Nokea
To ensure that the staff adheres to their job responsibilities which should be the appropriate toool should Nurse Mae utilize in evaluating staff performance?
- A. Memorandum
- B. Incident report
- C. Performance evaluation
- D. Anecdotal report
Correct Answer: C
Rationale: Nurse Mae should utilize performance evaluations to ensure that the staff adheres to their job responsibilities. Performance evaluations are structured assessments that provide a holistic view of an employee's performance against established standards and job responsibilities. By conducting regular performance evaluations, Nurse Mae can objectively measure staff performance, identify areas of strengths and weaknesses, provide feedback for improvement, and set goals for professional development. This tool is essential for monitoring and managing staff performance effectively in a healthcare setting.
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A patient receiving palliative care for end-stage heart failure experiences severe fatigue and limited mobility. What intervention should the palliative nurse prioritize to promote the patient's comfort and quality of life?
- A. Recommend initiating physical therapy to improve mobility and strength.
- B. Encourage the patient to conserve energy and avoid unnecessary activities.
- C. Prescribe stimulant medications to alleviate fatigue and increase energy levels.
- D. Refer the patient to a nutritionist for dietary modifications to boost energy.
Correct Answer: B
Rationale: In this scenario, the palliative nurse should prioritize encouraging the patient to conserve energy and avoid unnecessary activities (Option B). End-stage heart failure can lead to severe fatigue and limited mobility, making it essential for the patient to conserve energy to prevent exacerbating symptoms and improve quality of life. Engaging in physical therapy (Option A) may not be suitable for a patient experiencing severe fatigue, as it can further drain energy reserves. Prescribing stimulant medications (Option C) may have limited effectiveness and potential side effects. Referring the patient to a nutritionist for dietary modifications (Option D) is important for overall health but may not directly address the immediate comfort and quality of life concerns related to fatigue and limited mobility. Helping the patient prioritize energy conservation will allow them to use their limited energy for essential activities, leading to a more comfortable and fulfilling experience while receiving palliative care for end-stage heart failure.
Context of a verbal communication is the:
- A. Use of understandable
- B. Use of clear sentences
- C. Use of literal words
- D. Environment where communication occurs
Correct Answer: D
Rationale: The context of a verbal communication is the environment or situation in which the communication takes place. It includes factors such as the physical setting, the social or cultural background, the relationship between the speaker and the listener, and any other relevant conditions that may impact the understanding of the message. Understanding the context is essential for effective communication as it helps to interpret the meaning behind the words spoken and ensures that the message is appropriately received.
Which of the following study designs that uses information on current health status, personal characteristics, and potential risk factors will be appropriate?
- A. Case-control
- B. Cohort
- C. Ecological
- D. Cross-sectional
Correct Answer: B
Rationale: A cohort study design would be appropriate in this scenario. Cohort studies follow a group of individuals over a period of time to assess how their current health status, personal characteristics, and potential risk factors may contribute to the development of certain outcomes or diseases. By collecting data at different time points on the same group of individuals, cohort studies allow researchers to establish associations between exposures and outcomes, providing valuable information on causality. In this case, using a cohort study design would allow for a comprehensive examination of how various factors impact health outcomes over time.
Amitriptyline, an antidepressant is the drug of choice in treating Bulimia. What is a COMMON side effect of this drug?
- A. Anticholinergic effects
- B. Cholinergic effects
- C. Urinary frequency
- D. Diarrhea
Correct Answer: A
Rationale: Amitriptyline, being a tricyclic antidepressant, commonly causes anticholinergic side effects. These effects include dry mouth, constipation, blurred vision, urinary retention, and confusion. Anticholinergic effects are due to the drug's inhibition of the neurotransmitter acetylcholine, which can lead to the symptoms mentioned above. These side effects can be bothersome for patients taking amitriptyline, but they are generally manageable and often improve over time as the body adjusts to the medication. In the case of bulimia treatment, the benefits of using amitriptyline to address the underlying psychological issues often outweigh the side effects.
Nurse Reese is preparing the patient assignment t for the day and needs to assign patients to a midwife and nursing assistant. Which patient should the nurse assign to the midwife because of patient needs that cannot be met by the nursing assistant? A patient requiring________.
- A. dressing change of post caesarian Surgery
- B. Collecting of urine specimen for urinalysis testing
- C. performing range-of-motion exercises twice a day
- D. taking of vital signs measurement every hour
Correct Answer: A
Rationale: The patient requiring a dressing change of post-caesarian surgery should be assigned to the midwife because this task involves specialized knowledge and skills related to wound care and post-operative care. Performing a dressing change for a post-caesarian surgery patient requires expertise to ensure proper hygiene, wound healing, and prevention of post-operative complications. This task goes beyond the scope of practice for a nursing assistant and should be done by a healthcare professional with higher qualifications and training, such as a midwife.