Nokea
The psychiatric diagnosing of patients is a morally charged issue and the assigning of diagnosis may be an ethical issue. The role of the nurse in diagnosing psychiatric patient is important because nurses are _______.
- A. collaborators in the diagnostic process
- B. planners of psychiatric nursing care
- C. knowledgeable in the field of psychiatry due to extensive clinical experience
- D. Competent by virtue of their educational preparation
Correct Answer: A
Rationale: Nurses play a crucial role as collaborators in the diagnostic process of psychiatric patients. While nurses themselves do not diagnose psychiatric conditions, they work closely with other healthcare providers such as psychiatrists and psychologists in assessing and monitoring patients' mental health status. Nurses gather valuable information, observe patients' behaviors, and communicate effectively with the healthcare team to contribute to the overall diagnostic process. By actively participating in assessments and evaluations, nurses help ensure accurate diagnoses and appropriate treatment plans for psychiatric patients.
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WHICH OF THE FOLLOWING IS THE PURPOSE OF RECORD KEEPING?
- A. Quantify medication usage
- B. Historical background
- C. Archive
- D. Quality health care
Correct Answer: D
Rationale: The purpose of record keeping in healthcare is primarily to ensure quality health care. Maintaining accurate and up-to-date records of patient information, including medical history, treatments, medications, and test results, allows healthcare providers to make informed decisions about patient care. Access to complete and organized records helps in providing timely and effective treatments, reducing errors, and ensuring continuity of care. By tracking and documenting patient care, healthcare professionals can assess outcomes, monitor progress, and improve overall quality of healthcare services. Additionally, thorough record keeping also supports communication between healthcare providers and facilitates coordination of care across different healthcare settings.
The newly hired nurse asks for advice from the supervisor. supervisor notices that the newly hired nurse felt uneasy upon learning that the fetus is on breech presentation. Which of the following is the BEST RESPONSE by the supervisor?
- A. "I understand how you feel. Tell me more."
- B. Is this your first time to witness a breech presentation"
- C. Are you afraid to assist the case"
- D. "Don' t worry. There's always a first time"
Correct Answer: A
Rationale: The best response by the supervisor is to acknowledge the newly hired nurse's emotions by saying, "I understand how you feel. Tell me more." This response shows empathy and validates the nurse's feelings, creating a supportive environment for open communication. It allows the nurse to express their concerns and fears, leading to a constructive discussion and providing an opportunity for guidance and reassurance. This approach fosters a positive mentorship and learning experience for the newly hired nurse.
A patient with a history of chronic kidney disease presents with pruritus, pale skin, and easy bruising. Laboratory findings reveal anemia, thrombocytopenia, and elevated blood urea nitrogen (BUN) and creatinine levels. Which of the following conditions is most likely?
- A. Uremic encephalopathy
- B. Uremic pericarditis
- C. Uremic bleeding diathesis
- D. Uremic neuropathy
Correct Answer: C
Rationale: The given patient with chronic kidney disease (CKD) is likely experiencing uremic bleeding diathesis. Uremic bleeding diathesis is a complication of CKD characterized by abnormal platelet function, leading to a tendency for bleeding. The presence of anemia, thrombocytopenia (low platelet count), pale skin, easy bruising, and elevated blood urea nitrogen (BUN) and creatinine levels are all consistent with uremic bleeding diathesis.
While preparing the surgical instruments for sterilization, the nurse notices visible residue on some of the instruments. What action should the nurse take?
- A. Re-sterilize the instruments
- B. Use the instruments for the procedure as they are
- C. Document the findings in the instrument log
- D. Notify the sterile processing department
Correct Answer: A
Rationale: If visible residue is noticed on the surgical instruments, it is crucial to re-sterilize them before using them for any procedure. Visible residue may indicate that the instruments are not sterile and could potentially introduce contaminants into the patient during the procedure, leading to infection or other complications. It is essential to maintain the highest standards of cleanliness and sterility in healthcare settings to ensure patient safety. Therefore, the nurse should take immediate action to re-sterilize the instruments before proceeding with any surgical procedure.
A nurse is caring for a patient who expresses concerns about the potential side effects of a prescribed medication. What action should the nurse take to address the patient's concerns?
- A. Disregard the patient's concerns and reassure them about the medication's safety
- B. Provide accurate information about the medication, including potential side effects
- C. Encourage the patient to stop taking the medication if they are worried about side effects
- D. Minimize the importance of the patient's concerns and focus on other aspects of care
Correct Answer: B
Rationale: The nurse should provide accurate information about the medication, including potential side effects, to address the patient's concerns. It is important for the nurse to listen to the patient's worries and provide them with the knowledge they need to make an informed decision about their treatment. By educating the patient about the medication and its potential side effects, the nurse empowers the patient to be actively involved in their care and promotes shared decision-making. Disregarding the patient's concerns, encouraging them to stop taking the medication, or minimizing the importance of their worries are not appropriate responses and may negatively impact the patient-nurse relationship and the patient's adherence to the prescribed treatment.