Nokea
Toilet training occurs in the anal stage of Freud's psychosexual development. This is equivalent to Erikson's:
- A. Trust vs. Mistrust
- B. Autonomy vs. Shame and Doubt
- C. Initiative vs. Guilt
- D. Industry vs. Inferiority
Correct Answer: A
Rationale: The correct answer is A: Trust vs. Mistrust. In Freud's psychosexual development theory, the anal stage is where toilet training occurs, focusing on issues of control and independence. This stage is parallel to Erikson's Trust vs. Mistrust stage, where infants learn to trust or mistrust their caregivers based on the consistency of care they receive. Choices B, C, and D are incorrect as they correspond to different stages in Erikson's psychosocial development theory, not related to toilet training or the anal stage of Freud's theory.
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Integrated management for childhood illness is the universal protocol of care endorsed by WHO and is used by different countries worldwide, including the Philippines. In any case that the nurse classifies the child and categorizes the signs and symptoms in the PINK category, you know that this means:
- A. Urgent referral
- B. Antibiotic Management
- C. Home treatment
- D. Outpatient treatment facility is needed
Correct Answer: B
Rationale: When a child is classified under the PINK category in the Integrated Management of Childhood Illness (IMCI) guidelines, it signifies the need for antibiotic management. This category indicates severe signs and symptoms requiring immediate antibiotic treatment to address the underlying infection. Choices A, C, and D are incorrect because the PINK category specifically calls for urgent antibiotic management rather than urgent referral, home treatment, or outpatient treatment facility.
In preparation for ECT, the nurse knows that it is almost similar to that of:
- A. ECG
- B. General Anesthesia
- C. EEG
- D. MRI
Correct Answer: B
Rationale: The correct answer is B: General Anesthesia. In preparation for ECT (Electroconvulsive Therapy), the nurse should be aware that it is almost similar to the process of administering general anesthesia. This similarity is crucial as it involves sedation and muscle relaxation to ensure safety during the procedure. Choice A (ECG) is incorrect because ECT and ECG (Electrocardiogram) serve different purposes and involve distinct procedures. Choice C (EEG) is incorrect as EEG (Electroencephalogram) measures brain activity and is not directly related to ECT. Choice D (MRI) is also incorrect as MRI (Magnetic Resonance Imaging) is a diagnostic imaging procedure that does not involve sedation or muscle relaxation like ECT and general anesthesia.
The nurse knows that after receiving the blood from the blood bank, it should be administered within:
- A. 1 hour
- B. 2 hours
- C. 4 hours
- D. 6 hours
Correct Answer: D
Rationale: Blood transfusions need to be administered promptly after receiving the blood from the blood bank to ensure patient safety and effectiveness. Waiting too long can lead to complications such as bacterial growth in the blood product, which can be harmful when infused. Administering the blood within 6 hours is crucial to prevent such risks. Choices A, B, and C are incorrect because waiting for 1, 2, or 4 hours respectively can increase the likelihood of complications associated with delayed transfusion.
While the client has a pulse oximeter on his fingertip, you notice that sunlight is shining on the area where the oximeter is. Your action will be to:
- A. Set and turn on the alarm of the oximeter
- B. Do nothing since there is no identified problem
- C. Cover the fingertip sensor with a towel or bedsheet
- D. Change the location of the sensor every four hours
Correct Answer: B
Rationale: In this scenario, the correct action is to do nothing since there is no identified problem with the sunlight shining on the area where the oximeter is placed. The functionality of the oximeter is not affected by sunlight, so covering it or changing its location unnecessarily could disrupt the monitoring process. Setting the alarm or changing the sensor location every four hours is not indicated in this situation and may lead to unnecessary interventions. It's essential to assess the situation carefully and intervene only when necessary, ensuring that care provided is appropriate and effective.
The nurse cares for a hospitalized adolescent with the diagnosis of anorexia nervosa. Which nursing goal is a priority for this client?
- A. Encourage effective coping skills
- B. Restore normal eating habits
- C. Stop weight loss or restore weight
- D. Promote realistic self-image
Correct Answer: C
Rationale: In the treatment of anorexia nervosa, stopping weight loss or restoring weight is a critical priority. This helps address the immediate health risks associated with severe malnutrition and supports the client's physical well-being. Encouraging effective coping skills, restoring normal eating habits, and promoting a realistic self-image are essential aspects of treatment but may come later in the care plan once the immediate risk of severe weight loss has been addressed.