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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The client you are assigned to has four nursing diagnoses. Which of the following would you assign the highest priority?
- A. chest pain related to cough secondary to pneumonia
- B. self-care deficit related to activity intolerance secondary to sleep-pattern disturbance
- C. risk for altered family processes secondary to hospitalization
- D. self-esteem deficit situational
Correct Answer: A
Rationale: Among four diagnoses, chest pain related to pneumonia takes highest priority because it addresses a physiologic need breathing and circulation per Maslow's hierarchy. Pain and potential respiratory compromise threaten survival, requiring immediate intervention like medication or oxygen. Self-care deficits, family process risks, and self-esteem issues, while important, are less urgent, impacting higher-level needs like independence or esteem. Prioritizing chest pain ensures the client's airway and oxygenation are stabilized, preventing deterioration, a fundamental principle in acute care nursing.
The nurse ensured Mr. Gary's meds were given on time. This is an example of?
- A. Responsibility
- B. Accountability
- C. Health literacy
- D. Care coordination
Correct Answer: A
Rationale: Ensuring timely meds is responsibility (A) task duty, per definition. Accountability (B) answerability, literacy (C) understanding, coordination (D) organization not task-specific. A fits the nurse's obligation to Mr. Gary, making it correct.
The physician has ordered amitriptyline (Elavil) for a client with depression. The nurse should tell the client that:
- A. The medication will produce a rapid improvement in mood
- B. He might experience difficulty with urination
- C. He should avoid milk products while taking the medication
- D. The medication should be discontinued if he experiences dry mouth
Correct Answer: B
Rationale: Difficulty with urination is a common amitriptyline side effect (anticholinergic), needing monitoring mood improvement takes weeks, milk isn't restricted, and dry mouth doesn't warrant stopping. Nurses teach this, managing expectations, ensuring adherence in depression treatment.
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.
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.