Risk factors associated with breast cancer include all of the following except:
- A. Personal family history of breast cancer
- B. Use of hormone replacement therapy
- C. Post-menopausal obesity
- D. Low socioeconomic status
Correct Answer: D
Rationale: Low socioeconomic status is not a direct risk factor for breast cancer.
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Chronic bloody diarrhea could be suggestive of:
- A. Irritable bowel syndrome
- B. Crohn’s disease
- C. Hepatitis A
- D. Celiac disease
Correct Answer: B
Rationale: Chronic bloody diarrhea is common in inflammatory bowel diseases like Crohn’s disease.
A 78-year-old male was recently diagnosed with Alzheimer’s disease. He scored 23/30 on his Montreal Cognitive Assessment (MoCA) and his clinical presentation is consistent with mild disease. Which of the following is NOT a common side effect of donepezil?
- A. Thrombocytopenia
- B. Bradycardia
- C. Vivid dreams
- D. Gastrointestinal distress
Correct Answer: A
Rationale: Thrombocytopenia is not a common side effect of donepezil, while bradycardia, vivid dreams, and gastrointestinal distress are.
A 67-year-old female with a history of congestive heart failure and myocardial infarction is admitted to the hospital because of increasing altered mental status and decreased arousal over the last week. Which one of the following features best distinguishes delirium from depression or dementia?
- A. Irritability
- B. Inattention
- C. Paranoia
- D. Aggressiveness
Correct Answer: B
Rationale: Inattention and waxing and waning of alertness are key features distinguishing delirium from depression or dementia.
Risk factors for elder mistreatment include all except:
- A. Physical disability of patient
- B. Dementia of patient
- C. Caregiver burden
- D. Substance abuse of caregiver
Correct Answer: E
Rationale: Financial independence of the caregiver is not a recognized risk factor for elder mistreatment.
The nurse is teaching a client with osteoarthritis how to manage pain. Which of the following interventions would be most helpful?
- A. Use heat pads for 30 minutes on painful joints.
- B. Perform joint exercises only when pain is absent.
- C. Avoid using joint protection devices.
- D. Rely solely on pharmacological interventions.
Correct Answer: A
Rationale: Heat therapy can help relieve pain and stiffness in osteoarthritis by promoting blood circulation and reducing muscle spasms.