Nokea
The nurse questions a doctors order of Morphine sulfate 50 mg, IM for a client with pancreatitis. Which role best fit that statement?
- A. Change agent
- B. Client advocate
- C. Case manager
- D. Collaborator
Correct Answer: B
Rationale: Questioning an inappropriate order like morphine for pancreatitis, which worsens sphincter of Oddi spasm reflects the client advocate role. Nurses protect patient rights and safety by challenging harmful directives, ensuring optimal care (e.g., suggesting alternatives like meperidine). This differs from change agent (lifestyle shifts), case manager (coordination), or collaborator (teamwork), emphasizing advocacy's focus on patient well-being, a core ethical duty in nursing.
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After a week, Mr. Gary's wife said 'If only I insisted an earlier check up, this wouldn't happen' This exemplifies what stage of grieving?
- A. Denial
- B. Anger
- C. Bargaining
- D. Depression
Correct Answer: C
Rationale: If only I insisted is bargaining (C), per Kubler-Ross seeking to undo loss via 'what ifs.' Denial (A) rejects, anger (B) rages, depression (D) despairs. Bargaining reflects guilt-driven deals, making it the correct stage.
A nurse provides care to clients of a community clinic that serves a large immigrant population. Which intervention reflects primary prevention for this group?
- A. Screening for tuberculosis
- B. Providing vaccinations
- C. Referring clients with hypertension to a specialist
- D. Teaching clients with diabetes foot care
Correct Answer: B
Rationale: Primary prevention stops illness before it starts, vital for immigrants facing unique risks. Providing vaccinations like measles or flu shots builds immunity, preventing outbreaks in a group often under-vaccinated due to access or prior country norms, a top nursing action in clinics. Screening for tuberculosis is secondary, catching disease early, common in immigrant health but not preventive. Referring hypertension cases or teaching diabetic foot care is tertiary, managing existing conditions, not averting onset. Vaccinations align with primary prevention's proactive stance data shows they cut infectious disease rates in such populations addressing environmental and social vulnerabilities. Nursing leverages this to protect community health, ensuring immigrants, often in crowded settings, dodge preventable illnesses, a practical, impactful step for this clinic's focus.
Which of the following statement best describe incident reporting?
- A. Hiding errors
- B. Reporting adverse events
- C. A patient task
- D. A routine check
Correct Answer: B
Rationale: Incident reporting is reporting adverse events (B), per nursing e.g., falls logged. Not hiding (A), not task (C), not routine (D) safety-focused. B best defines its role, improving Mr. Gary's care safety, making it correct.
The master gland controls the thyroid hormone by secreting
- A. Thyroxine
- B. Triiodothyronine
- C. Thyroid stimulating hormone
- D. Calcitonin
Correct Answer: C
Rationale: The pituitary secretes TSH e.g., stimulates thyroid unlike thyroxine, T3 (thyroid products), calcitonin (calcium). Nurses understand e.g., TSH tests for regulation, per endocrine.
Mr. Gary's insurance paid for his hospital stay. This is an example of?
- A. Health care financing
- B. Cost-effectiveness
- C. Health policy
- D. Patient education
Correct Answer: A
Rationale: Insurance paying is health care financing (A) funding services, per definition. Cost-effectiveness (B) value, policy (C) rules, education (D) teaching not funding-specific. A fits Mr. Gary's care support, making it correct.