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The MOST common reported abuse experienced by nurses in their workplace is
- A. Physical abuse
- B. Financial abuse
- C. Verbal abuse
- D. Sexual abuse
Correct Answer: C
Rationale: Verbal abuse is the most common form of abuse experienced by nurses in their workplace. This may include insults, yelling, threats, or intimidation directed towards the nurse. Verbal abuse can have a significant impact on the nurse's mental and emotional well-being, leading to stress, anxiety, and burnout. It is important for healthcare institutions to address and prevent verbal abuse to create a safe and respectful work environment for nurses and other healthcare professionals.
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Which of the following imaging modalities is most appropriate for evaluating suspected pulmonary embolism (PE) in a pregnant patient?
- A. Chest X-ray
- B. Ventilation-perfusion (V/Q) scan
- C. Contrast-enhanced computed tomography (CT) pulmonary angiography
- D. Transthoracic echocardiography
Correct Answer: C
Rationale: In a pregnant patient with suspected pulmonary embolism (PE), the most appropriate imaging modality for evaluation is contrast-enhanced computed tomography (CT) pulmonary angiography. This imaging technique has been shown to be safe for the fetus when necessary, especially if the benefits of making a diagnosis outweigh the minimal risks associated with radiation exposure. It provides quick and accurate detection of PE with high sensitivity and specificity.
A patient asks the nurse several questions about their diagnosis and treatment options. What is the nurse's primary responsibility in responding to these questions?
- A. Provide brief and vague answers to avoid overwhelming the patient.
- B. Refer the patient to the physician for all medical-related questions.
- C. Listen actively and provide accurate, honest, and comprehensive answers.
- D. Ignore the patient's questions and focus on completing other tasks.
Correct Answer: C
Rationale: The nurse's primary responsibility in responding to a patient's questions about their diagnosis and treatment options is to listen actively and provide accurate, honest, and comprehensive answers. This approach helps build trust between the patient and the healthcare team, allows the patient to make informed decisions about their care, and ensures that the patient understands their condition and the recommended treatment plan. Providing vague answers or ignoring the patient's questions can lead to confusion, anxiety, and mistrust, which can hinder the patient's overall care and recovery. Referring the patient to the physician for all questions may be appropriate for certain medical inquiries, but the nurse plays a crucial role in educating and supporting the patient throughout their healthcare journey.
A patient presents with tremors, rigidity, bradykinesia, and postural instability. On examination, the patient demonstrates a shuffling gait, stooped posture, and a masked facies. Which of the following neurological conditions is most likely responsible for these symptoms?
- A. Alzheimer's disease
- B. Parkinson's disease
- C. Multiple sclerosis (MS)
- D. Amyotrophic lateral sclerosis (ALS)
Correct Answer: B
Rationale: The symptoms described in the patient, such as tremors, rigidity, bradykinesia (slow movement), and postural instability, along with the presence of a shuffling gait, stooped posture, and masked facies, are classic features of Parkinson's disease. These motor symptoms are primarily caused by the degeneration of dopamine-producing neurons in the substantia nigra region of the brain. This results in an imbalance of neurotransmitters, particularly dopamine, leading to motor dysfunction and characteristic movement abnormalities seen in Parkinson's disease.
The patient seems indecisive whether to breastfeed her baby or not. Which is the desired nursing action of Nurse Vera to help the pregnant patient make a decision on breastfeeding?
- A. Give pamphlets and books to read.
- B. Provide ample time for the patient to decide.
- C. Refer the patient to the nutrionist.
- D. Assist to identify breastfeeding goal and plan.
Correct Answer: D
Rationale: The desired nursing action to help the pregnant patient make a decision on breastfeeding is to assist in identifying a breastfeeding goal and plan. When patients are indecisive about breastfeeding, it is essential for the nurse to support them in setting specific goals and creating a plan that aligns with their values and circumstances. This approach can help the patient feel empowered and confident in their decision-making process. Providing pamphlets and books (choice A) may be helpful, but personalized assistance in identifying a breastfeeding goal and plan is more likely to address the patient's individual needs and concerns. Providing ample time for the patient to decide (choice B) is important, but guidance and support in setting a clear goal can facilitate the decision-making process. Referring the patient to a nutritionist (choice C) may be beneficial for dietary concerns but may not directly address the decision-making process regarding breastfeeding.
Which of the following BEST describe a strong team?
- A. cohesive
- B. driven
- C. shared goa l
- D. Sense of mission
Correct Answer: A
Rationale: A strong team is cohesive, meaning its members work well together, communicate effectively, and support each other. Cohesion helps the team to function smoothly and achieve its goals efficiently. While being driven, having shared goals, and a sense of mission are important characteristics of a strong team, cohesion is the foundation that holds the team together and allows these other factors to thrive.