Nokea
The day of discharge came and Marlene 's face becomes all the more sad. When asked why, she answered she has no money to pay the bill. The BEST way of communicating her piece of advice is stating which of the following?
- A. You can go to the cashier for to find out what she can advise you
- B. The government has agencies for those who need financial assistance. I will give you the list.
- C. You can always pay in staggered amounts to be given every 15 days
- D. Ask help from generous relatives so you can have additional for down payment.
Correct Answer: B
Rationale: In this situation, the best way to communicate Marlene's piece of advice would be to inform her about government agencies that provide financial assistance. This option provides a long-term solution for her financial difficulties rather than short-term fixes like asking relatives for help or paying in staggered amounts. By giving her information about available resources, you are empowering her to seek sustainable help for her financial situation. This approach focuses on addressing the root cause of her inability to pay the bill rather than temporary solutions.
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In giving health teaching to the mother how to manage the patient at home, which of the following she should emphasize?
- A. Give the patient more time for self
- B. Impose strict discipline
- C. Do traditional parenting style
- D. Need for emotional support
Correct Answer: D
Rationale: When giving health teaching to the mother on how to manage the patient at home, emphasizing the need for emotional support is crucial. Taking care of a patient at home can be emotionally taxing, and the mother needs to be aware of the importance of providing emotional support to the patient. This can greatly impact the patient's overall well-being and recovery. By emphasizing the need for emotional support, the mother can create a conducive and supportive environment for the patient to heal physically, mentally, and emotionally. It also helps foster a sense of connection and positivity, which is beneficial for the patient's overall health outcomes.
Which among the members of the multidisciplinary team that the nurse BEST to collaborate with when the patient can benefit the use of leg prosthesis?
- A. Occupationa l therapist
- B. Podiatrist
- C. Physical therapist
- D. Pharmacist
Correct Answer: C
Rationale: A physical therapist would be the best member of the multidisciplinary team to collaborate with when a patient can benefit from using a leg prosthesis. Physical therapists specialize in assessing and treating movement disorders, including those related to amputation and prosthetic use. They can help the patient improve their mobility, strength, balance, and overall functional abilities with the prosthesis. Physical therapists can provide training on how to use the prosthesis effectively, reduce the risk of falls, and optimize the patient's independence and quality of life. Collaborating with a physical therapist ensures that the patient receives comprehensive care tailored to their specific needs and goals related to using a leg prosthesis.
A patient with a history of heart failure is prescribed digoxin. Which assessment finding indicates a potential adverse effect of digoxin therapy?
- A. Bradycardia
- B. Hypotension
- C. Hyperkalemia
- D. Confusion
Correct Answer: D
Rationale: Confusion is a potential adverse effect of digoxin therapy. Digoxin toxicity can manifest as various central nervous system symptoms, including confusion, delirium, and disorientation. It is important to monitor for signs of digoxin toxicity in patients taking this medication, especially those with a history of heart failure or renal impairment. Other common signs of digoxin toxicity may include visual disturbances (like halos around lights), gastrointestinal symptoms (like nausea and vomiting), and cardiac arrhythmias. Monitoring serum digoxin levels can help guide therapy and identify toxicity early.
A patient with suspected pulmonary embolism (PE) presents with sudden onset dyspnea, pleuritic chest pain, and hemoptysis. Which of the following diagnostic tests is most appropriate for confirming the diagnosis?
- A. Chest X-ray
- B. Electrocardiography (ECG)
- C. D-dimer assay
- D. Spiral computed tomography (CT) angiography
Correct Answer: D
Rationale: Spiral CT angiography is the most appropriate test for confirming the diagnosis of pulmonary embolism (PE) in a patient with suspected PE. It is a non-invasive imaging modality that can detect filling defects within the pulmonary vasculature indicative of a clot. This diagnostic test has high sensitivity and specificity for diagnosing PE, making it a valuable tool in the management of patients with suspected PE.
A patient expresses dissatisfaction with the care received during their hospital stay. What is the nurse's best response?
- A. Dismiss the patient's concerns and reassure them that the care provided was adequate.
- B. Listen actively to the patient's concerns, apologize for any shortcomings, and offer to address the issues.
- C. Ignore the patient's dissatisfaction and proceed with discharge procedures.
- D. Tell the patient that their concerns are unfounded and unwarranted.
Correct Answer: B
Rationale: The best response for a nurse when a patient expresses dissatisfaction with the care they received during their hospital stay is to listen actively to the patient's concerns, apologize for any shortcomings, and offer to address the issues. It is crucial for healthcare providers to acknowledge the patient's perspective, validate their feelings, and work towards resolving any issues that may have contributed to their dissatisfaction. This approach demonstrates empathy, professionalism, and a commitment to patient-centered care, fostering trust and effective communication between the patient and the healthcare team. Dismissing the patient's concerns (option A), ignoring their dissatisfaction (option C), or telling them that their concerns are unfounded (option D) can further escalate the situation and lead to a breakdown in the patient-provider relationship.