Nokea
When a patient in the terminal stages of lung cancer begins to exhibit loss of consciousness, a major nursing priority is to:
- A. Protect the patient from injury
- B. Insert an airway
- C. Elevate the head of the bed
- D. Withdraw all pain medications
Correct Answer: A
Rationale: Protecting an unconscious patient from injury is the top priority.
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Which of the following statement is NOT true about health care economics?
- A. Affects care delivery
- B. Involves funding
- C. Ignores patient needs
- D. Shapes policy
Correct Answer: C
Rationale: Economics affects delivery (A), involves funding (B), shapes policy (D) 'ignores patient needs' (C) isn't true, impacts them, per system. C's neglect contradicts economics' role, like Mr. Gary's care costs, making it untrue.
When a client wishes to improve the appearance of their eyes by removing excess skin from the face and neck, the nurse should provide teaching regarding which of the following procedures?
- A. Dermabrasion
- B. Rhinoplasty
- C. Blepharoplasty
- D. Rhytidectomy
Correct Answer: D
Rationale: Rhytidectomy (facelift) removes excess skin from face and neck.
Which of the following statement best describe illness?
- A. Absence of health
- B. A state of discomfort
- C. Altered function due to disease
- D. Temporary loss of well being
Correct Answer: C
Rationale: Illness is altered function due to disease (C), per medical concept pathological impact. Absence (A) oversimplifies, discomfort (B) vague, temporary (D) not always. C best defines illness' dysfunction, making it correct.
Which of the following statement best describe quality improvement?
- A. A one-time fix
- B. Ongoing effort to enhance care
- C. A punishment for errors
- D. A financial strategy
Correct Answer: B
Rationale: Quality improvement is an ongoing effort to enhance care (B), per QI models e.g., PDSA cycles. Not one-time (A), not punishment (C), not just finance (D) continuous. B best defines QI's iterative nature, making it correct.
After a day, Mr Gary's wife shouted at the nurse and said 'You're not doing your job right! My husband is dying because of you!' This is an example of?
- A. Denial
- B. Anger
- C. Bargaining
- D. Depression
Correct Answer: B
Rationale: Shouting 'You're not doing your job is anger (B), per Kubler-Ross lashing out in grief. Denial (A) rejects, bargaining (C) pleads, depression (D) withdraws. Anger targets others, fitting her outburst, making it correct.