct answer is 'Pilot Study.' A pilot study is a small-scale trial run conducted before the formal research study to identify and address any issues related to data collection and methodology. This helps in determining the effectiveness of the research process and identifying potential problems that may arise. Choice A, 'Sampling,' refers to the process of selecting a subset of individuals from a larger population for research. Choice B, 'Pre-testing,' simply involves testing something before the main testing phase. Choice C, 'Pre-Study,' is not a commonly used term in research methodology and does not specifically refer to the small-scale trial run described in the question.
For an incontinent elderly client who frequently wets his bed and develops redness and skin excoriation at the perianal area, what is the best nursing goal?
- A. Ensure that the bed linen is always dry
- B. Frequently check the bed for wetness and keep it dry
- C. Place a rubber sheet under the client's buttocks
- D. Keep the patient clean and dry
Correct Answer: A
Rationale: The best nursing goal for an incontinent elderly client with skin excoriation is to ensure that the bed linen is always dry. This helps in preventing further skin breakdown and promoting skin integrity. Choice B, to frequently check the bed for wetness and keep it dry, may not address the issue of prevention if the linen is not consistently dry. Choice C, placing a rubber sheet under the client's buttocks, focuses more on protecting the mattress rather than addressing the client's skin condition directly. Choice D, keeping the patient clean and dry, is important but does not specifically address the preventive aspect of maintaining dry bed linen.
The parent of a child newly diagnosed with lactose intolerance is being taught by the nurse. Which food items identified by the parent indicate an understanding of foods to avoid?
- A. Popcorn, seeds, and any foods containing nuts.
- B. Milk, cheese, ice cream, and puddings.
- C. Wheat, rye, barley, and commercially baked goods.
- D. Eggs, ham, bacon, and canned meats.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.