Nokea
Which of the following statements indicate an effective communication technique used by the unit manager to her staff?
- A. "We need to improve our nursing services otherwise top management will take over,
- B. "Lets limit requesting supplies and equipment, our budget for our promotion might be affected."
- C. "There are a lot of redundant positions in our unit, there is a need to retrench some staff."
- D. "We need to discuss strategic approaches to facilitate delivery of nursing services with less expense on our consumers."
Correct Answer: D
Rationale: Option D demonstrates an effective communication technique used by the unit manager because it focuses on discussing strategic approaches to improve the delivery of nursing services while also considering cost effectiveness for the consumers. By emphasizing the need for strategic planning and efficient service delivery, the manager is promoting a proactive and solution-oriented approach rather than simply stating potential negative outcomes or making abrupt decisions like in the other options. This approach fosters more open communication, collaboration, and problem-solving within the team, ultimately leading to better outcomes and team morale.
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Which of the following is a common complication associated with prostatectomy for the treatment of benign prostatic hyperplasia (BPH)?
- A. Erectile dysfunction
- B. Urinary incontinence
- C. Retrograde ejaculation
- D. Urethral stricture
Correct Answer: B
Rationale: Urinary incontinence is a common complication associated with prostatectomy for the treatment of benign prostatic hyperplasia (BPH). Prostate surgery, such as a prostatectomy, can disrupt the sphincter muscle that controls the flow of urine from the bladder, leading to temporary or even long-term urinary incontinence in some patients. This usually improves over time with pelvic floor exercises and other treatment options, but it is an important consideration when discussing the potential risks and benefits of prostate surgery with patients. While erectile dysfunction and retrograde ejaculation can also be potential side effects of prostate surgery, urinary incontinence is specifically associated with issues related to bladder control following the procedure. Urethral stricture, although it can occur post prostate surgery, is less common compared to urinary incontinence.
A patient presents with flank pain, hematuria, and a palpable mass in the abdomen. Imaging reveals a solid renal mass with calcifications. Which of the following conditions is most likely?
- A. Renal cell carcinoma
- B. Renal cyst
- C. Pyelonephritis
- D. Renal abscess
Correct Answer: A
Rationale: The presentation of flank pain, hematuria, and a palpable mass in the abdomen is characteristic of renal cell carcinoma. Renal cell carcinoma is a common type of kidney cancer that often presents with these symptoms. The presence of a solid renal mass with calcifications on imaging further supports this diagnosis, as renal cell carcinoma is known to have this appearance on imaging studies. It is important to promptly evaluate and manage patients with suspected renal cell carcinoma to optimize outcomes.
A patient presents with redness, pain, and photophobia in the left eye. Slit-lamp examination reveals ciliary injection, corneal edema, and a mid-dilated pupil with fixed reaction to light. Which of the following conditions is most likely responsible for this presentation?
- A. Anterior uveitis
- B. Acute angle-closure glaucoma
- C. Endophthalmitis
- D. Corneal abrasion
Correct Answer: A
Rationale: The presentation described in the question is most consistent with anterior uveitis. Anterior uveitis, also known as iritis, is characterized by redness, pain, and photophobia in the affected eye. Slit-lamp examination typically reveals ciliary injection (reddening of the conjunctiva and episclera), corneal edema, and a mid-dilated pupil with a fixed reaction to light (miosis). This occurs due to inflammation within the anterior chamber of the eye involving the iris and ciliary body.
Which of the following is usually involved in Multiple myeloma?
- A. Hematologic
- B. Neurologic
- C. Muscular
- D. Lymphoid
Correct Answer: A
Rationale: Multiple myeloma is a type of cancer that develops in plasma cells, which are a type of white blood cells involved in the body's immune response. As a result, multiple myeloma primarily affects the hematologic system, which includes the blood and blood-forming tissues. This cancer typically arises in the bone marrow and can lead to an overproduction of abnormal plasma cells, which can crowd out healthy blood cells. Symptoms of multiple myeloma can include anemia, bone pain, recurrent infections, fatigue, and kidney problems, all of which are related to the hematologic system.
Ms. Cruz is the supervisor of a hospital on night shift. Several nurses did not report due to Jeepney strike. When the supervisor is executing proper allocation of nurses to the PRIORITY wards to address this concern, she is observing what type of principle?
- A. Beneficence
- B. Justice
- C. Non-maleficence
- D. Fidelity
Correct Answer: B
Rationale: When the supervisor allocates nurses to the priority wards in response to the situation of several nurses not reporting due to the Jeepney strike, she is practicing the ethical principle of justice. Justice in healthcare pertains to the fair distribution of resources and the equitable treatment of individuals. By ensuring that nurses are allocated fairly and appropriately to address the urgent needs of the hospital and its patients, the supervisor is upholding the principle of justice. This decision aims to ensure that all patients receive the care they need despite the unexpected staffing shortage.