Nokea
A nurse notes that an elderly client suddenly does not keep appointments and is not wearing appropriate clothing. Which statement by the client raises the suspicion of financial abuse?
- A. I am having difficulty paying for this new antibiotic the physician prescribed.
- B. I am a little short on cash since my daughter moved in to help me.
- C. I have not felt like shopping since the weather has gotten worse.
- D. People do not realize how difficult it is to make ends meet on a fixed income.
Correct Answer: B
Rationale: Signs of financial abuse include an inability to pay for necessities like clothes, and the statement about being short on cash since the daughter moved in suggests possible misuse of funds by a caregiver.
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When discussing the patterns of use of alcohol and other drugs, the nurse should include which piece of information?
- A. Lifetime prevalence and intensity of alcohol use is greater in women than men
- B. Hispanics and African Americans have higher levels of alcohol use than Caucasians
- C. Overuse of alcohol and other drugs increases into the mid-20s, then levels off and decreases with age
- D. Heavy use is more common in higher socioeconomic groups because they can afford to buy the drugs
Correct Answer: C
Rationale: Alcohol and drug use peaks in the mid-20s and decreases with age. Men have higher prevalence, Caucasians report more alcohol use, and heavy use is more common among less educated or unemployed groups.
A nurse is reviewing a patient's serum glucose levels. Which of the following scenarios would indicate abnormal serum glucose values for a 30 year-old male.
- A. 70 mg/dl
- B. 55 mg/dl
- C. 110 mg/dl
- D. 100 mg/dl
Correct Answer: B
Rationale: 60-115 mg/dl is standard range for serum glucose levels.
A nurse observes a client sitting alone and talking. When asked, the client reports that he is 'talking to the voices.' The nurse's next action should be:
- A. touching the client to help him return to reality
- B. leaving the client alone until reality returns
- C. asking the client to describe what is happening
- D. telling the client there are no voices
Correct Answer: C
Rationale: Asking the client to describe the hallucinations validates their experience and provides insight into their condition, aiding therapeutic communication. Touching may be intrusive, leaving them alone is non-therapeutic, and denying the voices dismisses their reality.
Which of the following diseases places a client at risk for developing cirrhosis?
- A. type I diabetes
- B. alcoholism
- C. leukemia
- D. glaucoma
Correct Answer: B
Rationale: Alcoholism places a client at risk for developing cirrhosis. None of the other choices are related to cirrhosis.
Social support systems include of the following except:
- A. call-in help lines.
- B. emotional assistance provided by others.
- C. community support groups.
- D. use of coping skills and verbalization for anger management.
Correct Answer: D
Rationale: Use of coping skills and verbalization for anger management are personal strategies, not examples of social support systems. Choices 1, 2, and 3 are all social support systems.