A student nurse visiting a senior center says, 'It's depressing to see these old people. They are weak and frail. I doubt any of them can engage in a discussion.' The student is expressing
- A. reality
- B. ageism
- C. empathy
- D. vulnerability
Correct Answer: B
Rationale: The correct answer is B: ageism. The student nurse's statement demonstrates prejudice and discrimination based on age. Ageism is the negative stereotypes, prejudice, and discrimination against individuals or groups based on their age. In this case, the student is making assumptions about the abilities and worth of older individuals solely based on their age. The statement does not reflect reality, as not all older people are weak or unable to engage in meaningful discussions. The other choices are incorrect as the statement is not reflective of reality (A), empathy (C), or vulnerability (D).
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Disorders related to abnormal functioning of the sleep-wake cycle or timing mechanisms of the body are called:
- A. Sleep apnea.
- B. Primary sleep disorders.
- C. Tertiary sleep disorders.
- D. None of the above.
Correct Answer: B
Rationale: The correct answer is B: Primary sleep disorders. These disorders directly affect the sleep-wake cycle or timing mechanisms of the body. Sleep apnea (A) is a specific disorder characterized by pauses in breathing during sleep, not a general category. Tertiary sleep disorders (C) are not a recognized classification; the primary and secondary are the main categories. "None of the above" (D) is incorrect as primary sleep disorders are indeed related to abnormal functioning of the sleep-wake cycle.
Which regions have the lowest rates of death due to poor air quality?
- A. The United States
- B. Greenland
- C. Eastern Europe (Poland, Slovakia, the Czech Republic)
- D. India
Correct Answer: B
Rationale: Greenland, with its sparse population and minimal industry, has low air pollution-related deaths.
During occupational therapy a young patient diagnosed with schizophrenia sits staring at a piece of paper. Which response is most therapeutic at this time?
- A. If you prefer to sit and stare for a time, it is acceptable for you to leave.'
- B. You seem immobilized by anxiety. Is there anything I can do to help?'
- C. Are you having trouble deciding where you want to glue that piece?'
- D. Rub the glue stick on the back of the paper.'
Correct Answer: D
Rationale: The correct answer is D because it provides a clear and simple directive that guides the patient on what to do next, promoting engagement in the therapeutic activity. By instructing the patient to rub the glue stick on the back of the paper, it helps redirect their focus and encourages participation in the task.
Choice A is incorrect as it allows the patient to disengage from the activity, which does not promote therapeutic progress. Choice B assumes the patient is anxious without evidence and may not address the core issue. Choice C is incorrect as it may not be relevant to the patient's current state and may further confuse or frustrate them.
A patient admitted to the eating disorders unit has yellow skin, the extremities are cold, and the heart rate is 42 bpm. The patient weighs 70 pounds; height is 5 feet 4 inches. The patient is quiet during the assessment saying only, "I will not eat until I lose enough weight to look thin."Â Select the best initial nursing diagnosis.
- A. Anxiety related to fear of weight gain
- B. Disturbed body image related to weight loss
- C. Ineffective coping related to lack of conflict resolution skills
- D. Imbalanced nutrition: less than body requirements related to self-starvation
Correct Answer: D
Rationale: The correct initial nursing diagnosis is D: Imbalanced nutrition: less than body requirements related to self-starvation. The patient's presentation of yellow skin, cold extremities, bradycardia, low weight, and refusal to eat indicate severe malnutrition due to self-starvation. The key indicators are the physical signs of malnutrition and the patient's statement about not eating until they lose enough weight. Options A and B do not address the primary issue of malnutrition and self-starvation. Option C focuses on coping skills, which is not the priority in this case. Therefore, option D is the best initial nursing diagnosis to address the patient's life-threatening condition of malnutrition.
A women who is 16 weeks pregnant presents with symptoms suggestive of a urinary tract infection. Which one of the following is correct?
- A. She should be assured that urinary tract infections are common in pregnancy and require no treatment.
- B. A midstream urine should be collected and the bacteriology report awaited.
- C. A midstream urine should be collected and a wide spectrum antibiotic prescribed.
- D. A self-retaining catheter should be introduced to promote free drainage of urine.
Correct Answer: C
Rationale: In pregnancy, UTIs require prompt treatment due to risks like pyelonephritis. Collecting a midstream urine and starting a broad-spectrum antibiotic (C) is standard, pending culture results. Ignoring treatment (A), waiting without antibiotics (B), or invasive measures (D, E) are inappropriate.