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2. What therapies are included in the mind-body medicine National Center for Complementary and Alternative Medicine (NCCAM) category (select all that apply)?
- A. Use of hands to realign energy flow
- B. Communication with the Creator or the Sacred
- C. Learned control of physiologic responses of the body
- D. Self-directed practice of focusing, centering, and relaxing
Correct Answer: C
Rationale: The correct answers are C. Mind-body medicine focuses on techniques like learned control of physiological responses (e.g., biofeedback) and self-directed practices such as meditation or relaxation, which align with options C and D.
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What is a long and healthy life dependent upon?
- A. A diet high in animal fat, cholesterol, and calories
- B. Early retirement from work
- C. Vigorous physical activity once a week
- D. Interest in life
Correct Answer: D
Rationale: Interest in life contributes positively to mental health and overall well-being, which are key components of a long and healthy life.
8. What is acupuncture used for (select all that apply)?
- A. Relieve pain by causing counterirritation in another area of the body.
- B. Reestablish the flow of Qi through meridians to simulate the body’s self-healing mechanism.
- C. Create an inflammatory response at an acupoint, increasing blood circulation and healing energy.
- D. Relieve nausea and vomiting postoperatively, with pregnancy, or related to chemotherapy.
Correct Answer: B
Rationale: Acupuncture is commonly used to reestablish the flow of Qi (option B) and relieve nausea and vomiting (option D), among other therapeutic uses.
While assessing a client with pulmonary tuberculosis, which of the following findings should the nurse expect?
- A. Lethargy
- B. High-grade fever
- C. Weight gain
- D. Dry cough
Correct Answer: A
Rationale: The correct answer is A: Lethargy. In pulmonary tuberculosis, lethargy is common due to systemic symptoms like fatigue and weakness. High-grade fever is also common but not specific to pulmonary tuberculosis. Weight loss, not weight gain, is a classic symptom due to decreased appetite. Dry cough is a common symptom, but not as specific as lethargy in pulmonary tuberculosis.
A home health nurse visits a client who has COPD and receives oxygen at 2 L/min via nasal cannula. The client reports difficulty breathing. Which of the following actions is the nurse's priority?
- A. Increase the oxygen flow to 3 L/min.
- B. Assess the client's respiratory status.
- C. Call emergency services for the client.
- D. Have the client cough and expectorate secretions.
Correct Answer: B
Rationale: The correct answer is B: Assess the client's respiratory status. This is the priority because the client is experiencing difficulty breathing, which could indicate a worsening of their condition. By assessing the respiratory status, the nurse can gather vital information to determine the appropriate next steps, such as adjusting the oxygen flow rate, providing respiratory treatments, or seeking further medical intervention. Increasing the oxygen flow without assessing the client's condition could potentially exacerbate the issue. Calling emergency services (choice C) may be necessary based on the assessment findings but should not be the immediate priority. Having the client cough and expectorate secretions (choice D) is important for airway clearance but is not the priority when the client is in distress.
For your patient with a CD4 count, less than 200, the most important nursing assessment would include
- A. Bowel movements.
- B. Urinary output.
- C. Fever.
- D. Blood pressure.
Correct Answer: C
Rationale: Fever can indicate opportunistic infections in immunocompromised patients.