Nokea
Which of the following is a key benefit of interprofessional collaboration in healthcare?
- A. Increased professional isolation
- B. Improved patient outcomes
- C. Reduced need for communication
- D. Longer treatment times
Correct Answer: B
Rationale: Improved patient outcomes are a key benefit of interprofessional collaboration in healthcare. Collaboration among healthcare professionals leads to better coordination of care, reduced medical errors, and improved overall patient satisfaction. The other choices are incorrect because interprofessional collaboration aims to decrease professional isolation, enhance communication among team members, and streamline treatment processes to reduce time spent on patient care.
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What does the mnemonic PERLA stand for in the assessment of the eyes?
- A. Pupils equally reactive to light and accommodation
- B. Patient eyes are equally recessed and responsive to light and acuity
- C. Patient eyes are equally responsive to light and acuity
- D. Pupils equally reactive to light and acuity
Correct Answer: A
Rationale: The correct answer is A: 'Pupils equally reactive to light and accommodation.' PERLA is a mnemonic used in eye assessments to check for Pupils being equally reactive to Light and Accommodation. Choice B is incorrect as it includes irrelevant information about the eyes being recessed. Choice C is incorrect as it is missing the mention of pupils and accommodation. Choice D is incorrect as it misses the mention of accommodation.
A nurse is assisting with the orientation of a newly licensed nurse. The newly licensed nurse is having trouble focusing and has difficulty completing care for his assigned clients. Which of the following interventions is appropriate?
- A. Offer to provide care for his clients while he takes a break
- B. Advise him to complete less time-consuming tasks first
- C. Ask other staff members to take over some of his tasks
- D. Recommend that he take time to plan at the beginning of his shift
Correct Answer: D
Rationale: The correct intervention is to recommend that the new nurse takes time to plan at the beginning of his shift. Planning ahead can help improve time management and focus. Option A is not ideal as it does not address the root cause of the issue and may not promote independence. Option B may not be effective if the nurse is struggling with time management in general. Option C involves shifting responsibilities to others without addressing the new nurse's need for improvement in managing his workload, which should be the priority.
Diabetes insipidus is the result of:
- A. A diet high in sugar and carbohydrates.
- B. A complicated pregnancy.
- C. A disorder of the pancreas.
- D. A disorder of the pituitary gland.
Correct Answer: D
Rationale: Diabetes insipidus is caused by a disorder of the pituitary gland affecting ADH regulation. This disorder results in the decreased production or release of antidiuretic hormone (ADH), leading to the inability of the kidneys to concentrate urine properly. Choices A, B, and C are incorrect as they do not relate to the underlying cause of diabetes insipidus.
Your patient has been diagnosed with orchiditis. What information about this disorder should you inform the patient about?
- A. This disorder often occurs as a result of streptococcus.
- B. This disorder can be symptomatically treated with ice.
- C. This disorder can be symptomatically treated with heat.
- D. This disorder is typically treated with surgery.
Correct Answer: B
Rationale: Orchiditis can be symptomatically treated with ice to reduce inflammation. Choice A is incorrect because orchiditis is not typically caused by streptococcus. Choice C is incorrect as heat is not the recommended treatment for orchiditis. Choice D is also incorrect as surgery is not the first-line treatment for orchiditis.
Who should document care?
- A. The LPNs should document the care that they provided and the care that was given by unlicensed assistive staff.
- B. The registered nurse must document all of the care that is provided by the nursing assistants because they are accountable for all care.
- C. All staff members should document all of the care that they have provided.
- D. All staff should document all of the care that they have provided but the registered nurse, as the only independent practitioner, signs it.
Correct Answer: C
Rationale: All staff members should document the care they provided as part of their accountability and to ensure accurate and comprehensive records. In healthcare settings, it is essential for all staff to document the care they deliver for continuity of care and legal purposes. The registered nurse may sign off on the documentation for oversight purposes, but the responsibility of documenting care extends to all staff involved in patient care. Choices A and B incorrectly limit the responsibility to specific roles, while choice D inaccurately suggests that only the registered nurse signs off on the documentation, overlooking the importance of comprehensive documentation by all staff members involved.