Which of the following statements indicate an effective communication technique used by the unit manager to her staff?

Correct Answer: D

Rationale: Option D demonstrates an effective communication technique used by the unit manager because it focuses on discussing strategic approaches to improve the delivery of nursing services while also considering cost effectiveness for the consumers. By emphasizing the need for strategic planning and efficient service delivery, the manager is promoting a proactive and solution-oriented approach rather than simply stating potential negative outcomes or making abrupt decisions like in the other options. This approach fosters more open communication, collaboration, and problem-solving within the team, ultimately leading to better outcomes and team morale.

Correct Answer: D

Rationale: Option D demonstrates an effective communication technique used by the unit manager because it focuses on discussing strategic approaches to improve the delivery of nursing services while also considering cost effectiveness for the consumers. By emphasizing the need for strategic planning and efficient service delivery, the manager is promoting a proactive and solution-oriented approach rather than simply stating potential negative outcomes or making abrupt decisions like in the other options. This approach fosters more open communication, collaboration, and problem-solving within the team, ultimately leading to better outcomes and team morale.

Correct Answer: B

Rationale: Famotidine belongs to a class of medications known as H2 blockers which work to reduce the production of stomach acid. Antacids, on the other hand, work by neutralizing stomach acid. Taking antacids in conjunction with famotidine can decrease the effectiveness of famotidine as they can interfere with its absorption. Therefore, it is important for the patient to avoid taking antacids while on famotidine therapy to ensure optimal treatment outcomes for gastric acid suppression.

Correct Answer: D

Rationale: Activating emergency medical services (EMS) for rapid transport to a stroke center is the most appropriate action for managing a conscious patient with a suspected stroke. Time is critical in stroke care, and receiving specialized treatment at a stroke center as soon as possible can significantly improve outcomes for stroke patients. EMS providers are trained to recognize the signs of stroke and can begin essential pre-hospital care measures while en route to the hospital. Administering aspirin immediately is not recommended without medical evaluation, as certain types of strokes (such as hemorrhagic strokes) can be worsened by aspirin. Placing the patient in a supine position may not be ideal, as maintaining an elevated position can help prevent aspiration in stroke patients. Encouraging the patient to eat and drink is not appropriate, as swallowing difficulties are common in stroke patients and can lead to aspiration pneumonia.

Correct Answer: A

Rationale: Neonatal Opioid Withdrawal Syndrome (NOWS), previously known as Neonatal Abstinence Syndrome (NAS), can occur when a newborn is exposed to opioids in utero. Opioid exposure in utero can lead to physical dependence in the fetus, and when the drug is no longer available after birth, withdrawal symptoms can occur.

Correct Answer: B

Rationale: The Epidemiologic Triad model focuses on identifying the causative factors of diseases, particularly infectious diseases. The three components of the triad are the external agent, the susceptible host, and the environment. These factors interact to result in the occurrence of disease. Treatment Regimen, on the other hand, is not one of the causative factors but rather a response to manage and treat the disease once it has occurred. While treatment is essential, it is not part of the factors that contribute to the initial development of the disease within the Epidemiologic Triad model.

Correct Answer: C

Rationale: The night nurse is expected to collect the patient charts from various departments every three nights. Among the tasks listed, binding the charts as they are is not typically a responsibility of the night nurse. This task is usually handled by administrative staff or professional medical records technicians who are trained to manage the organization and storage of patient charts. The night nurse's primary focus should be on ensuring the correct order of the charts, checking for completeness, and addressing any issues such as torn pages by taping or repairing them to maintain the integrity of the patient records.

Correct Answer: C

Rationale: Republic Act 9173, also known as the Philippine Nursing Act of 2002, mandates the compulsory immunization of children below 8 years. This law ensures that young children receive necessary vaccines to protect them from preventable diseases and promote public health. RA 9173 is a significant legislation that highlights the importance of immunization in safeguarding the well-being of children in the Philippines.

Correct Answer: A

Rationale: Administering a stool softener as ordered is the most appropriate nursing intervention for a postpartum client experiencing severe perineal pain and difficulty passing stools following a vaginal delivery. Stool softeners help to soften the stool, making it easier for the client to pass without straining, which can exacerbate perineal pain. It is important to follow the healthcare provider's orders when administering medications to ensure proper dosing and effectiveness. Encouraging the client to refrain from defecation may lead to constipation and worsen the situation. Applying ice packs to the perineum can provide temporary pain relief, but addressing the underlying issue of constipation with a stool softener is more effective in the long term. Providing education on proper perineal hygiene is important for overall postpartum care, but addressing the immediate issue of constipation with a stool softener takes precedence in this scenario.