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The nurse asks a preoperative patient to sign a surgical consent form as specified by the surgeon and then signs the form after the patient does so. By this action, what is the nurse doing?
- A. Witnessing the patient's signature
- B. Obtaining informed consent from the patient for the surgery
- C. Verifying that the consent for surgery is truly voluntary and informed
- D. Ensuring that the patient is mentally competent to sign the consent form
Correct Answer: A
Rationale: The nurse acts as a witness to the patient's signature on the consent form, verifying that it was signed voluntarily.
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A patient is receiving care to manage symptoms of a terminal illness when the disease no longer responds to treatment. What is this type of care known as?
- A. Terminal care
- B. Palliative care
- C. Supportive care
- D. Maintenance care.
Correct Answer: B
Rationale: Palliative care focuses on symptom management and improving quality of life for patients with terminal illnesses, regardless of whether curative treatment is still being attempted.
Which triage assessment prioritizes the client’s need for treatment as the need to be seen now?
- A. Delayed
- B. Immediate
- C. Minimal
- D. Expectant
Correct Answer: B
Rationale: The correct answer is B because immediate triage indicates the client requires urgent treatment.
A community health center is preparing a presentation on the prevention and detection of cancer. Which health care professional (RN, LPN/LVN, nurse practitioner, nutritionist) should be assigned to address the following topics?
- A. Explain screening exams and diagnostic testing for common cancers.
- B. How to plan a balanced diet and reduce fats and preservatives.
- C. Prepare a poster on the seven warning signs of cancer.
- D. How to practice breast or testicular self-examinations.
Correct Answer: A
Rationale: RNs are best suited to explain complex medical procedures like screening exams and diagnostic tests, while other topics may involve collaboration with nutritionists or nurse practitioners.
During a family meeting, the patient's father called his son a bum because of his drug use and running afoul of the law. What is the best response?
- A. Anyone can become physiologically and psychologically dependent on drugs, which can result in drug-seeking behaviors that can lead to health, financial, family, and legal problems.
- B. Your son realizes his problem and is trying to change.
- C. Have you thought about going to family therapy?
- D. Have you heard about Nar-Anon or Al-Anon?
Correct Answer: A
Rationale: Educating the family about addiction reduces stigma and promotes understanding.
Alex Rowe develops hives after having eaten strawberries. He states he has strawberries before, and has never had a problem with them before. This is an example of:
- A. an idiosyncratic response to food.
- B. an autoimmune disorder.
- C. a Type I hypersensitivity response.
- D. an example of immunosuppression.
Correct Answer: C
Rationale: Idiosyncratic response means it occurs because of an unknown reason. This response to something the body has been exposed to before is not unknown. Autoimmune disorders are ones in which the body attacks self-cells. This example is an outside antigen. Type I hypersensitivities are those that occur when the body, previously sensitized to a substance, is then exposed a second time and reacts. Immunossuppression occurs when the immune system is not working. Mr. Rowe's immune system responded to the antigen, so it is not suppressed.