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?