Nokea
A patient arrives at the clinic appearing disheveled, with a flat affect and difficulty maintaining eye contact. Based on the general appearance assessment, which of the following conclusions might you draw?
- A. The patient is likely experiencing a physical illness.
- B. The patient may be suffering from a mental health issue.
- C. The patient is well-adjusted and healthy.
- D. The patient is simply tired.
Correct Answer: B
Rationale: A flat affect and difficulty maintaining eye contact are commonly associated with mental health issues, such as depression.
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The nurse is teaching a client with osteoarthritis how to manage pain. Which of the following interventions would be most helpful?
- A. Use heat pads for 30 minutes on painful joints.
- B. Perform joint exercises only when pain is absent.
- C. Avoid using joint protection devices.
- D. Rely solely on pharmacological interventions.
Correct Answer: A
Rationale: Heat therapy can help relieve pain and stiffness in osteoarthritis by promoting blood circulation and reducing muscle spasms.
A Hispanic woman who is 26 weeks pregnant states that she recently began eating ice chips between meals.
- A. Have the patient checked for diabetes
- B. Assess the patient for iron deficiency anemia
- C. Encourage the patient to eat more at meal times
- D. Tell the patient that this cultural practice can be harmful
Correct Answer: B
Rationale: Craving ice chips (pica) can be a sign of iron deficiency anemia.
A 74-year-old man who recently lost his spouse of 50 years in an auto accident tells the NP that "he has no purpose in this life":
- A. Have you told your family how you feel?
- B. Have you thought about hurting yourself?
- C. Are you taking your medication?
- D. Do you have any friends?
Correct Answer: B
Rationale: This is a key screening question to assess for suicidal ideation.
A pulsating mass may be an indication of...
- A. Strangulated hernia
- B. Incarcerated hernia
- C. AAA
- D. All of the above
Correct Answer: C
Rationale: A pulsating mass can indicate an abdominal aortic aneurysm (AAA), which is a critical condition.
The lymphatic ducts drain into the:
- A. Arterial system
- B. Venous system
- C. Vertebral bodies of the spine
- D. Shoulder
Correct Answer: B
Rationale: The lymphatic ducts drain into the venous system, specifically at the junction of the subclavian and internal jugular veins.