Free Practice Questions for OMSB OMSB_OEN Exam

The most appropriate way to assess pain is by asking the client to rate their pain. Pain is a subjective experience, meaning only the person experiencing it can accurately describe its intensity and quality. This is often done using a numerical scale (0-10) where the patient rates their pain, with 0 being no pain and 10 being the worst pain imaginable.

Nonverbal cues and the nurse's impression can provide additional information, but they are not as reliable as the patient's self-report. Pain relief after interventions helps evaluate the effectiveness of the pain management but does not assess the initial pain level.

Implementation Phase in Vaccination Campaign:

During the implementation phase, the focus is on executing the vaccination plan, ensuring coverage, and monitoring progress.

Role of the Nurse:

Identifying Population at-risk:Typically part of the planning phase.

Setting Outreach Strategies:Also part of planning to ensure all populations are covered.

Reporting Vaccination Rates:This is part of the evaluation phase.

Monitoring Vaccination Rate and Surveillance:Involves actively overseeing the ongoing vaccination activities, ensuring proper documentation, and surveillance for adverse events or outbreaks, making it the correct answer.

References:

World Health Organization (WHO) guidelines on Immunization

Centers for Disease Control and Prevention (CDC) on Vaccine Implementation

Motivating Nurses and Teamwork:

Recognizing and appreciating the efforts of nurses is crucial for maintaining morale and encouraging teamwork.

Best Approach:

Email Appreciation and Memo:These are impersonal and might not effectively motivate the team.

Morning Shift Report Discussion:Useful for daily updates but less formal and might miss some members.

Ward Meeting Acknowledgment:Publicly recognizing individual contributions in a ward meeting is more personal and impactful. It allows team members to feel valued and appreciated in front of their peers, boosting morale and motivation.

References:

Journal of Nursing Management on Team Motivation

American Nurses Association (ANA) on Nurse Recognition and Rewards

During the teenage stage of family development, parents play a crucial role in helping their adolescents balance freedom with responsibility. This includes setting appropriate boundaries, providing guidance, and encouraging independence while ensuring that teenagers understand and meet their responsibilities. It is a critical period where parental support and oversight help teens develop into responsible adults.

Occult blood in the stool of a nine-month-old infant can be a sign of gastrointestinal irritation or bleeding. One common cause of occult blood in infants is an intolerance to cow’s milk protein. Therefore, it is crucial to ask if cow's milk has been introduced to the infant’s diet. This helps identify a potential cause of the symptoms and guides further management. While diet and other factors are also important, cow's milk introduction is a primary consideration for occult blood in this age group.

Assessment of Anemia:

Anemia affects the body's ability to transport oxygen, leading to symptoms like fatigue, weakness, and shortness of breath.

Relevant Health Status Questions:

Exercise Frequency:Understanding the patient's exercise routine can help gauge the impact of anemia on their daily activities and overall health.

Sleep Duration:While important, it is less directly related to assessing anemia’s impact.

Clinic Visits and Allergies:Important for comprehensive health but less relevant for directly assessing anemia symptoms.

References:

World Health Organization (WHO) guidelines on anemia

American Society of Hematology (ASH)

Safety in Bedridden Patient Care:

Ensuring patient safety is paramount before beginning any care activities.

Priority Actions:

Bed Locked:Prevents bed movement which could cause patient falls.

Pillows and Bed Sheets:Secondary actions related to patient comfort and hygiene.

Client Position:Important but ensuring bed stability is the first step for safety.

References:

Joint Commission guidelines on patient safety

Fundamentals of Nursing textbooks

Opioid Use for Chronic Pain:

Opioids are often prescribed for severe, persistent pain conditions where other treatments have failed or are inappropriate.

Conditions Requiring Long-term Opioids:

Muscular Atrophy and Phantom Limb Pain:Can be managed with other medications and therapies.

Progressive Cancer:Often involves severe pain, making long-term opioid use necessary to manage pain and improve quality of life.

Migraine Headache:Typically treated with specific migraine medications and not long-term opioids.

References:

American Cancer Society on Pain Management

World Health Organization (WHO) guidelines on Cancer Pain Relief

Handling Medication Refusal:

When a patient refuses medication, the nurse must assess the reason and ensure the patient's safety and adherence to treatment plans.

Best Actions:

Report to the Physician:Ensures the healthcare provider is aware and can make necessary adjustments or provide alternatives.

Crushing Medication and Mixing:Bisacodyl tablets should not be crushed as it can alter the drug's effectiveness and increase side effects.

Informing about Dosing:Not helpful if the patient is already refusing.

Ice Chips:Not relevant to enhancing medication compliance.

References:

American Nurses Association (ANA) on patient medication administration

Pharmacology guidelines on Bisacodyl administration

As an advocate, a unit in-charge is responsible for supporting patients and staff in various professional and personal matters. Allocations and increment issues of newly appointed nurses, while important, generally fall under administrative and human resource functions and present the least direct professional obligation compared to issues that directly impact patient care and staff well-being. Ensuring adequate staffing during a crisis like COVID-19, advocating for an elder patient's social support needs for discharge, and addressing a nurse's sick leave claim have more immediate and significant implications for patient care and staff advocacy.