Nokea
The QA team has been bombarded by complaints of patients on their long waiting period in the OPD, before the health care professionals are examining them. In response to this concern, which type of quality assessment should the team implement?
- A. Outcome evaluation
- B. Ongoing evaluation
- C. Process evaluation
- D. Structures evaluation
Correct Answer: C
Rationale: Process evaluation focuses on assessing how well the activities and procedures are being conducted to achieve the desired outcomes. In this situation, the long waiting period in the OPD is a process issue related to the efficiency of patient flow and appointment scheduling practices. By implementing a process evaluation, the QA team can analyze and improve the workflow, identify bottlenecks causing delays, and streamline the processes to reduce waiting times for patients. This approach allows the team to make targeted improvements in the processes directly associated with the patient experience, leading to a more effective and efficient OPD operation.
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In the care of families, crisis intervention is an important part of _____.
- A. Secondary prevention
- B. Primary prevention
- C. Tertiary prevention
- D. Health promotion
Correct Answer: A
Rationale: Crisis intervention is an important part of secondary prevention in the care of families. Secondary prevention involves activities that aim to reduce the impact of a crisis or event that has already occurred. Crisis intervention provides immediate support and strategies to help families cope with and overcome a crisis situation. By addressing the crisis quickly and effectively, secondary prevention can help prevent further negative outcomes and promote the well-being of the family members.
When there is respiratory depression resulting from drug overdose, the nurse have to watch for which of the following?
- A. Hyperventilation
- B. Biot's respiration
- C. Tachypnea
- D. Bradypnea Situation
Correct Answer: D
Rationale: Respiratory depression resulting from drug overdose typically leads to a decrease in the respiratory rate, known as bradypnea. This is characterized by abnormally slow breathing, which can be dangerous as it may lead to decreased oxygen levels in the blood. Bradypnea indicates a slowing down of the respiratory drive, in contrast to hyperventilation, biot's respiration, or tachypnea. It is crucial for the nurse to monitor a patient experiencing respiratory depression for signs of bradypnea and intervene promptly to prevent further complications.
Who should Nurse Sandra consider as a priority for home visitation?
- A. Pedro 9 years old whose parents are both workings
- B. Mellisa 10 years old with stunted growth for her age
- C. Cindy 7 years old who has been absent due to skin lesions
- D. Mike 8 years old who often sleeps during class hour.
Correct Answer: C
Rationale: Nurse Sandra should consider Cindy, 7 years old who has been absent due to skin lesions, as a priority for home visitation. Skin lesions can indicate potential health issues that need to be addressed promptly. Cindy's frequent absences could be a sign that her condition is affecting her school attendance and overall well-being. By conducting a home visit, Nurse Sandra can assess Cindy's living environment, provide appropriate care recommendations, and ensure that she receives necessary medical attention. This proactive approach can help address Cindy's health concerns and support her academic performance.
While taking nursing history on Annie, what will be the response of the patient that indicates her present condition?
- A. She frequently experiences vertigo nausea and nystagmus when sitting.
- B. She has ear pain and discharge from the left ear when travelling.
- C. She has had impaired hearing since birth.
- D. Her hearing loss has become worse with each succeeding pregnancy
Correct Answer: A
Rationale: The response indicating Annie's present condition would be option A. This is because the symptoms mentioned in option A, such as experiencing vertigo, nausea, and nystagmus when sitting, point towards a vestibular disorder. These are symptoms commonly associated with conditions like Meniere's disease or vestibular neuritis, which can cause balance issues and feelings of dizziness. These symptoms are more indicative of Annie's current health status compared to the other options which focus on past or unrelated issues, such as ear pain during travel or impaired hearing since birth. The information provided in option A gives a more direct insight into Annie's present condition, making it the most appropriate response.
Ella states'I will hang my self' this is a manifestation of:
- A. Denial
- B. Suicidal intent
- C. Suicidal threat
- D. Paranoia.
Correct Answer: B
Rationale: Ella's statement "I will hang myself" directly indicates a desire and intent to commit suicide. This is classified as a suicidal intent, which is a serious concern that requires immediate attention and intervention. It is crucial to take any mention or indication of suicide seriously and seek help from mental health professionals or crisis intervention services.