Nokea
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.
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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.
Which of the following is true about the NURSING CARE PLAN?
- A. It is nursing centered
- B. Rationales are supported by interventions
- C. Verbal
- D. Atleast 2 goals are needed for every nursing diagnosis
Correct Answer: A
Rationale: The nursing care plan is nursing-centered (A), focusing on nurse-led actions, per planning standards. Rationales support interventions (B) reverses logic, verbal (C) isn't typical, two goals (D) isn't required. A aligns with purpose, making it correct.
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.
A nurse observes that the past five clients referred from a community clinic have been treated for drug and/or alcohol overdose. Based on this information, the nurse assumes that the clinic specializes in the treatment of substance use. This is an example of what type of reasoning?
- A. Deductive reasoning
- B. Inductive reasoning
- C. General systems theory
- D. Nursing process
Correct Answer: B
Rationale: Inductive reasoning involves observing specific instances to form a general conclusion, as seen here. The nurse notes five overdose cases from a clinic and infers it specializes in substance use, moving from particular observations to a broader assumption. Deductive reasoning reverses this, applying a general rule (e.g., all overdose clinics specialize) to a specific case, not fitting here. General systems theory analyzes wholes and parts, irrelevant to this logic. The nursing process is a care method, not reasoning. Inductive reasoning's strength lies in pattern recognition, useful in nursing for hypothesis generation like identifying care trends but risks overgeneralization without further data. It shapes initial assessments, guiding deeper inquiry into the clinic's role, reflecting nurses' adaptive thinking in real-world settings.
The physician has discussed the need for medication with the parents of an infant with congenital hypothyroidism. The nurse can reinforce the physician's teaching by telling the parents that:
- A. The medication will be needed only during times of rapid growth
- B. The medication will be needed throughout the child's lifetime
- C. The medication schedule can be arranged to allow for drug holidays
- D. The medication is given one time daily every other day
Correct Answer: B
Rationale: Lifetime thyroid hormone replacement is needed for congenital hypothyroidism to prevent developmental delays growth spurts, holidays, or alternate days don't suffice. Nurses reinforce this, ensuring adherence, critical for normal growth in this endocrine disorder.