Nokea
The family of a patient being discharged home has arranged to rent a hospital bed. What should the nurse teach the family about safety when using the bed?
- A. how to apply the bed linens
- B. proper maintenance
- C. how to move the patient in bed
- D. advisable positions and controls
Correct Answer: D
Rationale: Teaching bed positions and controls ensures safe patient positioning.
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Which of the following is a potential fire hazard in a facility?
- A. Overloaded electrical socket
- B. Recycling container for plastic materials
- C. Locked housekeeping supply closet
- D. Clean empty ashtray
Correct Answer: A
Rationale: The correct answer is A: Overloaded electrical socket. Overloading electrical sockets can lead to overheating, sparks, and potential fires due to excessive current flow. This is a common fire hazard in facilities. Other choices are incorrect because a recycling container for plastic materials, a locked housekeeping supply closet, and a clean empty ashtray do not pose immediate fire risks compared to an overloaded electrical socket. These choices are not directly related to fire hazards in a facility.
What describes the main purpose of health and safety enforcement?
- A. To ensure that the business considers enforcement policies.
- B. To ensure that enforcement officers motivate all staff in the workplace.
- C. To undertake legal proceedings in the first instance of any breaches.
- D. To ensure that duty holders are held to account if they fail in their responsibility.
Correct Answer: D
Rationale: Enforcement ensures duty holders comply with responsibilities.
Special tags used by surveyors to cite problems in healthcare facilities are called
- A. S-tags
- B. F-tags
- C. I-tags
- D. P-tags
Correct Answer: B
Rationale: The correct answer is B: F-tags. In healthcare facilities, surveyors use F-tags to cite regulatory deficiencies. The letter "F" is associated with federal regulations, making F-tags the appropriate term. A: S-tags, C: I-tags, and D: P-tags are not commonly used terms in healthcare surveys. S-tags and I-tags do not align with the typical letter designation for federal regulations, while P-tags are not a recognized term in healthcare regulatory surveys.
A resident who says she failed a hearing test because the machine was not working properly may be exhibiting the defense mechanism called
- A. Regression
- B. Displacement
- C. Rationalization
- D. Denial
Correct Answer: C
Rationale: The correct answer is C: Rationalization. Rationalization is a defense mechanism where one justifies or explains away failures by providing logical-sounding reasons that may not be true. In this scenario, the resident is attributing her failed hearing test to the machine not working properly, which is a rationalization to protect her ego from accepting the possibility of her own hearing impairment. Regression (A) is reverting to an earlier stage of development, displacement (B) is redirecting emotions to a substitute target, and denial (D) is refusing to accept reality. These defense mechanisms do not align with the resident's behavior in this specific situation.
You are called to a scene for a 48-year-old male presenting with sudden onset of severe shortness of breath, tachypnea, and a rapid pulse. He is alert and oriented, and physical exam reveals a swollen right calf with tenderness. Which condition is most likely causing his symptoms?
- A. Acute myocardial infarction
- B. Pulmonary embolism
- C. Tension pneumothorax
- D. Severe asthma attack
Correct Answer: B
Rationale: The correct answer is B: Pulmonary embolism. In this case, the patient has sudden onset of severe shortness of breath, tachypnea, a rapid pulse, and a swollen right calf with tenderness, which are classic signs of a pulmonary embolism. A pulmonary embolism occurs when a blood clot travels to the lungs, blocking blood flow and causing respiratory distress. The presentation of symptoms in this patient aligns with a pulmonary embolism rather than the other choices. Acute myocardial infarction typically presents with chest pain, not primarily shortness of breath. Tension pneumothorax presents with asymmetrical chest rise, tracheal deviation, and absent breath sounds. Severe asthma attack typically presents with wheezing and prolonged expiratory phase.