Nokea
What is an implementation intention?
- A. The decision of an organisation to implement a specific method or intervention
- B. A concrete plan to show particular behaviour in specific situations
- C. A well-considered idea of how a person can handle a relapse or difficult situations
- D. The intention to live healthier in all important areas of life
Correct Answer: B
Rationale: Implementation intention specific act, set scene, not org moves, relapse plans, or vague health kicks. Nurses cue this, a chronic action lock.
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A patient with a diagnosis of gastric cancer has been unable to tolerate oral food and fluid intake and her tumor location precludes the use of enteral feeding. What intervention should the nurse identify as best meeting this patient's nutritional needs?
- A. Administration of parenteral feeds via a peripheral IV
- B. TPN administered via a peripherally inserted central catheter
- C. Insertion of an NG tube for administration of feeds
- D. Maintaining NPO status and IV hydration until treatment completion
Correct Answer: B
Rationale: Gastric cancer blocking oral and enteral routes needs TPN via a PICC delivering calories and protein centrally, bypassing the gut. Peripheral IV can't handle TPN's osmolarity veins fry. NG's out with tumor placement. NPO with just fluids starves her long-term. Nurses in oncology peg TPN as the lifeline, keeping strength up when cancer chokes other options.
NASH contributes to the risk of cardiovascular disease via which mechanism in the liver?
- A. Reduced production of VLDL
- B. Reduced production of glucose
- C. Increased production of CRP
- D. Increased production of HDL
Correct Answer: C
Rationale: NASH ups heart risk CRP, inflammation's flag, flares from liver, not VLDL drop, glucose dip, or HDL boost. Nurses spot this, a chronic CV spark.
The nurse is caring for a patient diagnosed with stage I colon cancer. When assessing the need for psychologic support, which question by the nurse will provide the most information?
- A. How long ago were you diagnosed with this cancer?'
- B. Do you have any concerns about body image changes?'
- C. Can you tell me what has been helpful to you in the past when coping with stressful events?'
- D. Are you familiar with the stages of emotional adjustment to a diagnosis like cancer of the colon?'
Correct Answer: C
Rationale: Stage I colon cancer's early psych support hinges on coping history . Past wins reveal strengths, more than timing , body image (B less hit here), or textbook stages . Nurses in oncology dig this how they've handled stress before predicts now, guiding tailored help.
Which of these does not need treatment of the sexual partner?
- A. trichomonas vaginalis
- B. bacterial vaginosis
- C. candida
- D. chlamydia
Correct Answer: B
Rationale: BV vaginal flora shift, not partner-fed; trich, chlamydia, gonorrhea, candida swap. Nurses skip this chronic duo fix.
A patient undergoing external radiation has developed a dry desquamation of the skin in the treatment area. The nurse teaches the patient about the management of the skin reaction. Which statement, if made by the patient, indicates the teaching was effective?
- A. I can use ice packs to relieve itching.
- B. I will scrub the area with warm water.
- C. I can buy aloe vera gel to use on my skin.
- D. I will expose my skin to a sun lamp each day.
Correct Answer: C
Rationale: Dry desquamation flaky, itchy radiated skin loves aloe vera; it soothes without gunking up or infecting. Ice burns it; scrubbing rips it; sun lamps torch it worse. Nurses in oncology teach this gentle, natural relief keeps skin sane through radiation's rough ride, a patient win if they get it.