MOH EXAM QUESTION 2016

MOH EXAM QUESTION 2016

MOH EXAM QUESTIONS Sl. No 1 to 15

1. A patient's family does not know the patient's end-of-life care preferences, but assumes that they know what is best for the patient under the circumstances. This assumption reflects:

• Justice.
• Paternalism.
• pragmatism.
• Veracity.

2. Which action best describes a sentinel event alert?

•  Documenting the breakdown in communication during a shift report
• Indicating that a community or institution is unsafe
• Recording the harm done when a medication error occurs
• Signaling the need for immediate investigation and response

3.The main goal of treatment for acute glomerulonephritis is to:

•  encourage activity.
•  encourage high protein intake.
•  maintain fluid balance.
•  teach intermittent urinary catheterization.

4. Which statement by a patient demonstrates an accurate understanding about herbal supplements?

•  "Herbs may interact with prescribed medications but not other herbs."
• "Most herbs have been tested and found to be safe and therapeutic."
• "The Food and Drug Administration regulates herbs and allows advertising."
• "There is no standardization among the manufacturers of herbs in this country."

5. Which is primarily a developmental task of middle age?

• Learning and acquiring new skills and information
• Rediscovering or developing satisfaction in one's relationship with a significant other
• Relying strongly upon spiritual beliefs
• Risk taking and its perceived consequences

6. Which statement by a patient with diabetes mellitus indicates an understanding of the medication insulin glargine (Lantus)?

• "Lantus causes weight loss."
• "Lantus is used only at night."
• "The duration of Lantus is six hours."
• "There is no peak time for Lantus."

7. The first step in applying the quality improvement process to an activity in a clinical setting is to:

•  assemble a team to review and revise the activity.
• collect data to measure the status of the activity.
• select an activity for improvement.
• set a measurable standard for the activity

8. The nursing diagnosis for a patient with a myocardial infarction is activity intolerance. The plan of care includes the patient outcome criterion of:

• agreeing to discontinue smoking.
• ambulating 50 feet without experiencing dyspnea.
• experiencing no dyspnea on exertion.
• tolerating activity well.

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9. A medical-surgical nurse, who is caring for a patient with a new diagnosis of cancer, observes the patient becoming angry with the physicians and nursing staff. The best approach to diffuse the emotionally charged discussion is to:

•  allow the patient and family members time to be alone.
• arrange time for the patient to speak with another patient with cancer.
• direct the discussion and validation of emotion, without false reassurance.
• request a consultation from a social worker on the oncology unit.

10.  Nursing diagnoses mostly differ from medical diagnoses in that they are:

•  dependent upon medical diagnoses for the direction of appropriate interventions.
•  primarily concerned with caring, while medical diagnoses are primarily concerned with curing.
•  primarily concerned with human response, while medical diagnoses are primarily concerned with pathology.
•  primarily concerned with psychosocial parameters, while medical diagnoses are primarily concerned with physiologic parameters.

11. For a patient with Crohn's disease, the medical-surgical nurse recommends a diet that is:

•  high in fiber, and low in protein and calories.
• high in potassium.
• low in fiber, and high in protein and calories.
• low in potassium.

12. When examining a patient who is paralyzed below the T4 level, the medical-surgical nurse expects to find:

•  flaccidity of the upper extremities.
• hyperreflexia and spasticity of the upper extremities.
• impaired diaphragmatic function requiring ventilator support.
• independent use of upper extremities and efficient cough.

13. After completing a thorough neurological and physical assessment of a patient who is admitted for a suspected stroke, a medical-surgical nurse anticipates the next step in the immediate care of this patient to include:

•  administering tissue plasminogen activator.
• obtaining a computed tomography scan of the head without contrast.
• obtaining a neurosurgical consultation.
• preparing for carotid Doppler ultrasonography.

14. A nursing department in an acute care setting decides to redesign its nursing practice based on a theoretical framework. The feedback from patients, families, and staff reflects that caring is a key element. Which theorist best supports this concept?

• Erikson
• Maslow
• Rogers
• Watson

15. To prevent a common, adverse effect of prolonged use of phenytoin sodium patients taking the drug are instructed to:

•  avoid crowds and obtain an annual influenza vaccination.
•  drink at least 2 L of fluids daily, including 8 to 10 glasses of water.
•  eat a potassium-rich, low sodium diet.
•  practice good dental hygiene and report gum swelling or bleeding.

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