Nokea
The nurse closely monitors the work she delegated to the barangay health worker. She is legally guided by this principle
- A. Respondent superior
- B. The good Samaritan
- C. Res ipsa loquitor
- D. Jurisprudence
Correct Answer: A
Rationale: Respondent superior is a legal doctrine that holds an employer (such as a nurse) responsible for the actions of their employees (such as a barangay health worker) performed within the scope of their employment. In the scenario provided, the nurse delegated tasks to the barangay health worker, making the health worker an agent of the nurse. By closely monitoring the delegated work, the nurse is fulfilling her legal responsibility under the principle of respondent superior to ensure that the health worker performs their duties properly and in accordance with professional standards.
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Which of the following substances has abnormal values EARLY in the course of multiple myeloma (MM)?
- A. Red blood cells
- B. White blood cells
- C. Immunoglobulins
- D. Platelets
Correct Answer: C
Rationale: In the early stages of multiple myeloma (MM), abnormal values are often seen in the levels of immunoglobulins. This is due to the abnormal proliferation of plasma cells in the bone marrow, leading to overproduction of monoclonal immunoglobulins (M proteins). These abnormal immunoglobulins can be detected in blood tests and are a key diagnostic feature of MM. Changes in red blood cells, white blood cells, and platelets are not typically early indicators of multiple myeloma.
As a nurse you are guided that pain is usually described BEST as a phenomenon which is a ________.
- A. Neurologic activation nociceptors
- B. Subjective unpleasant experience
- C. Adaptive mechanism to a stimulus
- D. Creation of one's imagination
Correct Answer: B
Rationale: Pain is best described as a subjective unpleasant experience because it is unique to each individual and is influenced by a variety of factors including emotional, psychological, and cultural elements. Pain cannot be objectively measured or quantified, and therefore it is considered a subjective experience that is reported by the person experiencing it. This is why pain is often assessed using self-report scales and tools to capture the individual's perception of their pain intensity and quality.
After instructing a primiparous patient about episiotomy care, which of the following indicates successful teaching?
- A. "I will wipe the area from front to back using blotting motion "
- B. "I will put ice packs on the site 15 minutes once a day for 3 to 4 days"
- C. "Before bedtime, I will do a cold water sitz bath"
- D. "I'll use sudsy water to clean the episiotomy"
Correct Answer: A
Rationale: Wiping the episiotomy area from front to back using a blotting motion helps prevent introducing bacteria from the rectal area to the vaginal area, reducing the risk of infection. This technique also avoids causing unnecessary trauma to the healing tissues. Ensuring proper hygiene is vital to prevent complications such as infection, which is crucial for the healing process after an episiotomy.
"Informed consent" in this study will be obtained by Myra from the
- A. six participants only
- B. parents only
- C. six participants and available relative
- D. six participants and their parents
Correct Answer: D
Rationale: Informed consent is a critical ethical requirement in research involving human participants. In this study scenario, it is crucial that both the participants and their parents provide consent. The involvement of the parents is important, especially when the participants are minors or vulnerable individuals who may not fully understand the study's implications or risks. By obtaining consent from both the participants and their parents, researchers can ensure that everyone involved is aware of what participation in the study entails, including any potential risks or benefits. This approach upholds the principles of autonomy, respect for individuals, and ethical research conduct.
Nurse May is alarm by the incidence of number of young adults in the community with mental problems. Which of the following should be her PRIORITY nursing initiative?
- A. Refer all tertiary hospital
- B. Request for psychiatrict drugs.
- C. Set up debriefing center
- D. Set up mental health program
Correct Answer: D
Rationale: The priority nursing initiative for Nurse May should be to set up a mental health program in the community. This proactive approach focuses on prevention, early intervention, and support for individuals experiencing mental health issues. By setting up a mental health program, Nurse May can address the root causes of mental problems in young adults in the community, provide education and awareness, offer counseling services, and promote mental well-being. This initiative can have a long-term impact on the mental health of individuals and help reduce the incidence of mental problems in the community. Setting up a mental health program is a holistic and sustainable approach to addressing mental health issues in the community.