Nokea
ld people have low tolerance to blaring music because
- A. The vibrations are too fast for them to hear properly
- B. One in four
- C. They need more sleep and loud music does not allow that
- D. All of these
Correct Answer: C
Rationale: Age-related hearing changes and sleep needs reduce tolerance for loud music in the elderly.
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Men currently outnumber women in
- A. Psychology
- B. Education
- C. Doctoral programs
- D. Allied health field
Correct Answer: C
Rationale: Men outnumber women in doctoral programs overall, per statistical trends.
Your client had a ruptured appendix and peritonitis. What type of healing would be most likely for this client?
- A. Secondary intention healing
- B. Tertiary intention healing
- C. Primary prevention healing
- D. Secondary prevention healing
Correct Answer: A
Rationale: Secondary intention (A) occurs with open, infected wounds like peritonitis.
People with high self-esteem are likely to engage in all of the following behaviors except
- A. Express a general positive attitude of life
- B. Volunteer work on difficult tasks
- C. Likely to get involved with social activities at work place
- D. Frequently express doubt about their abilities to perform on difficult tasks
Correct Answer: D
Rationale: High self-esteem correlates with confidence, not doubt.
Your client is in the special care area of your hospital with multiple trauma and severe bodily burns. This 45 year old male client has an advance directive that states that the client wants all life saving measures including cardiopulmonary resuscitation and advance cardiac life support, including mechanical ventilation. As you are caring for the client, the client has a complete cardiac and respiratory arrest. This client has little of no chance for survival and they are facing imminent death according to your professional judgement, knowledge of pathophysiology and your critical thinking. You believe that all life saving measures for this client would be futile. What is the first thing that you, as the nurse, should do?
- A. Call the doctor and advise them that the client's physical status has significantly changed and that they have just had a cardiopulmonary arrest.
- B. Begin cardiopulmonary resuscitation other emergency life saving measures.
- C. Notify the family of the client's condition and ask them what they should be done for the client.
- D. Insure that the client is without any distressing signs and symptoms at the end of life.
Correct Answer: A
Rationale: Resuscitation must begin immediately as per the advance directive until further instructions from the doctor.
The spouse of a patient in hospice care angrily tells the nurse, The care provided by the aide and other family members is inadequate, so I must do everything myself. Cant anyone do things right? The palliative care nurse should:
- A. provide teaching about anticipatory grieving.
- B. assign new personnel to the patients care.
- C. arrange hospitalization for the patient.
- D. refer the spouse for crisis counseling.
Correct Answer: A
Rationale: The behaviors described in this scenario are consistent with anticipatory grieving. The spouse needs to be taught about the process of anticipatory grieving and to receive counseling to validate what she is experiencing and to enhance coping. The incorrect options are not appropriate to the situation and do not respond to the spouses needs.