Nokea
A person with hearing loss can just begin to detect sound at a decibel level similar to
- A. Rustle of leaves
- B. One in four
- C. 10 feet away
- D. Whisper
Correct Answer: A
Rationale: Rustle of leaves (~20 dB) is detectable with mild hearing loss.
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A client's history documents that there have been examples of indirect self-destructive behavior. Which nursing assessment data supports this diagnosis?
- A. Client has attempted suicide on three other occasions.
- B. Reports of abusing alcohol since the age of 16.
- C. Client experiences episodes of hypoglycemia on a regular basis.
- D. While acknowledging suicidal thoughts, the client denies any plan.
Correct Answer: B
Rationale: The correct answer is B because reports of abusing alcohol since the age of 16 indicate a pattern of indirect self-destructive behavior. This behavior can lead to physical harm and other negative consequences. Option A directly mentions suicide attempts, not indirect behavior. Option C is unrelated to self-destructive behavior. Option D, while acknowledging suicidal thoughts, does not demonstrate a pattern of indirect self-destructive behavior like long-term alcohol abuse.
he theorist who believes that human behavior is influenced by culture is
- A. Sigmund Freud
- B. Carl Rogers
- C. Lev Vygotsky
- D. Erik Erikson
Correct Answer: C
Rationale: Lev Vygotsky stressed the role of culture in shaping cognitive and behavioral development.
Which of the following guidelines for the use of nonconventional modalities is correct?
- A. Health care providers should make every attempt to ascertain alternative therapy use during each visit
- B. All 'natural' products are generally safe
- C. Health care providers should support all alternative therapies
- D. When using alternative medicines, more is always better than less
Correct Answer: A
Rationale: Assessing use at each visit ensures safety and coordination with conventional care.
Which of the following correctly identifies the role of the physician and the patient in making health care decisions?
- A. The physician is the ultimate authority in making decisions about a patient's health
- B. The physician and the patient must establish together who makes decisions about the patient's health
- C. The physician has little direct influence on the patient's personal health choices
- D. Although it is the physician's responsibility to instruct the patient about his or her condition, the physician must ultimately respect the patient's personal health choices
Correct Answer: D
Rationale: Shared decision-making balances physician expertise with patient autonomy.
A patient who was admitted for a heroin overdose received naloxone (Narcan), which improved the breathing pattern. Two hours later, the patient reports muscle aches, abdominal cramps, gooseflesh and says, 'I feel terrible.' Which analysis is correct?
- A. The patient is exhibiting a prodromal symptom of seizures.
- B. An idiosyncratic reaction to naloxone is occurring.
- C. Symptoms of opiate withdrawal are present.
- D. The patient is experiencing a relapse.
Correct Answer: C
Rationale: The correct analysis is C: Symptoms of opiate withdrawal are present. The patient's presentation of muscle aches, abdominal cramps, gooseflesh, and feeling terrible are classic symptoms of opiate withdrawal. Naloxone, as an opioid antagonist, reversed the effects of heroin leading to withdrawal symptoms. This is a typical response seen in patients who have been given naloxone to counteract opioid overdose. Choices A and B are incorrect as they do not align with the patient's clinical presentation and pharmacological understanding. Choice D is also incorrect as there is no indication that the patient has resumed heroin use.