Plenary Quiz Answers Flashcards

1
Q

The NMC recently launched Caring with confidence: The code in
action. When referring to accountability there were four things that
you can do in your professional routine to help ensure your decisions
and actions are the best they can be. Which of the following was NOT
included?

A

A. Keep your practice knowledge up to date
B. Ensure any action is agreed by a supervisor (C)
C. Reflect on your actions to consider how to improve
D. Gather feedback to inform your practice

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2
Q

What is the gradient that reflects the difference in morbidity and
mortality between those in different socioeconomic classes?

A

Social Gradient

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3
Q

A number of NEW disease cases develop over a specified time
period within the Midlands area. What is this most likely to be an
example of?

A

An Incidence

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4
Q

In the Birmingham Health Profile, it was stated that life expectancy
has plateaued and is lower than other parts of England. Which of the
following is NOT one of the main causes of early death in
Birmingham?

A

A. Alcoholic Liver Disease
B. Coronary Heart Disease
C. COPD (C)
D. Lung Cancer

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5
Q

Which of the following statements reflects the best description of
Prevalence?

A

A. The severity of a disease cases in a given period of time
B. The rate of the development of new disease cases in a given period
of time
C. The probability of catching a disease in a given period of time
D. The proportion of disease cases in a population in a given period of
time (C)

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6
Q

Which of the following chromosomal conditions is due to

possession of an extra chromosome?

A

Down Syndrome

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7
Q

Which of the following is not a risk factor for Sudden Infant Death
Syndrome?

A

A. Choking (C)
B. Toxic-trio
C. Co-sleeping
D. Sleeping position

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8
Q

A person cries out, you turn and see them fall on the pavement,
their limbs are stiff and shaking and they are not responsive. You
ascertain that they are having a tonic-clonic seizure. Which action
below is the correct action?

A

A. Make sure you note the time the seizure started (C)
B. Make sure the person does not swallow their tongue
C. Make sure to move them to ensure they are lying comfortably
D. Make sure you restrain them during the seizure so they do not injure
themselves

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9
Q

: You are supporting Frank in a residential home, he is a 70 year
old male who has a diagnosis of Alzheimers, he also has asthma and
food allergies. The nurse in charge calls for help, you observe that Frank
is struggling to breathe, wheezing, his face is puffy and there is vomit
on his shirt. What is the most likely cause of his deterioration?

A

A. An asthma attack
B. Anaphylaxis (C)
C. A Stroke
D. A Heart attack

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10
Q

Dawn is 50 years old and is living in a nursing home, she has Down
Syndrome and has recently moved following a diagnosis of Alzheimer’s. She
has been found lying on the floor on a couple of occasions, it was also
established that she had been incontinent of urine on these occasions.
Which course of action would be a priority?

A

Infer that this is behavioural and is a result of Dawn moving from her
home environment
B. Rule out physical health, Dawn may have had a seizure which led her to
become incontinent (C)
C. Liaise with the continence nurse as Dawn is losing her ability to recognise
when she needs to void
D. Consider that as Dawn is 50 years old this may be related to menopause

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11
Q

: The nurse in charge plans to delegate helping a patient with their meal
to a healthcare assistant (HCA). Which statement is an example of assertive
communication?

A

A. “Would you mind helping the patient with their food when you have
time? If not, I will have to miss my break and do it myself.”
B. “You are always disappearing off the ward. You need to help the patient
with their meal now”
C. “The patient needs help with their meal. I want you to assist the client
then you can go to lunch when you are finished.” (C)
D. “I have to complete the notes. You will assist the patient with their meal.
Do not go for your break until you have finished.”

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12
Q

Jayden is 7 years old and has a diagnosis of Down Syndrome and
accesses a short break community service every month. When reviewing
care which of the following options is the best course of action for the nurse
working at the short break service?

A

A. Consider communicating with Jayden’s parents/carers solely as he is
unlikely to be able to understand
B. Consider Jayden’s current developmental level and plan care according to
this (C)
C. Plan interventions according to Jayden’s specified age bracket
D. Plan care according to a lower age than Jayden’s as his developmental
level is likely delayed

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13
Q

Ted is 19 and has a diagnosis of autism and Down Syndrome. He has
attended his appointment at the GP surgery however he is pacing, humming
and rocking; clearly finding the environment difficult. Which of the following
actions is not a good example of implementing reasonable adjustments?

A

A. Offering an appointment at the beginning or end of the day
B. Minimising noise and reducing bright lights or colours in the GP surgery
C. Offering an appointment at a hospital that can cater to his needs fully (C)
D. Asking the person with learning disabilities or their carer what support
they might need.

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14
Q

Which of the statements below is an example of a nurse who

is not communicating responsibly?

A

A. The nurse helps a patient talk to family members about discontinuing
treatment.
B. The nurse uses interpersonal strategies to help a patient develop methods
of coping.
C. The nurse provides a patient’s health information to a close relative over
the phone. (C)
D. The nurse listens to the patient’s concern about inadequate pain relief.

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15
Q

The National Quality Board (NQB, 2017) introduced a new framework
for NHS Trusts to identify, report, investigate and learn from deaths in care. It
requires all healthcare providers to have a policy in place for how deaths are
responded to and learned from. Some categories of patients must be
analysed and subject to further review, which of the following was not
specified as one of these categories?

A

A. Learning disability
B. Dementia (C)
C. Mental health needs
D. Maternal

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16
Q

As a student nurse you are involved in the evaluation step of the
nursing process and find that one of the goals for the patient has not
been met. Which of the following actions would be best?

A

A. Stop working on the goals as evaluation is the last part of the nursing
process
B. Assess the patient’s motivation for compliance with the care plan
C. Reassess the problem and then review the care plan and revise as
needed. (C)
D. Determine if the client has a knowledge deficit or barrier

17
Q

For people with Down Syndrome how many are currently

expected to experience early onset dementia?

A

A. 1 in 10
B. 1 in 50 (C)
C. 1 in 100
D. 1 in 500

18
Q

Cultural competence is essential to minimise miscommunication.
Papadapoulos described cultural competence as originating from 3
dimensions. Which of the following is not one of those dimensions?

A

A. Cultural reflection (C)
B. Cultural awareness
C. Cultural knowledge
D. Cultural sensitivity

19
Q

In town A there is a population of 4000 people. In one particular year
there were 400 new disease cases in this town. In the same year 100 new
disease cases occurred in town B where the population was 2000. Based on
this information which of the following statements is true?

A

A. The disease incidence cannot be calculated.
B. The disease incidence is twice as high in town A in comparison to town B
C. The disease incidence is equal between both towns.
D. The disease incidence in twice as high in region B in comparison to town A

20
Q

You are providing care to a patient who was admitted with heart
failure. They haven’t been following the prescribed diet or taking the
prescribed medications. Which type of communication approach is
most important for the nurse to use with this patient?

A

A. Authoritative, honest, and direct communication
B. Assertive, responsible, and caring communication (C)
C. Aggressive, sympathetic, and realistic communication
D. Positive, expert, and sympathetic communication