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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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The BEST example of how the nurse can create a climate in which clients do not feel threatened is by teaching on a topic about:
- A. Stress, where the nurse plays pop music throughout the first session
- B. Good nutrition, while the nurse provides a meal
- C. Exercise, where the nurse begins to share her difficulties she sometimes finds in trying to exercise
- D. Diabetes, where the nurse asks diabetics to talk to the class during the first session
Correct Answer: B
Rationale: The best example of how the nurse can create a climate in which clients do not feel threatened is by teaching on good nutrition while providing a meal. This approach not only addresses an important topic that is beneficial for the clients but also creates a comfortable and welcoming atmosphere. By offering a meal, the nurse is able to engage the clients in a familiar and non-threatening activity, making them more receptive to the information being shared. Additionally, sharing a meal can help to build rapport and create a sense of community among the clients and the nurse, leading to a more positive learning experience.
Which of the following conditions is characterized by the presence of multiple fluid-filled sacs within the ovaries and is associated with menstrual irregularities and hyperandrogenism?
- A. Polycystic ovary syndrome (PCOS)
- B. Ovarian torsion
- C. Ovarian cyst rupture
- D. Ovarian cancer
Correct Answer: A
Rationale: Polycystic ovary syndrome (PCOS) is a common endocrine disorder in women of reproductive age. It is characterized by the presence of multiple fluid-filled sacs (cysts) within the ovaries, which can be visualized on ultrasound. Women with PCOS often experience menstrual irregularities such as irregular periods or no periods, as well as symptoms of hyperandrogenism like hirsutism (excessive hair growth) and acne. Other common features of PCOS include insulin resistance and obesity. It is important to note that not all women with PCOS will have ovarian cysts, but the presence of multiple cysts is a common finding in this condition.
The nurse knows that the diagnosis of contact latex allergy is based on history and ____.
- A. Latex specific IgE
- B. finding IgE in serum
- C. skin patch test
- D. ELISA
Correct Answer: C
Rationale: The diagnosis of contact latex allergy is primarily based on the patient's history of exposure to latex-containing products and the development of symptoms upon contact with latex. To confirm the diagnosis, skin patch testing is performed. Skin patch testing exposes the skin to small amounts of latex allergens to observe for any localized allergic reaction, such as redness, swelling, or itchiness. This test helps determine if the individual has developed a delayed-type hypersensitivity reaction to latex. Latex-specific IgE testing (choice A) and finding IgE in serum (choice B) are methods used in diagnosing immediate-type latex allergy but are not sufficient for confirming contact latex allergy specifically. ELISA (choice D) is a type of laboratory technique used for various purposes, including measuring the levels of specific substances in the blood, but it is not typically used as a diagnostic tool for contact latex allergy.
A patient with terminal illness expresses a desire to spend quality time with their family but feels guilty for being a burden. How should the palliative nurse respond?
- A. Dismiss the patient's feelings and reassure them that they are not a burden.
- B. Encourage the patient to focus on their own needs rather than worrying about others.
- C. Validate the patient's feelings of guilt and offer support to address their concerns.
- D. Suggest involving family members in caregiving tasks to alleviate the patient's guilt.
Correct Answer: C
Rationale: In this situation, the most appropriate response for the palliative nurse is to validate the patient's feelings of guilt and offer support to address their concerns. It is important to acknowledge the patient's emotions and help them navigate through their guilt in a compassionate and understanding manner. By validating their feelings, the nurse can create a safe space for the patient to express their concerns and work towards finding solutions to alleviate their guilt. This approach fosters trust and a therapeutic relationship between the patient and the nurse, ultimately promoting emotional well-being and facilitating open communication.
One error in record-keeping is illegible handwriting. What is the APPROPRIATE action by the nurse in this situation?
- A. Request the senior nurse to read the order for you.
- B. Let the resident-on-duty in the nurses station interpret it.
- C. Call the physician who made the order.
- D. Report the lapse to the Quality Assurance Committee
Correct Answer: A
Rationale: The appropriate action for a nurse in this situation is to request the senior nurse to read the illegible order for clarification. It is essential to ensure accurate and safe patient care by confirming the correct interpretation of the order with a colleague familiar with the handwriting. This action helps prevent errors and misunderstandings that may occur due to illegible handwriting. Consulting with the senior nurse is a common practice in healthcare settings to maintain effective communication and avoid mistakes in patient care.