Nokea
Mr. Gary underwent heart surgery in a specialized hospital. This is an example of?
- A. Primary care
- B. Secondary care
- C. Tertiary care
- D. Health promotion
Correct Answer: C
Rationale: Heart surgery in a specialized hospital is tertiary care (C) advanced, per system. Primary (A) initial, secondary (B) referral, promotion (D) preventive not surgical. C fits high-level care, making it correct.
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Which of the following do not correctly correlates the increase BP of Ms. Aida, a 70 year old diabetic?
- A. Females, after the age 65 tends to have lower BP than males
- B. Disease process like Diabetes increase BP
- C. BP is highest in the morning, and lowest during the night
- D. Africans, have a greater risk of hypertension than Caucasian and Asians.
Correct Answer: A
Rationale: Females over 65 often have higher BP e.g., post-menopause not lower, contradicting Aida's rise. Diabetes (vessel damage), morning peaks (circadian), African risk (genetics) align. Nurses note this e.g., elderly diabetics for management.
After a month, Mr. Gary's wife started going to her old routine, She said 'Gary would want me to continue living my life' This is an example of what stage of grieving?
- A. Denial
- B. Anger
- C. Bargaining
- D. Acceptance
Correct Answer: D
Rationale: Resuming routine with 'Gary would want is acceptance (D), per Kubler-Ross peace with loss, moving forward. Denial (A), anger (B), and bargaining (C) resist or alter reality. Acceptance reflects her adjustment, making it correct.
Myra said 'I saw my dead grandmother here at my bedside a while ago' Budek responded 'Really? That is hard to believe, How do you feel about it?' What technique did Budek used?
- A. Disproving
- B. Disagreeing
- C. Voicing Doubt
- D. Presenting Reality
Correct Answer: C
Rationale: Budek's 'Really? That is hard to believe uses voicing doubt (C), gently questioning Myra's perception (hallucination) while exploring feelings. Disproving (A) or disagreeing (B) outright rejects (e.g., 'That's not true'). Presenting reality (D) corrects (e.g., 'She's not here'). Voicing doubt, per schizophrenia care, balances reality-testing with empathy, making C correct.
The nurse is caring for a client with a closed reduction of the left forearm. Which finding should be reported to the physician immediately?
- A. The client complains of pain at the site of the fracture
- B. The client's fingers are cool and pale
- C. The client's cast has a foul odor
- D. The client's radial pulse is 88 beats per minute
Correct Answer: B
Rationale: Cool, pale fingers post-left forearm closed reduction indicate circulatory compromise, possibly compartment syndrome, needing urgent reporting pain is expected, odor suggests infection (less acute), and pulse (88) is normal. Nurses assess neurovascular status, acting fast, preventing tissue damage in this orthopedic emergency.
When the physician telephones to order a therapy such as a medication for the client of a student nurse, who is the best person to take this telephone order?
- A. whoever is authorized by hospital policy
- B. the student nurse giving the client's care
- C. the student nurse's instructor
- D. any licensed nurse on duty
Correct Answer: A
Rationale: Hospital policy dictates who takes telephone orders, ensuring legal and safety compliance, typically a licensed nurse, not a student or instructor alone. This standard protects clients from errors by untrained personnel, aligning with nursing scope and institutional rules for accurate order execution.