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OMSB Omani Examination for Nurses Sample Questions (Q13-Q18):
NEW QUESTION # 13
A nurse must be aware that keeping an aggressive patient in a seclusion or restraint requires an order from the doctor.
The renewal of such order for a patient aged 19 years old must be done:
- A. Every 7 hours
- B. Every 4 hours
- C. Every 1 hour
- D. Every 2 hours
Answer: B
Explanation:
When a patient aged 19 years old is placed in seclusion or restraint, the renewal of the order must be done every 4 hours. This requirement is based on the guidelines provided by the Joint Commission and the Centers for Medicare & Medicaid Services (CMS), which regulate the use of seclusion and restraints in healthcare settings.
* Initial Order: The use of seclusion or restraint must be ordered by a licensed independent practitioner (LIP), such as a physician.
* Time Limits: For adults aged 18 and older, the order must be renewed every 4 hours.
* Renewal Process: This renewal must involve an assessment of the patient's condition and the need for continued seclusion or restraint.
* Documentation: The rationale for using seclusion or restraint and the patient's response to the intervention must be documented thoroughly in the patient's medical record.
References:
* The Joint Commission: Standards for Behavioral Health Care
* Centers for Medicare & Medicaid Services (CMS): Conditions of Participation for Hospitals, 42 CFR
482.13(e)
NEW QUESTION # 14
A nurse is seeking best evidence to educate the parents on the use of olive oil for skin care of newborns.
Which of the following is the BEST evidence to consider?
- A. Studies that considered pediatrician opinion on using olive oil
- B. Studies that explored the experience of using olive oil
- C. Studies that compared the use of olive oil versus manufactured baby oils
- D. Studies that assessed parent's perception on the use of olive oil
Answer: C
Explanation:
The best evidence for educating parents on the use of olive oil for newborn skin care would come from studies that directly compare the use of olive oil to other commonly used baby oils.
* Studies that Explored the Experience of Using Olive Oil: These may provide qualitative insights but are not the strongest form of evidence for making recommendations.
* Studies that Considered Pediatrician Opinion on Using Olive Oil: Expert opinion can be valuable but is less robust compared to direct comparative studies.
* Studies that Assessed Parent's Perception on the Use of Olive Oil: These provide subjective insights and are not as strong as objective comparisons of effectiveness and safety.
* Studies that Compared the Use of Olive Oil Versus Manufactured Baby Oils: Comparative studies provide direct evidence on the effectiveness and safety of olive oil compared to other products, making them the most reliable source of evidence for making an informed recommendation.
References:
* Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice
* Cochrane Database of Systematic Reviews: Skincare Interventions for Infants
NEW QUESTION # 15
A nurse is providing health instructions for a patient who is being treated for streptococcal pharyngitis.
Which of the following statements by the patient indicates the need for further education?
- A. "I should take the full course of therapy"
- B. "I should replace the toothbrush with a new one"
- C. "I should avoid sharing eating or food with others"
- D. "I can return to work immediately after starting antibiotic therapy"
Answer: D
Explanation:
* Treatment and Contagious Period:
* Streptococcal pharyngitis (strep throat) is highly contagious, and patients need to follow specific guidelines to prevent spreading the infection.
* Health Instructions:
* Full course of therapy:Ensures complete eradication of the bacteria and reduces the risk of complications.
* Replace toothbrush:Prevents reinfection from bacteria that may remain on the old toothbrush.
* Avoid sharing food:Prevents transmission of the infection to others.
* Returning to work:Patients should wait until they are no longer contagious, usually 24 hours after starting antibiotic therapy and being fever-free, before returning to work.
References:
* Centers for Disease Control and Prevention (CDC) guidelines on Strep Throat
* Mayo Clinic guidelines on Streptococcal Pharyngitis
NEW QUESTION # 16
A nursing student who has a high percentage of absenteeism frequently visits the health center complaining of GI symptoms before examinations. The student continues to believe of having a terminal illness despite normal test results.
The student is MOST probably suffering from:
- A. Depersonalization
- B. Conversion
- C. Derealization
- D. Hypochondriasis
Answer: D
Explanation:
The student is most likely suffering from hypochondriasis, which is now referred to as illness anxiety disorder in the DSM-5. This condition is characterized by an excessive preoccupation with having a serious illness despite medical reassurance and the absence of significant medical findings. The keyfeatures in this scenario are the student's high absenteeism, frequent complaints of gastrointestinal symptoms, and persistent belief in having a terminal illness despite normal test results. Hypochondriasis involves misinterpreting normal bodily sensations as signs of severe illness and seeking repeated medical evaluations.
NEW QUESTION # 17
A nurse responds to clients' health needs and communicates with authorities to ensure the accessibility of services in rural areas.
The nurse here assuming the role of:
- A. Protector
- B. Advocate
- C. Manager
- D. Teacher
Answer: B
Explanation:
In this scenario, the nurse is assuming the role of an advocate. Advocacy involves acting on behalf of patients to ensure they receive the necessary services and support. This includes communicating with authorities to improve access to healthcare services, especially in underserved areas like rural communities. By addressing barriers and promoting patients' needs, the nurse helps to ensure equitable access to care and resources.
NEW QUESTION # 18
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