Nokea
In order to provide optimal management and prevent deterioration, the patient needs to be educated in selfmanagement of their condition. Which of the following are not elements of self-management?
- A. Engaging in activities that promote health
- B. Managing COPD by monitoring signs and symptoms
- C. Weekly visits with the medical practitioner
- D. Following a treatment plan
Correct Answer: C
Rationale: COPD self-care health habits, symptom checks, plan adherence empowers patients. Weekly doc visits? Overkill, not core self-management cuts reliance. Nurses teach this, a chronic autonomy boost.
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Which statement is not true?
- A. negative thick and thin smears does not adequately rule out malaria
- B. falciparum malaria will always show up on thick and thin smears where the others may not
- C. chloroquine is the drug of choice to treat falciparum
- D. vivax and ovale are more likely to reactivate at a later stage
Correct Answer: C
Rationale: Chloroquine flops for falciparum resistance rules, not smears' miss, relapse, or anemia truths. Nurses dodge this chronic treatment trap.
Assessment of NAFLD at primary care clinic includes for followings except:
- A. Fibroscan
- B. Fasting glucose
- C. Liver biopsy
- D. Liver function test
Correct Answer: C
Rationale: NAFLD's primary peek Fibroscan, glucose, lipids, and LFTs flags fat and fallout, all doable outpatient. Liver biopsy, gold but invasive, stays secondary, not routine. Clinicians lean on non-pokey tools, screening chronic liver load smart, a practical dodge of the knife.
A patient with cancer has a nursing diagnosis of imbalanced nutrition: less than body requirements related to altered taste sensation. Which nursing action would address the cause of the patient problem?
- A. Add protein powder to foods such as casseroles.
- B. Tell the patient to eat foods that are high in nutrition.
- C. Avoid giving the patient foods that are strongly disliked.
- D. Add spices to enhance the flavor of foods that are served.
Correct Answer: C
Rationale: Chemo twists taste bitter, metallic, off killing appetite. Skipping disliked foods sidesteps the cause, boosting intake over forcing nutrition or masking with protein or spices , which might flop. Nurses in oncology nail this tailoring to taste quirks beats generic fixes, tackling the root of this nutrition dip.
The hospice nurse has just admitted a new patient to the program. What principle guides hospice care?
- A. Care addresses the needs of the patient as well as the needs of the family
- B. Care is focused on the patient centrally and the family peripherally
- C. The focus of all aspects of care is solely on the patient
- D. The care team prioritizes the patient's physical needs and the family is responsible for the patient's emotional needs
Correct Answer: A
Rationale: Hospice wraps the patient and family in care physical, emotional, spiritual for both, not just one. It's not patient-only or peripheral family focus; it's a unit. Splitting physical and emotional duties misses the holistic vibe. Nurses in oncology's endgame lean on this, ensuring comfort and support ripple out, easing the load for all as death nears.
Which of the following is FALSE about reduced ejection fraction heart failure (HFrEF)?
- A. The goals of therapy are to reduce morbidity (i.e., reducing symptoms, improving health-related quality of life and functional status, decreasing the rate of hospitalisation) and to reduce mortality
- B. Beta blockers, angiotensin converting enzyme (ACE) inhibitor, angiotensin II receptor blocker (ARB), or angiotensin receptor-neprilysin inhibitor (ARNI) and mineralocorticoid receptor antagonist (MRA) are the preferred antihypertensive agents because these agents improve survival
- C. Recommended lifestyle modifications include smoking cessation, restriction of alcohol consumption, salt restriction, weight reduction in obese patients, as well as daily weight monitoring to detect fluid accumulation before it becomes symptomatic
- D. Patients at high risk for re-hospitalisation should be referred to a long-term care facility
Correct Answer: D
Rationale: HFrEF goals, preferred drugs (beta blockers, ACEi, ARBs, ARNI, MRA), and lifestyle changes are true, per ESC/ACC guidelines. However, high re-hospitalization risk doesn't mandate long-term care referral outpatient management or cardiac rehab is preferred unless dependency justifies it. This false claim refines chronic HFrEF management focus.