Nokea
The BEST result of health education process is
- A. It influences and changes behavior
- B. It provides new input
- C. Update others
- D. Information transfer
Correct Answer: A
Rationale: The best result of a health education process is when it successfully influences and changes behaviors towards positive health outcomes. Providing new input, updating others, and information transfer are important components of health education, but the ultimate goal is to effect behavior change. When individuals are able to internalize and apply the knowledge gained from health education to make healthier choices in their daily lives, the process can be considered successful. Therefore, the most desirable outcome of health education is the behavioral change that leads to improved health and well-being.
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Ella states'I will hang my self' this is a manifestation of:
- A. Denial
- B. Suicidal intent
- C. Suicidal threat
- D. Paranoia.
Correct Answer: B
Rationale: Ella's statement "I will hang myself" directly indicates a desire and intent to commit suicide. This is classified as a suicidal intent, which is a serious concern that requires immediate attention and intervention. It is crucial to take any mention or indication of suicide seriously and seek help from mental health professionals or crisis intervention services.
As a strong believer of her faith and the need for spiritual guidance, patient Ximena requests that she wants that clergy will visit her. How did nurse Parker function when she initiated the visit?
- A. Dependently
- B. Interdependently
- C. Collegially
- D. Independently
Correct Answer: D
Rationale: Nurse Parker functioned independently when she initiated the visit by arranging for the clergy to see patient Ximena. In this scenario, the nurse took the initiative on her own without needing approval or direction from others. She recognized the patient's request for spiritual guidance and took independent action to meet that need. Independently functioning in this context demonstrates the nurse's autonomy and ability to make decisions based on the patient's preferences and well-being.
Which of the following is the cause of Somogyi effect, which occurs during sleep in patients with diabetes mellitus?
- A. too much globulin
- B. too much albumin
- C. increase insulin in the body
- D. limited insulin in the body
Correct Answer: D
Rationale: The Somogyi effect, also known as rebound hyperglycemia, is a phenomenon observed in patients with diabetes mellitus during sleep. It is characterized by a low blood sugar level (hypoglycemia) followed by high blood sugar (hyperglycemia) in the morning. This occurs due to limited insulin in the body during the night, leading to high blood sugar levels in the morning as a response to the hypoglycemia episode. Too much globulin or albumin are not directly associated with the Somogyi effect. Increasing insulin in the body would rather help prevent the hypoglycemia episode that triggers the rebound hyperglycemia in the Somogyi effect.
A patient expresses frustration with the lack of information provided by the healthcare team. What is the nurse's best response?
- A. Dismiss the patient's frustration and assure them that the healthcare team is doing their best.
- B. Listen actively to the patient's concerns, acknowledge the lack of information, and offer to address the issue.
- C. Ignore the patient's frustration and proceed with providing care.
- D. Tell the patient that their frustration is unwarranted and unnecessary.
Correct Answer: B
Rationale: The best response for the nurse in this situation would be to listen actively to the patient's concerns, acknowledge the lack of information, and offer to address the issue. It is important for healthcare providers to validate the patient's feelings and actively work towards resolving any issues that are causing frustration. By being empathetic and willing to address the problem, the nurse can help improve the patient's experience and build trust in the healthcare team. Dismissing or ignoring the patient's frustration can lead to further dissatisfaction and breakdown in communication. It is crucial for healthcare providers to prioritize open communication and address any concerns or lack of information promptly.
A patient in the ICU develops acute exacerbation of chronic kidney disease (CKD) with hyperkalemia and metabolic acidosis. What intervention should the healthcare team prioritize to manage the patient's metabolic derangements?
- A. Initiate intravenous sodium bicarbonate for acid-base correction.
- B. Administer insulin and glucose to promote cellular uptake of potassium.
- C. Recommend dietary potassium restriction and potassium-binding agents.
- D. Perform emergent hemodialysis for potassium removal.
Correct Answer: D
Rationale: In the scenario described, with the patient having an acute exacerbation of chronic kidney disease (CKD) leading to hyperkalemia and metabolic acidosis, the priority intervention to manage the metabolic derangements is to perform emergent hemodialysis for potassium removal. Hemodialysis is the most effective and rapid method to lower dangerously high potassium levels in the blood. It is crucial in cases of severe hyperkalemia where other measures such as medications or dietary modifications may not be sufficient or fast enough to correct the elevated potassium levels. Additionally, hemodialysis can also help in improving metabolic acidosis by removing waste products and excess electrolytes from the blood. Overall, emergent hemodialysis is the most appropriate intervention for managing the acute metabolic abnormalities in this critically ill patient.