Nokea
The role of the incident report in risk management is:
- A. liability protection.
- B. to provide data for analysis by a risk manager to determine how future problems can be avoided.
- C. to discipline staff for errors.
- D. all of the above.
Correct Answer: B
Rationale: Incident reports are a tool for determining how future problems can be avoided. Incident reports do not provide liability protection. Incident reports are not meant to be used for disciplining staff.
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A Hispanic client brings her father to the clinic because he is becoming more forgetful. He is diagnosed with Alzheimer's disease. The woman tells the nurse that she wants to try ginkgo biloba for her father, before using prescription medications. Which of the following is an appropriate response by the nurse?
- A. It is wiser to start a prescription
- B. That herb won't do your father any good
- C. You can't expect an herb to treat Alzheimer's
- D. I will let the physician know of your wishes
Correct Answer: D
Rationale: The culturally sensitive response is to notify the physician of the family member's wishes and to determine whether it is feasible. Ginkgo biloba has been shown to be of some benefit in treating dementia. The other statements are not culturally sensitive.
Several passengers aboard an airliner suddenly become weak and suffer breathing difficulty. The diagnosis is likely to be:
- A. outbreak of Asian flu.
- B. Chemical exposure.
- C. bacterial pneumonia.
- D. allergic reaction.
Correct Answer: B
Rationale: The most likely cause of groups of individuals suddenly experiencing similar signs of illness all at once is a chemical exposure.
The most common cause of injury from a house fire is:
- A. explosion
- B. falls from second-story windows
- C. thermal damage to skin and body surfaces
- D. inhalation injury
Correct Answer: D
Rationale: Inhalation injury, due to smoke and toxic gases, is the most common cause of injury in house fires, often leading to respiratory distress or death before burns become critical.
A client is told that his test is positive, but in fact, the client does not have the disease tested for. Which type of false report is this an example of?
- A. positive
- B. false positive
- C. negative
- D. false negative
Correct Answer: B
Rationale: A false positive occurs when a test incorrectly indicates a disease is present, potentially leading to unnecessary treatment or anxiety.
The nurse is teaching a client about erythema infectiosum. Which of the following factors are not correct?
- A. There is no rash.
- B. The disorder is uncommon in adults.
- C. There is no fever.
- D. There is sometimes a 'slapped face' appearance.
Correct Answer: B
Rationale: Fifth's disease, erythema infectiosum, is uncommon in adults. All the other statements are correct.