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Her diagnosis of obsessive-compulsive disorder constantly does repetitive cleaning. The nurse knows that this behavior is probably MOST basically, an attempt to _______.
- A. Decrease the anxiety to a tolerable level
- B. Focus attention on non-threatening tasks
- C. Control others
- D. Decrease time available for interaction with people
Correct Answer: A
Rationale: The behavior of repetitive cleaning in someone diagnosed with obsessive-compulsive disorder is likely an attempt to decrease the anxiety to a tolerable level. People with OCD often engage in compulsive behaviors, such as cleaning, in an effort to alleviate the distress and anxiety caused by obsessive thoughts. This repetitive action provides a sense of control and temporary relief from the anxiety associated with their obsessive thoughts. By engaging in cleaning rituals, individuals with OCD can try to reduce their anxious feelings and create a sense of order and cleanliness in their environment.
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Using APCAR Score, Nurse Lyca should bear in mind that this method of evaluating a newborn 's Condition is used at how many minutes after birth?
- A. 1 to 10
- B. 1 to 7
- C. 1 to 3
- D. 1 to 5
Correct Answer: C
Rationale: The APCAR (Appearance, Pulse, Grimace, Activity, Respiration) score is used to evaluate a newborn's condition in the first few minutes after birth. This assessment typically occurs within the first 1 to 3 minutes after the baby is born. The score helps healthcare providers quickly assess the baby's overall well-being and determine if any immediate interventions or further monitoring are necessary.
A nurse is preparing to perform a colposcopy procedure for a patient with abnormal cervical cytology results. What action should the nurse prioritize to enhance patient comfort during colposcopy?
- A. Administering intravenous sedation to the patient before the procedure
- B. Explaining the procedure steps and providing emotional support to the patient
- C. Applying a topical anesthetic cream to the cervix before colposcopy
- D. Allowing the patient to have a support person present during the procedure
Correct Answer: B
Rationale: The best action the nurse should prioritize to enhance patient comfort during a colposcopy procedure is to explain the procedure steps and provide emotional support to the patient. Colposcopy is a procedure that involves examining the cervix, vagina, and vulva closely. Patients may feel anxious or uncomfortable during the procedure due to the sensitive nature of the area being examined and the potential concerns related to abnormal cervical cytology results. By explaining the procedure steps in detail before starting and providing emotional support, the nurse can help alleviate the patient's fears and anxieties, thereby enhancing their comfort and promoting a more positive experience overall. Additionally, establishing good communication and trust with the patient can also improve their cooperation during the procedure. Administering sedation, applying a topical anesthetic cream, and allowing a support person to be present are all important factors in providing holistic care as well, but the initial priority should be on communication and emotional support.
Patient Presley asks the nurse why such a diagnostic procedure is required. What is the MOST APPR0PRIATE answer can the nurse give?
- A. Urinary tract infections are strongly associated with the occurrence of preterm labor
- B. Reduced sensation to urinate usually occur during preterm labor
- C. Preterm 1abor treatment usually causes women a bladder infection because of restricted fluid intake
- D. Catheterized urine is usually ordered for any woman admitted to the labor and delivery unit
Correct Answer: A
Rationale: Urinary tract infections are strongly associated with the occurrence of preterm labor. It is important to screen for and address any urinary tract infections during pregnancy to reduce the risk of complications like preterm labor. Diagnostic procedures, such as obtaining a urine sample for testing, help healthcare providers identify and treat any infections promptly to promote a healthy pregnancy. Therefore, the nurse can explain to Patient Presley that the diagnostic procedure is necessary to detect and address any potential urinary tract infections that could impact her pregnancy.
Ms., Sanchez is a new nursing graduate and in dire need for the hospitalization of her ailing mother She is being offered to endorse a detergent product on TV Commercial wearing a mini skirt and a plunging neckline shirt. In doing this performance Ms. Sanchez is violating the ________.
- A. oath of professional for new nurses
- B. nursing practice act 7164
- C. code of ethics for nurses
- D. core competency standards
Correct Answer: C
Rationale: Ms. Sanchez is violating the code of ethics for nurses. Nurses are expected to uphold professional behavior and maintain a positive public image. Endorsing a detergent product on TV Commercial wearing a mini skirt and a plunging neckline shirt may be seen as unprofessional and contrary to the image of a nursing professional. The code of ethics for nurses requires nurses to act with integrity, maintain professional boundaries, and avoid actions that could bring discredit to the profession. By engaging in this commercial, Ms. Sanchez is not upholding the ethical standards expected of nurses.
A patient presents with acute onset of severe headache, visual disturbances, and altered mental status. Imaging reveals a tumor compressing the optic chiasm. Which of the following neurological conditions is most likely responsible for these symptoms?
- A. Meningioma
- B. Glioblastoma multiforme
- C. Pituitary adenoma
- D. Medulloblastoma
Correct Answer: C
Rationale: Pituitary adenoma is the most likely neurological condition responsible for the described symptoms of acute onset severe headache, visual disturbances, and altered mental status when a tumor is found compressing the optic chiasm. Pituitary adenomas are benign tumors arising from the pituitary gland located at the base of the brain. As the tumor grows, it can compress nearby structures such as the optic chiasm, leading to visual disturbances (due to pressure on the optic nerves), severe headache (due to increased intracranial pressure), and altered mental status (due to effects on nearby brain structures).