Nokea
In order to PREVENT the spread of Scabies infestation to other residents in the community, Nurse Emma should teach the family, which of the following?
- A. Boil the utensils used by the patients
- B. Avoid sharing items used by the infected person.
- C. Take a bath three or more times a day.
- D. Wear mask and shield at all times even at home.
Correct Answer: B
Rationale: The correct answer is to avoid sharing items used by the infected person in order to prevent the spread of Scabies infestation to other residents in the community. Scabies is a highly contagious skin infestation caused by the Sarcoptes scabiei mite, and it can easily spread through direct skin-to-skin contact or by sharing personal items such as clothing, towels, and bedding. By advising the family to avoid sharing items used by the infected person, Nurse Emma is helping to prevent the transmission of the mites to others in the community. Boiling utensils, taking excessive baths, or wearing masks and shields are not necessary preventive measures for scabies infestation.
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Nurse Filomena organized a health fair in one of the communities she covers, which was well attended, with several SCREENING TESTS being given simultaneously. What would Nurse Filomena consider the purpose of the health fair?
- A. Community service
- B. Community bonding
- C. Multiphasic screening
- D. Case finding
Correct Answer: C
Rationale: Nurse Filomena would consider the purpose of the health fair to be multiphasic screening. A multiphasic screening event involves offering various health screening tests at the same time to individuals within the community. These screenings aim to detect a range of health conditions early on, ultimately promoting prevention and early intervention. By organizing a health fair with several screening tests being given simultaneously, Nurse Filomena's primary goal is likely to help identify health issues in the community proactively and provide education and resources for ongoing health promotion and disease prevention. While aspects of community service, community bonding, and case finding may also be outcomes of the health fair, the focus on conducting multiple screening tests aligns most closely with the concept of multiphasic screening as the primary purpose.
The professional development of a nurse can be achieved through various ways, such as __________.
- A. Participating in political rallies
- B. Attendance in socio-civic activities
- C. Attending demonstration of baking
- D. Engaging in CPD Programs
Correct Answer: D
Rationale: Continuing Professional Development (CPD) programs are essential for the professional growth and development of nurses. CPD programs provide opportunities for nurses to enhance their knowledge, skills, and competencies, keeping them up-to-date with the latest advancements in healthcare. These programs may include workshops, conferences, seminars, online courses, and certifications that contribute to a nurse's professional development. By engaging in CPD programs, nurses can improve their clinical practice, critical thinking skills, and patient care, ultimately benefiting both the nurse and the patients they serve.
Patient Sonia, who bas hypothyroidism is given which ONE of the following drug therapies?
- A. Propranolol
- B. Iron pills
- C. Iodine
- D. Levothyroxine
Correct Answer: D
Rationale: Patient Sonia, who has hypothyroidism, would benefit from treatment with levothyroxine. Levothyroxine is a synthetic form of the thyroid hormone thyroxine (T4) and is commonly prescribed to replace the deficient thyroid hormone in patients with hypothyroidism. It helps restore the thyroid hormone levels in the body, relieving symptoms such as fatigue, weight gain, and cold intolerance that are characteristic of hypothyroidism. Propranolol is a beta-blocker used for conditions like hypertension, anxiety, and migraines; iron pills are used to treat iron deficiency anemia; and iodine supplementation is not typically used in the treatment of hypothyroidism unless it is due to iodine deficiency.
During the first contact of the patient with the nurse, the latter should demonstrate the following behavior, which the EXCEPTION of _______.
- A. Caring
- B. Encouraging
- C. Comforting
- D. Compelling
Correct Answer: D
Rationale: During the first contact with a patient, a nurse should demonstrate caring, encouraging, and comforting behaviors. These qualities help create a positive and supportive environment for the patient. However, compelling behavior, which implies forcing or pressuring someone to do something, is not appropriate during the initial interaction with a patient. It is essential for the nurse to build trust and rapport with the patient, and compelling behavior can be counterproductive to establishing a nurturing relationship. Thus, compelling is the exception among the given choices for the nurse's behavior during the first contact with a patient.
A patient admitted to the ICU develops delirium characterized by acute onset confusion and agitation. What intervention should the healthcare team prioritize to manage the patient's delirium?
- A. Administer antipsychotic medications to reduce agitation.
- B. Implement environmental modifications to promote orientation.
- C. Refer the patient to a psychiatrist for further evaluation.
- D. Prescribe benzodiazepines for sedation and calming effect.
Correct Answer: B
Rationale: The healthcare team should prioritize implementing environmental modifications to promote orientation in a patient with delirium. Delirium is a state of acute confusion and agitation that can be triggered by various factors such as medications, infections, or metabolic disturbances. Environmental modifications involve creating a calm, quiet, and well-lit environment for the patient. Promoting proper orientation through the use of clocks, calendars, and familiar objects can help reduce confusion and improve the patient's understanding of their surroundings. These interventions are non-pharmacological and aim to address the underlying causes of delirium while minimizing the need for additional medications that may have potential side effects. Antipsychotic medications and benzodiazepines should be used judiciously and under close supervision due to the risk of adverse effects in older adults and critically ill patients. Referring the patient to a psychiatrist may be considered if the delirium is complex or if there are underlying psychiatric issues contributing to the presentation.