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The current emphasis for public health practice is ___________.
- A. Improving environmental sanitation
- B. Preventing communicable disease. .
- C. Controlling epidemic diseases.
- D. Advocating for social justice.
Correct Answer: D
Rationale: The current emphasis for public health practice has shifted towards advocating for social justice due to a growing recognition that social determinants greatly impact health outcomes. Addressing issues such as poverty, inequality, access to healthcare, discrimination, and other social factors is crucial for achieving better population health. By advocating for social justice, public health practitioners aim to create a more equitable and just society where everyone has the opportunity to lead healthy lives. This broader approach acknowledges the complex interplay between social, economic, and environmental factors in shaping health behaviors and outcomes.
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While the nurse is taking yhe blood pressure, the patient suddenly stated."They are talking about me!". She was referring to other patients who were waiting for their consultation. Which of the following should be the APPROPRIATE nursing action?
- A. Present the reality situation
- B. Distract patient's attention
- C. Disagree with the patient
- D. Validate the statement
Correct Answer: B
Rationale: The appropriate nursing action in this situation would be to distract the patient's attention. When a patient perceives that others are talking about them, it may indicate feelings of paranoia or anxiety. It's important to help the patient refocus on something else to alleviate their distress. Distracting the patient's attention can help calm them down and allow the blood pressure measurement to proceed smoothly. This approach respects the patient's feelings and helps manage the situation effectively.
A patient with a spinal cord injury at the level of T6 presents with hypotension, bradycardia, and diaphoresis following a sudden change in position from supine to sitting. Which condition is the patient most likely experiencing?
- A. Autonomic dysreflexia
- B. Neurogenic shock
- C. Spinal shock
- D. Orthostatic hypotension
Correct Answer: A
Rationale: The patient is most likely experiencing autonomic dysreflexia. Autonomic dysreflexia is a potentially life-threatening condition that can occur in individuals with spinal cord injuries at the level of T6 or above. It is characterized by a sudden onset of severe hypertension, bradycardia, diaphoresis, flushing, and headache in response to a noxious stimulus below the level of injury. The sudden change in position from supine to sitting likely triggered autonomic dysreflexia in this patient.
WHICH OF THE FOLLOWING IS THE PURPOSE OF RECORD KEEPING?
- A. Quantify medication usage
- B. Historical background
- C. Archive
- D. Quality health care
Correct Answer: D
Rationale: The purpose of record keeping in healthcare is primarily to ensure quality health care. Maintaining accurate and up-to-date records of patient information, including medical history, treatments, medications, and test results, allows healthcare providers to make informed decisions about patient care. Access to complete and organized records helps in providing timely and effective treatments, reducing errors, and ensuring continuity of care. By tracking and documenting patient care, healthcare professionals can assess outcomes, monitor progress, and improve overall quality of healthcare services. Additionally, thorough record keeping also supports communication between healthcare providers and facilitates coordination of care across different healthcare settings.
The nurse must include in the education plan, which of the following components? (Select all that apply.) I. Objectives II. Content and time allotment III. Teaching and learning resources IV. Evaluation parameters
- A. II, III, and IV
- B. I, II, III and IV
- C. I, III, and IV
- D. I, II, and III
Correct Answer: B
Rationale: In order to create a comprehensive education plan, the nurse must include all of the listed components.
The electric fan now stops every now and then and continues to spark at intervals. The best thing to DO NEXT is to__________.
- A. turn off the fan immediately.
- B. call the maintenance immediately
- C. let it continue to function
- D. request for another fan as soon as possible (ASAP)
Correct Answer: A
Rationale: The best thing to do next is to turn off the fan immediately. The fact that the electric fan is stopping every now and then and sparking at intervals indicates a potential electrical issue or malfunction. This situation poses a safety hazard as it increases the risk of an electrical fire or damage to the fan. Turning off the fan immediately will help prevent any further damage or potential danger. After turning off the fan, it would be advisable to call for maintenance to inspect and repair the fan to ensure it is safe to use again.