Nokea
Instant satisfaction is a passing often sensory experience of life aspects:
- A. Instant satisfaction
- B. Domain satisfaction
- C. All of these
- D. None
Correct Answer: A
Rationale: Instant satisfaction is fleeting and sensory, unlike broader domain satisfaction (Diener).
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Your new 90-year-old patient is admitted with a broken wrist and multiple bruises. The caregiver reports the patient falls when she wanders. Which of the following would lead you to suspect elder abuse?
- A. Inconsistent explanations about the details of the falls.
- B. The patient tells you she doesnt like the caregiver.
- C. The patient begins crying when her daughter arrives.
- D. The patient has a UTI.
Correct Answer: A
Rationale: Inconsistent explanations of injuries are a common indicator of abuse. All of the other responses would not be indicators on their own, but with other factors may lead you to suspect abuse.
Which of the following is the best approach when referring a Mexican patient with type 2 diabetes to a dietitian for medical nutrition therapy?
- A. Make the referral as quickly as possible
- B. Attempt to identify a bilingual dietitian familiar with the Mexican diet
- C. Assume the dietitian is knowledgeable about all aspects of the Mexican diet
- D. Meet with the dietitian on a regular basis to keep up with the patient's eating habits
Correct Answer: B
Rationale: A bilingual, culturally competent dietitian improves communication and dietary relevance for Mexican patients.
Anna, who is 72 years old, is of the age when she may have experienced many losses coming close together. What is this called?
- A. Bereavement overload
- B. Normal mourning
- C. Isolation
- D. Cultural relativity
Correct Answer: A
Rationale: At 72 years old, Anna is at an age where multiple losses (e.g., death of loved ones, pets, or health declines) may occur closely together, which is referred to as bereavement overload, aligning with option a.
You are a hospice nurse who, as part of your role, does follow up counseling and care for the significant others of deceased spouses for one year after their loss. Whose theory of grief and loss would you most likely integrate into your practice as you perform this role?
- A. Engel's theory
- B. Kubler Ross' theory
- C. Lewin's theory
- D. Warden's theory
Correct Answer: B
Rationale: Kubler-Ross' theory (B) is widely used for grief stages.
Several children are seen in the emergency department for treatment of various illnesses and injuries. Which assessment finding would create the most suspicion for child abuse? The child who has:
- A. complaints of abdominal pain.
- B. repeated middle ear infections.
- C. bruises on extremities.
- D. diarrhea.
Correct Answer: C
Rationale: Injuries such as immersion or cigarette burns, facial fractures, whiplash, bite marks, traumatic injuries, bruises, and fractures in various stages of healing suggest the possibility of abuse. In older children, vague complaints such as back pain may also be suspicious. Ear infections, diarrhea, and abdominal pain are problems that were unlikely to have resulted from violence.