you are working on a pediatric unit which toy or other diversional item or activity is most appropriate for your 18 month old patient

HESI LPN

HESI Leadership and Management Quizlet

1. You are working on a pediatric unit. Which toy or other diversional item or activity is most appropriate for your 18-month-old patient?

A. Story books
B. Beach balls
C. An interactive play session with other children less than 2 years of age
D. Pickup sticks

Correct answer: B

Rationale: A beach ball is appropriate for an 18-month-old as it is safe and can help with motor skills development. Choice A, storybooks, may not be suitable for this age group due to limited attention span. Choice C involves interaction with other children which may not always be feasible in a healthcare setting. Choice D, pickup sticks, poses a choking hazard and is not suitable for toddlers.

2. Based on the signs and symptoms of erythema marginatum, Sydenham chorea, epistaxis, abdominal pain, fever, cardiac problems, and skin nodules in your 32-year-old female patient, what disorder would you most likely suspect?

A. Leukemia
B. Histoplasmosis
C. Pneumocystis jiroveci
D. Rheumatoid arthritis

Correct answer: D

Rationale: The signs and symptoms described point towards rheumatoid arthritis. Erythema marginatum, Sydenham chorea, epistaxis, abdominal pain, fever, cardiac issues, and skin nodules are classic manifestations of rheumatic fever, which is a complication of untreated streptococcal infection. This condition can lead to rheumatoid arthritis over time. Choices A, B, and C are incorrect as they do not align with the provided signs and symptoms, and they are not associated with the clinical presentation described.

3. Why is patient confidentiality significant in healthcare?

A. Sharing patient information freely
B. Protecting patient privacy
C. Ignoring patient consent
D. Limiting patient access to their own records

Correct answer: B

Rationale: Patient confidentiality is significant in healthcare because it involves protecting patient privacy. Maintaining confidentiality ensures that patients feel safe and secure when sharing sensitive information with healthcare providers. Choice A is incorrect because sharing patient information freely would violate confidentiality. Choice C is incorrect because ignoring patient consent goes against ethical principles. Choice D is incorrect because limiting patient access to their own records does not relate directly to the concept of patient confidentiality.

4. A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?

A. Proceed with treatment without obtaining written consent
B. Contact the client's next of kin to obtain consent for treatment
C. Have the client sign a consent for treatment
D. Notify risk management before initiating treatment

Correct answer: A

Rationale: In emergency situations where a client is disoriented and has a cardiac arrhythmia, obtaining written consent may not be possible due to the urgency of the situation. The priority is to provide immediate treatment to ensure patient safety. Contacting the next of kin or having the client sign a consent form would cause unnecessary delays in providing critical care. Notifying risk management before initiating treatment is not the most appropriate action when dealing with a time-sensitive situation like a cardiac arrhythmia.

5. What is the primary goal of public health?

A. To focus on individual patient care
B. To improve the health of populations
C. To reduce healthcare costs
D. To increase hospital admissions

Correct answer: B

Rationale: The primary goal of public health is to improve the health of populations by focusing on prevention, health promotion, and addressing the social determinants of health. Choice A is incorrect because public health looks at health from a population perspective rather than focusing on individual patient care. Choice C, while a potential benefit, is not the primary goal of public health. Choice D is incorrect as increasing hospital admissions is not a goal of public health; in fact, public health aims to prevent unnecessary hospitalizations through preventive measures.