Mr. Gary signed a DNR to avoid CPR. This is an example of?
- A. DNR order
- B. Advance directives
- C. Health policy
- D. Nursing informatics
Correct Answer: A
Rationale: Signing to avoid CPR is a DNR order (A) specific directive, per definition. Advance directives (B) broader, policy (C) rules, informatics (D) tech not CPR-specific. A fits Mr. Gary's precise wish, part of broader directives, making it correct.
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Which of the following statement is NOT true about tort law in nursing?
- A. Covers wrongful acts
- B. Includes negligence
- C. Always criminal
- D. May involve compensation
Correct Answer: C
Rationale: Tort law covers wrongs (A), includes negligence (B), may compensate (D) 'always criminal' (C) isn't true, civil not criminal, per law. C's criminality misstates tort's civil focus, like Mr. Gary's potential claim, making it untrue.
A client with a tracheostomy gets easily frustrated when trying to communicate personal needs to the nurse. The nurse determines that which method for communication may be the easiest for the client?
- A. Use a pad and paper.
- B. Use a picture or word board.
- C. Have the family interpret needs.
- D. Devise a system of hand signals.
Correct Answer: B
Rationale: For a tracheostomy client, a picture or word board (B) is easiest, allowing quick, clear communication without speech. Paper (A) requires literacy and dexterity. Family interpretation (C) is unreliable. Hand signals (D) need setup. B is correct. Rationale: Visual aids bypass vocal limitations, enhancing autonomy, a practical solution per speech therapy standards.
While planning nursing process for a patient who is at risk for suicide, which of the following is the priority area for providing care :
- A. Sleep
- B. Nutrition
- C. Self-esteem
- D. Safety
Correct Answer: D
Rationale: Suicide risk demands a prioritized nursing approach under the nursing process. Sleep (choice A) and nutrition (choice B) are basic needs, but disruptions are secondary to immediate risk. Self-esteem (choice C) influences mental health, yet addressing it is a longer-term goal. Safety (choice D) is the priority, as suicidal ideation poses an acute threat to life, requiring immediate interventions like removing hazards, constant observation, and risk assessment (e.g., SAD PERSONS scale). D is correct because ensuring safety prevents harm, the first step in stabilizing the patient. Nurses must implement safety protocols, collaborate with psychiatry, and then address sleep, nutrition, and esteem, building a comprehensive care plan.
The nurse is caring for a client with a fractured tibia placed in an external fixator. Which of the following should be included in the plan of care?
- A. Keeping the leg flat at all times
- B. Checking the pin sites for signs of infection
- C. Massaging the leg to promote circulation
- D. Ambulating the client within 12 hours of application
Correct Answer: B
Rationale: Checking pin sites for infection (redness, drainage) is critical in external fixator care for a fractured tibia, preventing osteomyelitis flat legs, massage, or early ambulation risk stability or healing. Nurses monitor this, ensuring site care and antibiotics if needed, supporting bone recovery.
Who is the first Filipino chief nurse of PGH?
- A. Rosario Delgado
- B. Anastacia Giron Tupas
- C. Julita Sotejo
- D. Loreto Tupas
Correct Answer: B
Rationale: Anastacia Giron-Tupas, PGH's first Filipino chief nurse, marked a shift to local leadership e.g., post-American rule. Delgado (PNA president), Sotejo (educator), and Tupas differ. Her tenure elevated Filipino roles, influencing nursing's national identity and autonomy.