Nokea
To obtain her license to practice, she must do the following, EXCEPT:
- A. Must take the path to any government official
- B. Must register in the registration division of the PRC
- C. Must take the oath of professionals before any member of the PRBON
- D. Must be issued a certificate of Registration (COR) and profession identification card (PIN)
Correct Answer: A
Rationale: To obtain a license to practice, the individual must follow certain steps and fulfill specific requirements. Option A states that she must take the path to any government official, which is not accurate or necessary in the process of obtaining a professional license. The other options provided are correct in the usual process of getting a license: registering in the Professional Regulation Commission (PRC), taking the oath of professionals before a member of the Professional Regulatory Board of Nursing (PRBON), and being issued a certificate of Registration (COR) and a profession identification card (PIN).
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"The dress code in this facility does not include wearing blue jeans while on duty". This statement is an example of using which step in giving constructive criticism?
- A. Expressing empathy
- B. Stating expectation
- C. Describing the behavior
- D. Listing consequences
Correct Answer: B
Rationale: The statement provided clearly outlines the expectation regarding the dress code in the facility. By explicitly mentioning that wearing blue jeans while on duty is not included in the dress code, the individual is being informed about a specific expectation they are expected to adhere to. Stating expectations is a crucial step in giving constructive criticism as it sets a clear standard for behavior or performance. In this case, by mentioning the dress code policy, it helps guide the individual on what is acceptable and what is not when it comes to attire while at work.
Which of the following interventions is recommended for managing a patient with a suspected opioid overdose?
- A. Administering naloxone intravenously.
- B. Providing respiratory support with bag-valve-mask ventilation.
- C. Encouraging the patient to drink fluids rapidly.
- D. Administering benzodiazepines for sedation.
Correct Answer: A
Rationale: Naloxone is a medication used to reverse the effects of an opioid overdose by binding to opioid receptors and displacing the opioids. Administering naloxone intravenously is the recommended intervention for managing a patient with a suspected opioid overdose as it can quickly reverse respiratory depression, sedation, and other effects of opioids. This intervention can be life-saving in cases of opioid overdose and is a critical step in the management of such patients. Providing respiratory support with bag-valve-mask ventilation may be necessary in addition to naloxone administration to ensure adequate oxygenation, but naloxone remains the primary intervention to reverse the effects of opioids. Encouraging the patient to drink fluids rapidly or administering benzodiazepines for sedation are not recommended interventions for managing a suspected opioid overdose.
Nurse Roberto is aware that a client who has experienced cardiac arrest is MOST at risk for which of the following imbalances?
- A. Metabolic alkalosis
- B. Metabolic acidosis
- C. Respiratory alkalosis
- D. Respiratory acidosis
Correct Answer: D
Rationale: When a client experiences cardiac arrest, their breathing may become insufficient, leading to inadequate elimination of carbon dioxide (CO2) from the body. With reduced CO2 elimination, the level of CO2 in the bloodstream increases, causing respiratory acidosis. This imbalance is characterized by a decrease in blood pH along with an increase in CO2 levels in the blood, resulting in an acidic environment. Respiratory acidosis is the most common imbalance seen in clients who have experienced cardiac arrest, as impaired gas exchange impacts the body's ability to maintain proper acid-base balance.
Gloria decides to include only nurses who have a minimum three years experience as psychiatric nurses. Which of the following terms refer to this?
- A. Concept
- B. Limitation
- C. Variable
- D. Delimitation
Correct Answer: D
Rationale: A delimitation in a research study refers to setting specific boundaries or restrictions on the scope of the study. In this scenario, Gloria's decision to include only nurses with a minimum of three years experience as psychiatric nurses is a delimitation because it sets a specific criterion or boundary for the selection of participants. This helps to focus the study on a particular group of individuals who possess the required experience, ensuring the research is targeted and relevant to the topic being investigated.
Nurse Chona saw Patient Noel reading his own chart and question the nurse why (-) smoking and (-) liquor was recorded when he does not smoke and drink alcohol? What is the INITIAL explanation of Nurse Chona on the record?
- A. Get the chart from him and reprimand him from reading the chart
- B. The sign of negative before the word means he is not drinking alcohol or smoking cigarette.
- C. Ask patient Noel to apologize for reading the chart.
- D. Tell Noel that alcohol and liquor are important factors in diagnosing his ailment.
Correct Answer: B
Rationale: Nurse Chona should explain to Patient Noel that the sign of negative before the word means that he is not drinking alcohol or smoking cigarettes. This is a simple misunderstanding and clarification should help clear up any confusion. It is important to uphold patient confidentiality and respect their autonomy, rather than reprimanding the patient for looking at their own chart. It is also essential to address any discrepancies in the patient's medical record to ensure accurate information is documented for proper treatment and care.