Nokea
Which of the following statement is NOT true about resilience?
- A. Can be developed
- B. Helps in stress management
- C. Always present at birth
- D. Affected by support systems
Correct Answer: C
Rationale: Resilience can develop (A), aids stress (B), affected by support (D) 'always present at birth' (C) isn't true, grows over time, per research. C's innate claim fails, making it untrue.
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A client has a tracheostomy and requires suctioning. Which of the following actions should be taken?
- A. Hyperoxygenate the client before suctioning
- B. Insert the catheter while exhalation
- C. Apply suction after inserting the catheter
- D. Limit suctioning to no more than 15 seconds
Correct Answer: A
Rationale: Hyperoxygenating the client before suctioning is crucial to prevent hypoxia during the procedure. By using a manual resuscitation bag with 100% oxygen, the nurse should provide several breaths to the client to ensure sufficient oxygenation before starting suctioning. This approach helps maintain oxygen levels and decreases the risk of hypoxia, which may arise when suctioning interrupts the normal respiratory process. Choices B, C, and D are incorrect because inserting the catheter during exhalation, applying suction while inserting the catheter, and limiting suctioning to 15 seconds do not address the priority of hyperoxygenating the client to prevent hypoxia.
The nurse is providing care for a client with a chest tube. If the chest tube becomes disconnected from the drainage system, the nurse should:
- A. Secure the chest tube with tape and notify the physician
- B. Clamp the chest tube near the insertion site
- C. Submerge the end of the tube in sterile water
- D. Insert the tube into the drainage system without cleansing
Correct Answer: C
Rationale: Submerging the chest tube end in sterile water creates a water seal, preventing pneumothorax if disconnected taping delays, clamping risks tension pneumothorax, and reinserting uncleaned spreads infection. Nurses act quickly, ensuring lung re-expansion, critical in chest tube care.
Which of the following statement best describe a health belief model?
- A. Explains why people get sick
- B. Explains health behavior based on belief
- C. Focuses on disease treatment
- D. Based on medical diagnosis
Correct Answer: B
Rationale: Health belief model explains health behavior via beliefs (B), per theory e.g., perceived risk drives action. Sickness (A) and treatment (C) aren't focus, diagnosis (D) medical. B best defines HBM's psychological basis, making it correct.
Which of the following statement is TRUE about case management?
- A. Focuses on one visit
- B. Coordinates care for complex needs
- C. Only for acute care
- D. All of the above
Correct Answer: B
Rationale: Case management coordinates care for complex needs (B), per model e.g., chronic illness. Not one visit (A), not acute-only (C), not all (D) long-term focus. B truly defines case management's role, making it correct.
The nurse refused to perform a procedure she is not trained to do. This is an example of?
- A. Accountability
- B. Responsibility
- C. Negligence
- D. Malpractice
Correct Answer: B
Rationale: Refusing an untrained procedure is responsibility (B) knowing limits, per duty. Accountability (A) owns actions, negligence (C) and malpractice (D) imply error. B ensures safe practice, making it correct.