Nokea
Therapeutic treatment for Mrs. Juan should be directed towards helping her to ______.
- A. learn that her behavior is not serving a realistic purpose
- B. forget her fears by administering antianxiety medications
- C. redirect her energy into activities to help others
- D. understand her behavior is caused by unconscious impulses that she fears
Correct Answer: C
Rationale: Mrs. Juan's therapeutic treatment should focus on redirecting her energy into activities that involve helping others. By engaging in altruistic activities, Mrs. Juan can shift her focus away from her fears and anxieties towards something positive and fulfilling. This approach can help her to find purpose and meaning outside of her own concerns, fostering a sense of well-being and satisfaction. Additionally, helping others can provide Mrs. Juan with a sense of accomplishment and self-worth, ultimately contributing to her overall mental health and emotional resilience.
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A document that lists the medical treatment a person chooses to refuse if unable to make decisions is the:
- A. Durable power of attorney
- B. Living will
- C. Informed consent
- D. Advance directives
Correct Answer: B
Rationale: A living will is a legal document that allows an individual to express their wishes regarding medical treatment in the event they become unable to make decisions. It specifically outlines the medical treatments a person chooses to refuse or accept under certain circumstances. It is important to differentiate a living will from a durable power of attorney, which designates someone to make healthcare decisions on behalf of the individual when they are unable to do so, and advance directives, which encompass both a living will and a durable power of attorney for healthcare. The living will serves as a guide for healthcare professionals and family members to honor the individual's preferences for medical care.
If Baby Sharon develops dehydration, what is the FIRST sign to look for by Nurse Juvy?
- A. Oliguria
- B. Sunken fontanels
- C. Soft and depressed eyeballs
- D. Non-elastic skin/poor skin turgor on thighs and abdomen Situation 3 -
Correct Answer: B
Rationale: Sunken fontanels are one of the earliest signs of dehydration in infants. Fontanels are soft spots on an infant's head where the skull bones have not yet fused together. If a baby's fontanel appears sunken, it indicates that the baby is likely dehydrated. This occurs because when there is a lack of fluid in the body, the soft spots on the head will appear depressed or sunken. It is crucial for Nurse Juvy to closely monitor the fontanels of Baby Sharon, as identifying dehydration early is essential for prompt intervention and preventing complications.
Qualitative researchers should choose their participants who can best meet the objectives of the study, who of the following best qualifies?
- A. Cooperative persons in the community
- B. Those readily available thus convenient for the researcher.
- C. Able to articulate and reflect on the phenomenon that they experienced.
- D. Persons referred by friends.
Correct Answer: C
Rationale: When selecting participants for a qualitative research study, it is important to choose individuals who are able to articulate and reflect on the phenomenon being studied. This is crucial for gathering in-depth and rich data that can provide valuable insights for the study. Participants who can express their experiences, thoughts, and feelings clearly will allow the researcher to delve deeper into the research objectives and gain a more comprehensive understanding of the phenomenon under investigation. Selecting individuals with the ability to articulate and reflect ensures that the data collected will be meaningful and contribute significantly to the research findings. It is essential for qualitative researchers to prioritize such participants who can best meet the objectives of the study by offering detailed and insightful perspectives.
The patient's diagnostic tests revealed he was positive for bacterial pneumonia. The MOST likely causative organism of this type of pneumonia is ______.
- A. legionella pneumoniae
- B. streptococcus pneumoniae
- C. mycoplasma pneumoniae
- D. hemophilus pneumoniae
Correct Answer: B
Rationale: Streptococcus pneumoniae is the most common causative organism of bacterial pneumonia in adults. It is responsible for the majority of community-acquired pneumonia cases. Streptococcus pneumoniae is a gram-positive bacteria and is known to cause typical pneumonia characterized by sudden onset of high fever, productive cough with blood-tinged or rust-colored sputum, chest pain, and consolidation on chest imaging. Other organisms like Legionella pneumophila (choice A), Mycoplasma pneumoniae (choice C), and Haemophilus influenzae (choice D) can also cause pneumonia, but Streptococcus pneumoniae is the most likely culprit based on the patient's test results.
Upon admission for an appendectomy, the patient provides the nurse with a document that specifies instructions his healthcare team should follow in the event he is unable to communicate these wishes postoperatively. This document is best known as a/an:
- A. informed consent
- B. Patient's Bill of Rights
- C. insurance card
- D. advance directive
Correct Answer: D
Rationale: An advance directive is a legal document that specifies a person's healthcare preferences and instructions for medical treatment in the event they are unable to communicate their wishes. It typically includes decisions about life-sustaining treatments, resuscitation, and end-of-life care. In the scenario provided, the document provided by the patient to the nurse outlining his healthcare team's instructions postoperatively indicates that he has an advance directive in place to guide his medical care if necessary. In contrast, informed consent is a process in which a patient gives permission for medical treatment after being informed about the risks, benefits, and alternatives. Patient's Bill of Rights outlines the patient's rights within the healthcare system, and an insurance card provides information about the patient's insurance coverage.