Adult Health Nursing Answer Key

Correct Answer: A

Rationale: ORNAP stands for Operating Room Nurses Association of the Philippines. As Merle has been assigned in the Operating Room for 3 years and is interested in actively joining a professional organization related to this field, ORNAP would be the most appropriate choice. ORNAP focuses on promoting excellence in perioperative nursing practice through education, research, and collaboration. By joining ORNAP, Merle can further enhance her knowledge and skills in the Operating Room setting, as well as network with other professionals in the same field.

Correct Answer: B

Rationale: Option B, "Be sure to rebut the patient point by point," is NOT the way to handle complaints. When dealing with patient complaints, it is important to take a calm and empathetic approach rather than engaging in a defensive or confrontational manner. Rebutting the patient point by point can escalate the situation and may further alienate the patient. Effective complaint management involves active listening, showing empathy, addressing concerns, and working towards a resolution that benefits both the patient and the healthcare provider.

Correct Answer: C

Rationale: In Nadine's case, one major challenge that a beginning nurse may encounter in her service delivery is related to social determinants of health. Social determinants of health refer to the social and economic conditions that influence individual and group differences in health status. In this scenario, Nadine's bruises, bed-wetting, signs of anxiety, and potentially other health issues are likely influenced by factors such as her living environment, family dynamics, and social support systems. As a nurse, addressing social determinants of health requires a holistic approach that considers not only the physical symptoms but also the underlying social, economic, and environmental factors affecting the patient's health and well-being. This can be a complex challenge for beginning nurses who may not have as much experience or training in navigating these social determinants of health to provide comprehensive care to their patients.

Correct Answer: A

Rationale: The clinical presentation of severe lower abdominal pain and vaginal bleeding in a pregnant woman, along with cervical motion tenderness, unilateral adnexal tenderness, and an adnexal mass on the affected side, is highly concerning for an ectopic pregnancy. Ectopic pregnancy occurs when a fertilized egg implants outside the uterus, most commonly in the fallopian tube. The presence of an adnexal mass and tenderness on one side is indicative of potential tubal involvement and can mimic symptoms of pelvic inflammatory disease. Prompt evaluation and management are crucial in ectopic pregnancy to prevent life-threatening complications associated with rupture of the fallopian tube.

Correct Answer: B

Rationale: The most appropriate response from the nurse when a patient expresses frustration with the treatment plan proposed by the healthcare team is to empathize with the patient's frustration and explore their concerns further. It is important to actively listen to the patient, acknowledge their feelings, and address any questions or uncertainties they may have about the treatment plan. By engaging in open communication and demonstrating empathy, the nurse can foster a therapeutic relationship with the patient and work towards finding a solution that is mutually agreeable and beneficial for the patient's well-being. Dismissing the patient's concerns (Option A) or ignoring their frustration (Option C) can lead to a breakdown in communication and trust, which may ultimately impact the patient's compliance with the treatment plan. Similarly, telling the patient that they have no choice but to follow the treatment plan (Option D) can be perceived as dismissive and confrontational, which is not conducive to promoting patient-centered care.