OMSB_OEN OMSB Omani Examination for Nurses Free Practice Exam Questions (2025 Updated)

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.

When a child with autism is hospitalized, it is essential to maintain consistency and continuity in their care. Reviewing the child's therapy plan from the rehabilitation center ensures that the hospital staff can continue to address the child's speech and social needs in a manner that aligns with his established routines and therapy goals. Modifying daily routines or developing a new care plan without prior review may cause unnecessary stress or disruption. Referring the child to in-hospital therapy departments can be beneficial, but it should be done in conjunction with the existing plan to ensure continuity and effectiveness.

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

According to Freud's theory of psychosexual development, the stage affected in a newborn is the oral stage.

Oral Stage: This stage occurs from birth to about 18 months of age, where the infant's pleasure centers on the mouth through activities like sucking and biting.

Anal Stage: This stage follows the oral stage, from 18 months to 3 years, focusing on bowel and bladder control.

Phallic Stage: This occurs from 3 to 6 years, focusing on the genitals and the differences between males and females.

Latent Stage: This stage occurs from 6 years to puberty, characterized by dormant sexual feelings and a focus on social and intellectual skills.

References:

Freud, S. (1905). Three Essays on the Theory of Sexuality.

National Institutes of Health (NIH): Child Development Theories

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.

Swimming is an excellent exercise for individuals with low back pain as it is low-impact and helps strengthen the muscles supporting the back without putting undue stress on it. Sit-ups and leg lifts can strain the back and worsen pain, while running is a high-impact activity that can also exacerbate back pain. Swimming promotes flexibility, strength, and cardiovascular health while minimizing the risk of further injury to the back.

Beta-Thalassemia Major and Splenectomy:

Patients with beta-thalassemia major often require frequent blood transfusions.

Splenectomy increases the risk of infections due to loss of the spleen’s immune function.

Priority Nursing Interventions:

Prevent Infections:The highest priority post-splenectomy due to the increased risk of sepsis and other infections.

High-Fat Intake, Frequent Voiding, Hydration:Important but secondary to infection prevention.

References:

Centers for Disease Control and Prevention (CDC) guidelines on post-splenectomy care

National Institutes of Health (NIH) on Thalassemia Management

Definition of Emphysema:

Emphysema is a chronic lung condition characterized by the destruction of the alveoli (air sacs) walls. This leads to reduced surface area for gas exchange and difficulty in breathing.

It is a major component of Chronic Obstructive Pulmonary Disease (COPD).

Differentiation from Other Conditions:

Asthma:A condition where the airways become inflamed and narrowed.

Bronchitis:Inflammation of the bronchial tubes, often resulting in cough and mucus production.

Bronchiolitis:Inflammation of the small airways (bronchioles), commonly seen in children.

References:

American Lung Association (ALA)

National Heart, Lung, and Blood Institute (NHLBI)