Nokea
The nurse recorded Mr. Gary's vitals in his chart. This is an example of?
- A. Documentation
- B. Standard precautions
- C. Health policy
- D. Patient education
Correct Answer: A
Rationale: Recording vitals is documentation (A) care record, per definition. Precautions (B) safety, policy (C) rules, education (D) teaching not record-specific. A fits the nurse's accurate logging for Mr. Gary, making it correct.
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She dies of yellow fever in her search for truth to prove that yellow fever is carried by a mosquitoes.
- A. Clara louise Maas
- B. Pearl Tucker
- C. Isabel Hampton Robb
- D. Caroline Hampton Robb
Correct Answer: A
Rationale: Clara Louise Maas died in 1901 proving yellow fever's mosquito link volunteering for bites advancing epidemiology. Unlike Tucker, Robb (educator), or Hampton Robb (surgical pioneer), her sacrifice at 25 impacted public health, a heroic legacy in nursing research and disease prevention history.
The nurse uses the Glasgow Coma Scale to assess a client with a head injury. Which Glasgow Coma Scale score indicates that the client is in a coma?
- A. 6
- B. 9
- C. 12
- D. 15
Correct Answer: A
Rationale: A Glasgow Coma Scale (GCS) score of 6 (A) indicates coma, defined as ≤8, reflecting minimal responsiveness (eye, verbal, motor). Scores of 9 (B) and 12 (C) suggest moderate injury. 15 (D) is normal. A is correct. Rationale: GCS ≤8 signifies severe brain dysfunction, often requiring intubation, a standard threshold in neurocritical care for coma classification and management.
Which psychological effect is commonly observed in patients experiencing immobility?
- A. Increased motivation
- B. Decreased risk of depression
- C. Increased sense of independence
- D. Increased risk of anxiety and depression
Correct Answer: D
Rationale: Immobility often increases anxiety and depression risk, as patients face mobility loss, dependence, and isolation, fostering psychological distress. Motivation and independence typically wane with restricted activity, while depression risk rises, not falls, due to these constraints. Nurses address this through emotional support and engagement, understanding that mental health declines when physical freedom is curtailed. This effect highlights the need for holistic care, blending physical interventions with psychological support to mitigate the emotional toll of immobility on patients.
Which of the following statement best describe implementation in nursing process?
- A. Identifying problems
- B. Setting goals
- C. Carrying out interventions
- D. Evaluating outcomes
Correct Answer: C
Rationale: Implementation is carrying out interventions (C), per nursing process e.g., giving meds. Not identifying (A), setting (B), evaluating (D) action-focused. C best defines implementation's execution, making it correct.
When charting in the client's record or chart, the nurse most needs to do which one of the following things?
- A. Date and sign each entry.
- B. Chart every two hours.
- C. Use ballpoint pen and not pencil.
- D. Cross out errors so others can't read them.
Correct Answer: A
Rationale: Dating and signing each chart entry is most essential, establishing a legal timeline and accountability for actions. Fixed intervals aren't mandatory, pens ensure permanence but aren't the priority, and crossing out errors risks misinterpretation. This practice validates care, crucial for nursing documentation integrity.