Nokea
The most significant factor that might affect the nurse¢â‚¬â„¢s care for the psychiatric patient is:
- A. Nurse¢â‚¬â„¢s own beliefs and attitude about the mentally ill
- B. Amount of experience he has with psychiatric clients
- C. Her abilities and skill to care for the psychiatric clients
- D. Her knowledge in dealing with the psychiatric clients
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Disposal of medical records in government hospitals/institutions must be done in close coordination with what agency?
- A. Department of Interior and Local Government (DILG)
- B. Metro Manila Development Authority (MMDA)
- C. Records Management Archives Office (RMAO)
- D. Department of Health (DOH)
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Why do older adult female clients need less iron than younger adult female clients?
- A. The need for iron decreases because older female clients produce more red blood cells.
- B. The need for iron decreases with age because older female clients carry oxygen more efficiently.
- C. The need for iron decreases with age because older female clients experience menopause.
- D. The need for iron decreases with age because older female clients exercise more.
Correct Answer: C
Rationale: The correct answer is C. Older adult female clients need less iron than younger adult female clients because as women go through menopause, they no longer lose blood through menstruation, leading to a reduced need for iron. Choice A is incorrect because producing more red blood cells does not directly correlate with needing less iron. Choice B is incorrect as carrying oxygen more efficiently does not necessarily decrease the need for iron. Choice D is incorrect as exercising more does not explain the decreased need for iron in older adult female clients.
The purpose of chest percussion and vibration is to loosen secretions in the lungs. The difference between the procedures is:
- A. Percussion uses only one hand, while vibration uses both hands
- B. Percussion delivers cushioned blows to the chest with cupped palms, while vibration gently shakes secretions loose
- C. In both percussion and vibration, the hands are not on top of each other, and hand action is not in tune with the client's breath
- D. Percussion slaps the chest to loosen secretions, while vibration shakes the secretions along with the inhalation
Correct Answer: D
Rationale: Chest percussion involves the use of rhythmic tapping to dislodge mucus from the lungs, facilitating its movement toward the larger airways where it can be expelled. This technique is particularly important in conditions where mucus retention is a significant risk factor for infection. The key difference between chest percussion and vibration is that percussion involves slapping the chest to loosen secretions, while vibration involves shaking the secretions along with the inhalation, aiding in moving the loosened secretions upwards for easier removal. Choices A, B, and C do not accurately describe the main difference between chest percussion and vibration, making them incorrect.
Before Dianne performs the formal research study, what do you call the pre-testing, small-scale trial run to determine the effectiveness of data collection and methodological problems that might be encountered?
- A. Sampling
- B. Pre-testing
- C. Pre-Study
- D. Pilot Study
Correct Answer: D
Rationale: The correct answer is 'Pilot Study.' A pilot study is a small-scale trial run conducted before the formal research study to identify and address any issues related to data collection and methodology. This helps in determining the effectiveness of the research process and identifying potential problems that may arise. Choice A, 'Sampling,' refers to the process of selecting a subset of individuals from a larger population for research. Choice B, 'Pre-testing,' simply involves testing something before the main testing phase. Choice C, 'Pre-Study,' is not a commonly used term in research methodology and does not specifically refer to the small-scale trial run described in the question.
What is the priority nursing goal for an adolescent with anorexia nervosa?
- A. Encourage effective coping skills
- B. Restore normal eating habits
- C. Stop weight loss or restore weight
- D. Promote realistic self-image
Correct Answer: C
Rationale: The priority nursing goal for an adolescent with anorexia nervosa is to stop weight loss or restore weight. This is crucial in addressing the immediate health risks associated with anorexia nervosa, such as malnutrition, organ damage, and potential life-threatening complications. While encouraging effective coping skills, restoring normal eating habits, and promoting a realistic self-image are important aspects of treatment, stopping weight loss or restoring weight takes precedence due to the severe physical consequences of anorexia nervosa.