Nokea
Which of the following statement is TRUE about reimbursement?
- A. Free care
- B. Payment for services
- C. Only from patients
- D. All of the above
Correct Answer: B
Rationale: Reimbursement is payment for services (B), per system e.g., insurer pays for Mr. Gary. Not free (A), not patient-only (C), not all (D) service-based. B truly defines reimbursement's role, compensating care, making it correct.
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Which of the following statement is NOT true about Hospice care?
- A. Offered to terminally ill client
- B. The client's family is included in the care
- C. Focuses on relieving symptoms
- D. Requires client to sign a DNR
Correct Answer: D
Rationale: Hospice cares for terminally ill (A), includes family (B), and relieves symptoms (C), per hospice philosophy. Requiring a DNR (D) isn't true preferred, not mandatory; care focuses on comfort, not resuscitation status. D's absolute requirement misaligns with flexibility, making it the untrue statement.
Who is the first Filipino chief nurse of PGH?
- A. Rosario Delgado
- B. Anastacia Giron Tupas
- C. Julita Sotejo
- D. Loreto Tupas
Correct Answer: B
Rationale: Anastacia Giron-Tupas, PGH's first Filipino chief nurse, marked a shift to local leadership e.g., post-American rule. Delgado (PNA president), Sotejo (educator), and Tupas differ. Her tenure elevated Filipino roles, influencing nursing's national identity and autonomy.
An infant with Tetralogy of Fallot is discharged with a prescription for Lanoxin elixir. The nurse should instruct the mother to:
- A. Administer the medication using a nipple
- B. Administer the medication using the calibrated dropper in the bottle
- C. Administer the medication using a plastic baby spoon
- D. Administer the medication in a baby bottle with 1oz of water
Correct Answer: B
Rationale: Using the calibrated dropper ensures accurate dosing of Lanoxin (digoxin) elixir for an infant with Tetralogy of Fallot, critical due to its narrow therapeutic range and cardiac effects. Nipples, spoons, or dilution in bottles risk under- or overdosing. Nurses teach this method to parents, stressing precision to manage heart defects safely, preventing toxicity or inefficacy.
Which assessment finding indicates a potential musculoskeletal complication of immobility?
- A. Increased muscle tone
- B. Active range of motion (ROM)
- C. Contractures
- D. Strong and flexible joints
Correct Answer: C
Rationale: Contractures permanent muscle and tendon shortening indicate a musculoskeletal complication of immobility, restricting joint movement due to prolonged stillness. High muscle tone might suggest other conditions, while active motion and strong joints reflect health, not issues. Nurses assess for this to initiate stretching or therapy, countering the stiffening that immobility causes, ensuring musculoskeletal function is preserved as much as possible in affected patients.
Which of the following is NOT a contraindication in taking ORAL temperature?
- A. Quadriplegic
- B. Presence of NGT
- C. Dyspnea
- D. Nausea and Vomitting
Correct Answer: A
Rationale: Quadriplegia isn't an oral temp contraindication e.g., a paralyzed patient can hold a thermometer if alert. NGT (obstruction), dyspnea (breathing), and nausea (gagging) preclude it. Nurses opt for alternatives e.g., axillary per safety protocols.