Adult Health Nursing Answer Key

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When an accurate documentation whether done manually or by electronic by the health care professionals in their Work setting is a component of what quality standards in a health care delivery system?

  • A. Patient care standards
  • B. Leadership and management
  • C. Information management
  • D. Human resource management
Correct Answer: C

Rationale: Accurate documentation, whether done manually or electronically by health care professionals, is a critical component of information management in a health care delivery system. Information management involves the collection, storage, processing, and sharing of data to support decision-making and ensure quality care for patients. Properly documented records enable health care providers to have access to relevant information about a patient's medical history, treatment plans, and progress. This helps in delivering effective and coordinated care, reducing medical errors, and improving overall patient outcomes. Moreover, well-kept records are essential for legal and regulatory compliance, billing, quality assessment, and research purposes. Therefore, accurate documentation plays a key role in information management within the healthcare setting.

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Nurse Filomena organized a health fair in one of the communities she covers, which was well attended, with several SCREENING TESTS being given simultaneously. What would Nurse Filomena consider the purpose of the health fair?

  • A. Community service
  • B. Community bonding
  • C. Multiphasic screening
  • D. Case finding
Correct Answer: C

Rationale: Nurse Filomena would consider the purpose of the health fair to be multiphasic screening. A multiphasic screening event involves offering various health screening tests at the same time to individuals within the community. These screenings aim to detect a range of health conditions early on, ultimately promoting prevention and early intervention. By organizing a health fair with several screening tests being given simultaneously, Nurse Filomena's primary goal is likely to help identify health issues in the community proactively and provide education and resources for ongoing health promotion and disease prevention. While aspects of community service, community bonding, and case finding may also be outcomes of the health fair, the focus on conducting multiple screening tests aligns most closely with the concept of multiphasic screening as the primary purpose.

A nurse doubts that the physician has prescribed an unusually large dosage of a medication. The nurse ask the senior nurse on duty about the order if it is correct or wrong, the senior nurse tells the nurse that the order is correct. The nurse comply with the order and administer it to the patient. The patient eventually died. Who is liable for this situation.

  • A. Physician
  • B. Nurse
  • C. Senior nurse
  • D. Physician and nurse
Correct Answer: D

Rationale: The physician is ultimately responsible for prescribing the correct dosage of medication to the patient. However, the nurse also plays a critical role in ensuring patient safety by questioning any orders that appear to be unusual or incorrect. In this scenario, the nurse had doubts about the unusually large dosage but was reassured by the senior nurse that the order was correct. Both the physician and the nurse failed in their responsibilities, leading to the patient's unfortunate death. The senior nurse also shares liability as they provided incorrect guidance to the nurse administering the medication. Ultimately, the situation was a result of a breakdown in communication and adherence to proper procedures by both the physician and the nurse.

Nurse Jen, distributed the patient satisfaction form to the admitted patients in the hospital, this tool is in compliance to the quality standards.

  • A. human resource
  • B. patient care
  • C. organizational structure
  • D. legal -ethical
Correct Answer: B

Rationale: The distribution of patient satisfaction forms by Nurse Jen directly relates to patient care. By collecting feedback from admitted patients, the hospital can assess the quality of care being provided and identify areas for improvement. This initiative falls under patient care as it focuses on enhancing the overall experience and well-being of the patients, aligning with quality standards that prioritize patient satisfaction and outcomes.

A patient with interstitial lung disease (ILD) develops progressive dyspnea, non-productive cough, and fine inspiratory crackles on auscultation. High-resolution computed tomography (HRCT) of the chest reveals diffuse reticular opacities and traction bronchiectasis. Which of the following ILD subtypes is most likely to present with these clinical and radiographic features?

  • A. Idiopathic pulmonary fibrosis (IPF)
  • B. Sarcoidosis
  • C. Hypersensitivity pneumonitis (HP)
  • D. Connective tissue disease-associated ILD
Correct Answer: A

Rationale: The clinical presentation of a patient with progressive dyspnea, non-productive cough, fine inspiratory crackles, and HRCT findings of diffuse reticular opacities and traction bronchiectasis is highly suggestive of idiopathic pulmonary fibrosis (IPF). IPF is a specific subtype of ILD characterized by progressive scarring of the lung tissue, leading to the symptoms mentioned above. The presence of reticular opacities and traction bronchiectasis on HRCT is a typical finding in IPF.

Who among the passengers will take PRIORITY for the rescue team to transport to the hospital?

  • A. Student with Colle's fracture.
  • B. Jay with lacerations
  • C. Pregnant women
  • D. Conductor with broken leg
Correct Answer: C

Rationale: In emergency situations, pregnant women are typically given priority when it comes to transportation to the hospital. This is because they have unique medical needs and potential complications that require immediate attention. It is important to ensure the well-being of both the mother and the unborn child. Additionally, the health and safety of the unborn child are critical considerations in determining priority for medical treatment and transport. Therefore, the pregnant woman should be the priority for the rescue team to transport to the hospital.

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