The nurse is teaching a client about cellular hypertrophy. Which statement should be included in the teaching?
- A. It's uncontrolled proliferative cell growth that is cancerous.
- B. It's the enlargement of an organ or tissue from the increase in cell size.
- C. It's the wasting away of tissue or organs.
- D. It's the abnormal growth or development of cells.
Correct Answer: B
Rationale: The correct answer is B because cellular hypertrophy refers to the increase in the size of cells leading to the enlargement of an organ or tissue. This is a normal physiological response to increased demand or stress. Choice A is incorrect as uncontrolled proliferative cell growth leading to cancer is known as neoplasia, not hypertrophy. Choice C is incorrect as wasting away of tissue is termed as atrophy, not hypertrophy. Choice D is incorrect as abnormal cell growth or development is more indicative of dysplasia or metaplasia, not hypertrophy.
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When providing community healthcare teaching regarding the early warning signs of Alzheimer's disease,which signs should the nurse advise family members to report? (Select all that apply.)
- A. Becoming lost in a usually familiar environment.
- B. Difficulty performing familiar tasks.
- C. Losing sense of time.
- D. Misplacing car keys.
- E. Problems with performing basic calculations.
Correct Answer: A,B,C,E
Rationale: The correct answers are A, B, C, and E. A: Becoming lost in a familiar environment can indicate spatial disorientation. B: Difficulty performing familiar tasks may signal cognitive decline. C: Losing sense of time is a common early sign of Alzheimer's. E: Problems with basic calculations indicate cognitive impairment. Incorrect answers: D: Misplacing car keys is more indicative of normal forgetfulness. F and G: Not applicable. In summary, the correct choices focus on cognitive and spatial changes, while the incorrect choices are more related to normal memory lapses.
A nurse is condu,a client diagnosed with schizophrenia jumps up and runs out while yelling You are all making fun of me. The nurse recognizes that the client is displaying which of the following behaviors?cting a group therapy meeting and shares a humorous story. When the group laughs at the story
- A. Flight of ideas
- B. Erotomania
- C. Grandeur
- D. Ideas of reference
Correct Answer: D
Rationale: The correct answer is D: Ideas of reference. This behavior is exhibited when a person believes that neutral events or actions are directed at them personally. In this scenario, the client with schizophrenia perceives others are making fun of them when that may not be the case. This demonstrates a misinterpretation of external stimuli. Flight of ideas (A) refers to rapidly shifting from one idea to another. Erotomania (B) is a delusion where someone believes another person is in love with them. Grandeur (C) involves exaggerated beliefs of one's importance or power.
A nurse educator is discussing community mental health with a group of nursing students. Based on the public health model,which of the following statements made by one of the students indicates correct information about primary prevention?
- A. Services aimed at reducing the incidence of mental disorders within the population.
- B. Services aimed at reducing the residual defects that are associated with severe and persistent mental illness.
- C. Accomplished through early identification of problems and prompt initiation of effective treatment.
- D. Interventions aimed at minimizing early symptoms of psychiatric illness and directed toward reducing the prevalence and duration of the illness.
Correct Answer: A
Rationale: The correct answer is A. Primary prevention focuses on reducing the incidence of mental disorders within the population by implementing strategies to prevent the development of mental health issues. This is achieved through promoting mental wellness, addressing risk factors, and enhancing protective factors in the community.
Choice B is incorrect as it refers to secondary prevention, which aims to reduce the residual defects associated with existing mental illness. Choice C describes early intervention, which is part of secondary prevention. Choice D is related to tertiary prevention, which involves minimizing symptoms and preventing complications of an existing illness. Overall, only choice A aligns with the concept of primary prevention in community mental health.
The nurse in the emergency room is reviewing the health record of a client who is being evaluated for Graves' disease. Which of the following laboratory results is an expected finding?
- A. Decreased thyrotropin receptor antibodies
- B. Decreased free thyroxine index
- C. Decreased triiodothyronine
- D. Decreased thyroid-stimulating hormone (TSH)
Correct Answer: D
Rationale: The correct answer is D: Decreased thyroid-stimulating hormone (TSH). In Graves' disease, there is excessive production of thyroid hormones, leading to negative feedback on the pituitary gland, resulting in decreased TSH levels. This is because the elevated thyroid hormone levels signal the pituitary gland to decrease TSH production.
A: Decreased thyrotropin receptor antibodies - This is incorrect as Graves' disease is associated with increased levels of these antibodies.
B: Decreased free thyroxine index - This is incorrect as Graves' disease typically presents with elevated levels of free thyroxine.
C: Decreased triiodothyronine - This is incorrect as Graves' disease is characterized by elevated levels of triiodothyronine due to increased thyroid hormone production.
In summary, the expected finding in Graves' disease is a decreased TSH level due to the negative feedback mechanism, making option D the correct choice.
A male client is admitted to the unit with a possible diagnosis of delirium. Which statement by the client's wife best supports the diagnosis?
- A. Since his mother died, he has not been feeling well.
- B. My husband just didn't seem to know what he was doing. He has been forgetful for years.
- C. The changes in his behavior came on so quickly! I wasn't sure what was happening.
- D. This is supposed to happen when you get old, right?
Correct Answer: C
Rationale: The correct answer is C because delirium is characterized by a rapid onset of confusion, changes in behavior, and altered mental status. The wife's statement about the changes in behavior coming on quickly aligns with this key characteristic of delirium.
Choice A is incorrect because the client's feelings after his mother's death are not necessarily related to delirium. Choice B is incorrect because long-term forgetfulness is more indicative of dementia rather than delirium. Choice D is incorrect because delirium is not a normal part of aging.
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