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In caring for this patient suffering from anorexia nervous, which task can be delegated to the nursing assistant?
- A. Obtaining special food for the patient when she request it
- B. Sitting with the patient during meals and for about an hour after/meals
- C. Weighing the patient daily and reinforcing that she is underweight
- D. Observing for reporting ritualistic behaviors related to food
Correct Answer: A
Rationale: Task A, obtaining special food for the patient when she requests it, can be delegated to the nursing assistant. This task involves simple assistance with gathering food items and does not require specific medical knowledge or interventions. Tasks B, C, and D involve more direct patient care and assessment, which should be performed by the nursing staff who have the necessary training and expertise to address the complexities of anorexia nervosa.
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A profession is characterized by the following except:
- A. Body of knowledge
- B. Code of ethics
- C. member of professional organization
- D. Engages in research
Correct Answer: C
Rationale: A profession is characterized by having a body of knowledge, a code of ethics, and engaging in research. However, being a member of a professional organization is not a defining characteristic of a profession. While many professionals may choose to join professional organizations for networking, support, and career advancement reasons, membership in such organizations is not universally required or exclusive to being considered a professional in a particular field. Hence, the presence or absence of professional organization membership does not determine the professional status of an individual.
. The patient with nephrotic syndrome is ordered corticosteroids. Who of the following are NOT ALLOWED in the patient's
- A. Parents with diabetes.
- B. Relatives with upper respiratory tract infection.
- C. Visitors with mild asthma.
- D. Personnel with allergy.
Correct Answer: A
Rationale: Patients with nephrotic syndrome who are ordered corticosteroids need to avoid close contact with individuals who have infections or illnesses, as corticosteroids can suppress the immune system and increase the risk of infections. Therefore, it is important to prioritize the safety and well-being of the patient by minimizing potential sources of infection. While diabetes itself does not pose a direct risk to the patient with nephrotic syndrome, individuals with diabetes may have a compromised immune system or be at higher risk for infections, which could potentially be transmitted to the patient. This precaution helps to minimize the risk of infection and maximize the effectiveness of the treatment for nephrotic syndrome.
The psychiatric diagnosing of patients is a morally charged issue and the assigning of diagnosis may be an ethical issue. The role of the nurse in diagnosing psychiatric patient is important because nurses are _______.
- A. collaborators in the diagnostic process
- B. planners of psychiatric nursing care
- C. knowledgeable in the field of psychiatry due to extensive clinical experience
- D. Competent by virtue of their educational preparation
Correct Answer: A
Rationale: Nurses play a crucial role as collaborators in the diagnostic process of psychiatric patients. While nurses themselves do not diagnose psychiatric conditions, they work closely with other healthcare providers such as psychiatrists and psychologists in assessing and monitoring patients' mental health status. Nurses gather valuable information, observe patients' behaviors, and communicate effectively with the healthcare team to contribute to the overall diagnostic process. By actively participating in assessments and evaluations, nurses help ensure accurate diagnoses and appropriate treatment plans for psychiatric patients.
Which of the following is not a characteristic of quality improvement that the medical director is interested in?
- A. The leader is the empowerer
- B. Problem-solving is by everyone
- C. The employees are treated as customers
- D. Reacts to correct or bad situation
Correct Answer: D
Rationale: Quality improvement focuses on proactive measures rather than reactive responses. The medical director would be more interested in establishing processes and systems that prevent issues from occurring in the first place, rather than just reacting to problems as they arise. Continuous improvement involves identifying problems, analyzing root causes, and implementing long-term solutions to prevent the issues from recurring. Therefore, reacting to correct or bad situations is not a characteristic of quality improvement that the medical director would prioritize.
A patient with a history of peptic ulcer disease is prescribed proton pump inhibitors (PPIs) for ulcer healing. Which information is important for the nurse to include in patient education about PPI therapy?
- A. PPIs should be taken on an empty stomach.
- B. PPIs should be discontinued once symptoms resolve.
- C. PPIs may increase the risk of gastrointestinal bleeding.
- D. PPIs should be taken with antacids for optimal effect.
Correct Answer: C
Rationale: While proton pump inhibitors (PPIs) are commonly prescribed for the treatment of peptic ulcer disease to help heal ulcers and reduce acid production, it is important for the nurse to educate the patient about potential risks associated with PPI therapy. PPIs have been associated with an increased risk of gastrointestinal bleeding, especially in patients with a history of peptic ulcer disease. It is crucial for the patient to be aware of this risk and to take precautions, such as avoiding other medications that can increase bleeding risk and informing healthcare providers about any signs of bleeding, such as black stools or abdominal pain. Educating the patient about this potential adverse effect allows for early recognition and prompt intervention if necessary.