2 Which of the following is the first step in the nursing process?

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Question 1 of 5

2 Which of the following is the first step in the nursing process?

Correct Answer: B

Rationale: The correct answer is B: Assessment. In the nursing process, assessment is the first step where the nurse collects data about the patient's health status, including physical, emotional, social, and environmental factors. This information is crucial for identifying the patient's needs and developing a care plan. Diagnosis (A) comes after assessment, where the nurse analyzes the collected data. Planning (D) follows diagnosis and involves setting goals and outlining interventions. Evaluation (C) is the final step to assess the effectiveness of the care plan. Therefore, assessment is the initial step in the nursing process to gather relevant information for providing optimal patient care.

Question 2 of 5

How many links in the chain of infection must be broken to prevent infection?

Correct Answer: A

Rationale: The correct answer is A: One. To prevent infection, breaking any single link in the chain of infection is sufficient. This could be eliminating the infectious agent, interrupting the mode of transmission, protecting the portal of entry, or strengthening the host's immune response. Explanation: 1. Breaking any one link prevents the transmission of the infectious agent. 2. For example, washing hands (interruption of the mode of transmission) can prevent the spread of infections. 3. By focusing on one key aspect, the entire chain is disrupted effectively. Summary: Choice A is correct because breaking one link in the chain of infection is necessary and sufficient to prevent infection. Choices B, C, and D are incorrect because they suggest a need to break multiple links, which is not always required for infection prevention.

Question 3 of 5

Most of the accidents in a facility are related to

Correct Answer: A

Rationale: The correct answer is A: Falls. Falls are a common cause of accidents in facilities due to slippery floors, uneven surfaces, or inadequate safety measures. Falls can result in serious injuries. Burns (B) are typically less common in facilities compared to falls. Poisoning (C) and choking (D) are also less likely causes of accidents in a facility, as they usually occur due to specific hazardous substances or improper food handling, respectively. Falls have a higher likelihood of occurring in a facility setting compared to the other options, making it the correct choice.

Question 4 of 5

If a resident has a minor burn, a nursing assistant should use _____ to decrease the temperature of the skin.

Correct Answer: B

Rationale: The correct answer is B: Cool water. Using cool water helps decrease the temperature of the skin and provides immediate relief for minor burns. Ice or ice water (choice A) can further damage the skin by causing frostbite. Burn ointment (choice C) is used after cooling the burn, not to decrease skin temperature. Olive or canola oil (choice D) can trap heat and worsen the burn. In summary, cool water is the best choice as it effectively cools the burn without causing additional harm.

Question 5 of 5

Why might a resident need emotional support during a physical exam?

Correct Answer: D

Rationale: The correct answer is D because a resident may fear what the examiner will find during the physical exam, such as potential health issues or negative results. This fear can lead to emotional distress and the need for support. The other choices are incorrect because residents may not always be frightened of exams (A), doctors can be sensitive to emotions (B), and having never had a physical exam before (C) does not necessarily mean emotional support is needed.

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