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.
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The nurse is preparing to take vital signs in an alert client admitted with dehydration secondary to vomiting and diarrhea. What is the best method to assess the client's temperature?
- A. Oral
- B. Axillary
- C. Radial
- D. Heat sensitive tape
Correct Answer: B
Rationale: Axillary is safest and most accessible for a dehydrated client with GI issues, avoiding oral route due to vomiting and diarrhea.
The nurse is teaching a client who underwent a hypophysectomy for hypopituitarism about self-management. Which actions performed by the client could cause complications on the second post-operative day? Select all that apply.
- A. Nose blowing
- B. Teeth brushing
- C. Bending forward
- D. Lying in a semi-Fowler's position
Correct Answer: A
Rationale: Post-hypophysectomy, nose blowing (A) risks CSF leak or meningitis by disrupting the surgical site. Brushing (B) and semi-Fowler's (D) are safe. Bending (C) is risky but less immediate. A is correct. Rationale: Nasal pressure can breach the pituitary fossa repair, a critical complication in early recovery, per post-operative neurosurgery care, unlike benign actions.
Anastacia Giron-Tupas was the first Filipino nurse to occupy the position of chief nurse in this hospital.
- A. St. Paul Hospital
- B. Iloilo Mission Hospital
- C. Philippine General Hospital
- D. St. Luke's Hospital
Correct Answer: C
Rationale: Anastacia Giron-Tupas, a pioneering Filipino nurse, became chief nurse at Philippine General Hospital, marking a milestone in local nursing leadership. Unlike St. Paul, Iloilo, or St. Luke's, PGH's prominence made her role significant, influencing professional advancement and recognition for Filipino nurses in the early 20th century.
Mr. Gary refuses pork-based medication because of his religious belief. This is an example of?
- A. Culture
- B. Illness
- C. Disability
- D. Risk factor
Correct Answer: A
Rationale: Refusing pork-based meds due to religion is culture (A) beliefs shaping health choices, per cultural competence. Illness (B) is disease, disability (C) function loss, risk factor (D) predisposition not belief-based. A reflects how culture influences care decisions, making it correct.
Which of the following statement is NOT true about nonmaleficence?
- A. Avoiding harm
- B. Part of nursing ethics
- C. Always prevents all harm
- D. Applies to all actions
Correct Answer: C
Rationale: Nonmaleficence avoids harm (A), is ethical (B), applies broadly (D) 'always prevents all harm' (C) isn't true, as some harm (e.g., injections) is unavoidable, per ethics. It aims to minimize, not eliminate, harm. C's absolute prevention contradicts practical care realities, making it the untrue statement.
Nokea