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. It is the first step in the nursing process because it involves gathering data about the patient's health status and identifying any potential issues. Assessment provides the foundation for the subsequent steps of diagnosis, planning, implementation, and evaluation. Diagnosis (A) comes after assessment to identify the patient's problems. Planning (D) follows diagnosis to set goals and develop a care plan. Evaluation (C) is the final step to assess the outcomes of the care provided. Assessment is crucial as it guides the nurse in making informed decisions and interventions based on the patient's needs.

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. Breaking any single link in the chain of infection is sufficient to prevent infection. The chain consists of six links: infectious agent, reservoir, portal of exit, mode of transmission, portal of entry, and susceptible host. By breaking any one link, such as practicing proper hand hygiene (mode of transmission), infection can be prevented. Choices B, C, and D are incorrect as they imply multiple links need to be broken, which is not necessary as breaking just one link disrupts the transmission of infection.

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 surfaces, poor lighting, or improper safety measures. Falls are more prevalent than burns, poisoning, or choking in most facilities. Burns, poisoning, and choking are also important safety concerns, but falls tend to be the leading cause of accidents in most facilities. Therefore, the correct answer is A: Falls.

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 prevents further damage. Ice or ice water (choice A) can actually cause frostbite and damage the skin further. Burn ointment (choice C) is not recommended for minor burns as it can trap heat and worsen the burn. Olive or canola oil (choice D) can also trap heat and increase the risk of infection. Therefore, cool water is the safest and most effective option for treating minor burns.

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 residents may fear what the examiner will find during the physical exam, leading to anxiety and emotional distress. This fear could stem from concerns about potential health issues or the unknown outcomes of the exam. Providing emotional support can help alleviate these fears and increase the resident's comfort during the exam. Choices A, B, and C are incorrect because not all residents are necessarily always frightened of exams, doctors can be sensitive to emotions, and having never had a physical exam before does not automatically equate to needing emotional support.

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