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hich of the following statements is not correct?
- A. Lecture method is a one way process
- B. During lecture method students are passive
- C. Lecture method can develop knowledge
- D. Lecture method can develop reasoning
Correct Answer: D
Rationale: Lectures are less effective for developing reasoning, which requires active engagement, not passive listening.
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Short term memory is also termed as
- A. Mini
- B. Working
- C. Hard
- D. Light
Correct Answer: B
Rationale: Working memory equates to short-term memory.
Joe, a Native American, goes to the emergency department (ED) because he has an oozing stasis ulcer on his leg. He is accompanied by the tribal shaman, who has been treating Joe on the reservation. As greeting, the physician extends his hand to the shaman, who lightly touches the physician's hand, then quickly moves away. How should the physician interpret this gesture?
- A. The shaman is snubbing the physician.
- B. The shaman is angry at Joe for wanting to go to the ED.
- C. The shaman does not believe in traditional medicine.
- D. The shaman does not feel comfortable with touch.
Correct Answer: D
Rationale: The shaman's brief touch and quick withdrawal likely reflect cultural discomfort or unfamiliarity with physical touch, common in some Native American cultures, aligning with option d.
Which statement demonstrates an understanding of the value of using rating scales when assessing and documenting client responses?
- A. Documentation is standardized for all depressed clients when you use the depression rating scale.'
- B. The depression rating scale makes tracing a client's response to antidepressant medication much more reliable.'
- C. Clients seem to be able to assign a number to their feelings of depression better than describing them verbally.'
- D. Depressed clients seldom have the energy to adequately respond to an assessment if a depression rating scale isn't used.'
Correct Answer: B
Rationale: The correct answer is B because using a rating scale, like the depression rating scale, provides a quantifiable measure of a client's depressive symptoms, allowing for a more objective assessment and tracking of changes over time. It enhances reliability by standardizing the evaluation process and making it easier to monitor the effectiveness of interventions, such as antidepressant medication. This choice highlights the value of rating scales in clinical practice.
Incorrect answers:
A: This choice focuses on standardization of documentation but doesn't directly address the value of using rating scales for assessing client responses.
C: While clients may find it easier to assign a number to their feelings, this does not specifically relate to the benefits of using rating scales in assessment and documentation.
D: This choice makes assumptions about the energy levels of depressed clients and does not address the key point of the question about the value of using rating scales for assessment and documentation.
While collecting admission data, the nurse suspects a patient with AIDS is experiencing an HIV-associated neurocognitive disorder. What observations did the nurse make to come to this conclusion? (Select all that apply.)
- A. Audible bowel sounds
- B. Inappropriate laughter
- C. Inability to state home address
- D. Knee buckling while walking
Correct Answer: B
Rationale: The correct answer is B: Inappropriate laughter. Inappropriate laughter is a common symptom of HIV-associated neurocognitive disorder, indicating cognitive impairment. This symptom is often observed in patients with AIDS and can be indicative of changes in behavior and emotional responses.
Audible bowel sounds (A) are not specifically related to HIV-associated neurocognitive disorder. Inability to state home address (C) may indicate memory impairment but is not a specific symptom of this disorder. Knee buckling while walking (D) is more related to physical weakness or balance issues rather than cognitive impairment associated with HIV.
The nurse knows the lithium, a naturally-occurring salt that is excreted by the kidneys, has the potential to adversely affect:
- A. Renal function
- B. Thyroid function
- C. ECG
- D. Polyuria
Correct Answer: A
Rationale: The correct answer is A: Renal function. Lithium is excreted by the kidneys, and its accumulation can lead to renal toxicity, affecting renal function. The other choices are incorrect because lithium primarily affects the kidneys, not the thyroid (B), ECG (C), or causes polyuria (D). Lithium toxicity is commonly associated with renal impairment, making A the most appropriate choice.