What does tenderness behind the ear indicate in a client with otitis media?
- A. Mastoiditis
- B. Tinnitus
- C. Labyrinthitis
- D. Septicemia
Correct Answer: A
Rationale: Tenderness behind the ear may indicate mastoiditis, an infection of the mastoid bone.
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Which eating disorder involves self-starvation?
- A. Binge-eating disorder
- B. Bulimarexia
- C. Bulimia nervosa
- D. Anorexia nervosa
Correct Answer: D
Rationale: Anorexia nervosa is characterized by extreme calorie restriction and self-starvation.
Which risk is more prone to clients who administer carbamazepine for bipolar disorder?
- A. Risk for injury
- B. Risk for self-directed violence
- C. Risk for imbalanced nutrition
- D. Risk for infection
Correct Answer: D
Rationale: Carbamazepine can suppress the immune system, increasing the risk of infections.
Which of the following cancer patients could less ergenically be placed together as roommates?
- A. A patient with a neutrophil count of 1000/mm³.
- B. A patient who underwent debulking of a tumor to relieve pressure.
- C. A patient receiving high-dose chemotherapy after a bone marrow harvest.
- D. A patient who is post-op laminectomy for spinal cord compression.
Correct Answer: B
Rationale: Patients undergoing debulking surgery are generally less immunocompromised compared to those receiving high-dose chemotherapy or with severely low neutrophil counts.
When is role playing best used as a teaching strategy (select all that apply)?
- A. To rehearse behaviors or feelings
- B. With mature and confident participants
- C. To teach motor skills or procedures to patients
- D. To provide patients and caregivers basic information
Correct Answer: A
Rationale: The correct answers are 'To rehearse behaviors or feelings,' 'With mature and confident participants,' and 'In combination with almost any other teaching strategy.' Role-playing is most effective when used to practice behaviors or feelings and when combined with other strategies. It is less suitable for teaching motor skills or providing basic information.
Describe assessment data for the suicidal client.
- A. Increased alertness
- B. Lower immune response
- C. Faster metabolism
- D. Enhanced digestion
Correct Answer: D
Rationale: The correct answer is D because it is the most appropriate response based on physiological and medical principles.