Nursing Practice and Patient Care Quiz

Nursing Practice

• The Professional Regulation Commission (PRC) administers the National Licensure Examination (NLE) to protect the public from incompetent practitioners and ensure nurses meet expected competency standards.
• The PRC-Board of Nursing (PR-BON) regulates nursing practice in the Philippines, including issuing, suspending, and revoking certifications for registered nurses.
• The PR-BON also ensures proper conduct of nurses and issues permits for nursing program openings within the country.
• The Code of Ethics for nurses prohibits nurses from endorsing products in a way that could be considered unprofessional, such as wearing revealing clothing.

Caring for Patients

• The best position for patients with pneumonia is semi-Fowler’s at least 30 degrees.
• When a patient is diagnosed with pneumonia, the nurse would hear fine crackles on auscultation of the affected area.
• Respiratory depression may occur because of drug overdose; a nurse should monitor for bradypnea to indicate this condition.

Pediatric Nursing

• The Department of Health (DOH), Professional Regulation Commission (PRC) and the Professional Regulatory Board of Nursing (PR-BON) all regulate nursing practice in the Philippines.
• When assessing a patient for an invasive procedure, the nurse should obtain consent from the parents, legal guardian, next of kin, and then the physician in that order.
• Patients have the right to confidentiality regarding their health information, communication, and records, but not their financial status.

Legal Aspects of Pediatric Nursing

• The Patient's Bill of Rights includes the right to information about one's care, but does not include payment information.
• Patients have the right to leave the hospital regardless of their physical condition, provided they are informed of the possible medical consequences of their decision.
• Informed consent is needed from all parents or legal guardians of a minor patient before performing any procedure.
• Parents or legal guardians can be the only ones to authorize the release of information regarding a minor.

Communication and Teaching

• When teaching a patient, the nurse should create an environment where the patient feels comfortable and not threatened. Using real-life examples to connect to the patient is a good strategy.
• Public health nurses often encounter communication barriers such as provocative behavior from patients, which require professional and empathetic responses.
• When giving constructive criticism, the nurse should use a specific and objective approach, emphasizing the positive aspects while addressing the areas for improvement.

Nursing Research

• Research requires informed and written consent from the subject in order to ensure anonymity, confidentiality, and respect for human rights.
• Research designs include: Causality, Predictive Correlational, Descriptive Correlational and Descriptive Case Studies.

Pregnancy and Childbirth

• After successful vaginal delivery, nurses usually administer medication to promote uterine contractility and control bleeding.
• When new mothers are breastfeeding, nurses should encourage mothers to breastfeed on demand, around every two to three hours, wash hands before and after feeding, and frequently change breast pads.
• The APGAR score is used to assess newborn health 1 to 5 minutes after birth.
• Mothers with mastitis could experience breast discomfort, localized redness, and a hard mass.

Nursing Care for Postpartum Mastitis

• Milk stasis and nipple trauma are predisposing factors of mastitis.
• Mastitis can be alleviated with antibiotics.
• Supportive bras can help relieve breast discomfort related to mastitis.
• The expression of pain is directly affected by cultural and social norms, some cultures may express pain more openly than others.
• However, regardless of outward expression, it is important to assess all patients for pain.
• Cultural sensitivity in nursing care involves understanding how different cultures perceive and express pain, and adapting care accordingly.

Newborn Care and Assessment

• Infants and children may need different techniques compared to adults for visual testing.
• Infants and young children may need to be assessed for vision at different ages based on their developmental milestones.

This quiz explores key aspects of nursing practice in the Philippines, including the National Licensure Examination and the Code of Ethics. It also covers essential nursing care techniques for patients with pneumonia, emphasizing proper positioning and monitoring. Test your knowledge on these critical nursing topics.