Nokea
Which statement is incorrect regarding an informed consent signed by a patient?
- A. The nurse is responsible for obtaining the consent for surgery
- B. Patients under 18 years of age may need a parent or legal guardian to sign a consent form
- C. The nurse can witness the client signing the consent form
- D. It is the nurse's responsibility to ensure the patient has been educated by the physician about the procedure before informed consent is obtained
Correct Answer: A
Rationale: The correct answer is A because it is incorrect to state that the nurse is responsible for obtaining the consent for surgery. Informed consent for surgery is typically obtained by the physician performing the procedure, not the nurse. Nurses can assist in the process by providing information and clarifying details, but ultimately it is the physician's responsibility to ensure the patient understands the procedure and consents to it.
Choice B is correct as minors under 18 years of age generally require a parent or legal guardian to sign a consent form on their behalf. Choice C is correct as nurses can witness the client signing the consent form as a part of the process. Choice D is also correct as it is indeed the nurse's responsibility to ensure the patient has been educated by the physician before obtaining informed consent.
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What is a primary objective of public health?
- A. Lowering the prevalence of chronic diseases
- B. Eliminating health disparities among populations
- C. Delivering health education
- D. Extending life expectancy
Correct Answer: B
Rationale: The correct answer is B: Eliminating health disparities among populations. This is the primary objective of public health as it focuses on ensuring that all individuals have equal access to healthcare and resources to achieve optimal health outcomes. By addressing disparities, public health aims to promote health equity and reduce inequalities in health status. Lowering chronic diseases (A) and extending life expectancy (D) are important goals but not the primary objective. Delivering health education (C) is a strategy within public health but not the main objective.
Which best describes the role of a community health nurse in promoting health?
- A. Advocating for health policy changes
- B. Providing direct care to individuals and families
- C. Educating the community about healthy lifestyles
- D. Conducting research on community health issues
Correct Answer: A
Rationale: The correct answer is A because advocating for health policy changes is a key role of community health nurses in promoting health at a population level. They work to influence policies that address social determinants of health and improve overall community well-being. Providing direct care (B) is more aligned with clinical nursing roles. Educating the community (C) is important but not the primary role of a community health nurse. Conducting research (D) may inform practice but is not the primary function of promoting health in the community.
What is the drug of choice for progressive multiple sclerosis?
- A. Ocrelizumab
- B. Dimethyl fumarate
- C. Teriflunomide
- D. Fluoroquinolones
Correct Answer: A
Rationale: The correct answer is A: Ocrelizumab. It is the drug of choice for progressive multiple sclerosis due to its proven efficacy in reducing disease progression and disability in clinical trials. Ocrelizumab specifically targets B cells, which play a key role in the pathogenesis of multiple sclerosis. Dimethyl fumarate (B) and Teriflunomide (C) are more commonly used for relapsing-remitting multiple sclerosis rather than progressive forms. Fluoroquinolones (D) are antibiotics and have no role in the treatment of multiple sclerosis.
What is an essential skill for nurses in community health?
- A. Providing direct patient care
- B. Advocating for patients' health needs
- C. Educating about health promotion
- D. Managing chronic conditions
Correct Answer: B
Rationale: The correct answer is B: Advocating for patients' health needs. Nurses in community health must advocate for their patients to ensure they receive proper care and resources. This involves understanding individual needs, navigating healthcare systems, and promoting health equity. Providing direct patient care (A) is important but not specific to community health. Educating about health promotion (C) is crucial, but advocacy encompasses a broader scope of support. Managing chronic conditions (D) is essential, but advocacy involves addressing various health needs beyond just chronic conditions.
What procedure is performed prior to a blood transfusion to detect incompatibilities?
- A. Grouping and crossmatching
- B. Complete blood count
- C. D-dimer test
- D. Blood clotting test
Correct Answer: A
Rationale: The correct answer is A: Grouping and crossmatching. This procedure involves determining the patient's blood type (grouping) and testing for compatibility with the donor blood (crossmatching). It ensures that the recipient receives compatible blood, minimizing the risk of transfusion reactions.
B: Complete blood count is not specific to detecting incompatibilities for transfusions.
C: D-dimer test is used to detect blood clotting disorders, not blood transfusion incompatibilities.
D: Blood clotting test assesses the ability of blood to clot, not compatibility for transfusions.