What is the function of a tendon?
- A. Attaches muscle to bone
- B. Connects bone to bone at the joint
- C. Connects cartilage to muscle in joints
- D. Attaches synovium to the joint capsule
Correct Answer: A
Rationale: Tendons attach muscles to bones.
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Which of the following conditions are more likely to develop in a client who is relatively immobile for the rest of his or her life?
- A. Bladder infection
- B. Diarrhea
- C. Paralysis
- D. Bladder inflammation
Correct Answer: A
Rationale: Immobility increases the risk of bladder infections due to stasis of urine.
A treatment designed to aid production and comprehension of speech is known as group communication treatment. A study by Elman & Berstein-Ellis (1999) showed:
- A. No improvement in functional communication compared with patients not receiving structured treatment.
- B. Significantly more improvement in functional communication compared with patients not receiving structured treatment.
- C. Declined in functional communication compared with patients not receiving structured treatment.
- D. An improvement in non-targetted factors.
Correct Answer: B
Rationale: Group communication treatment is a therapeutic approach aimed at improving speech production and comprehension in individuals with language disorders, such as aphasia. A study by Elman and Berstein-Ellis (1999) demonstrated that this treatment led to significant improvements in functional communication compared to individuals who did not receive structured therapy. The group setting provides opportunities for social interaction and practice, enhancing the effectiveness of the treatment.
You are pulled from the ED to the neurologic floor. Which action should you delegate to the nursing assistant when providing nursing care for a patient with SCI?
- A. Assess patient's respiratory status every 4 hours.
- B. Take patient's vital signs and record every 4 hours.
- C. Monitor nutritional status including calorie counts.
- D. Have patient turn, cough, and deep breathe every 2 hours.
Correct Answer: B
Rationale: Taking and recording vital signs is a routine task suitable for delegation to a nursing assistant.
During the acute phase of dermatomyositis, what is an appropriate patient outcome?
- A. Relates improvement in pain
- B. Does not experience aspiration
- C. Performs active ROM four times daily
- D. Maintains absolute rest of affected joints
Correct Answer: B
Rationale: Preventing aspiration is critical in dermatomyositis.
Which of the following is an incorrect pairing?
- A. norepinephrine dilates the pupil
- B. epinephrine increases blood pressure
- C. acetylcholine decreases digestion
- D. norepinephrine increases heart rate
Correct Answer: C
Rationale: The correct answer is C because acetylcholine actually increases digestion by stimulating the release of digestive enzymes and promoting peristalsis. A is incorrect because norepinephrine dilates the pupil, B is incorrect because epinephrine does increase blood pressure, and D is incorrect because norepinephrine does increase heart rate. Remember, acetylcholine is primarily responsible for parasympathetic responses, which include rest and digest functions.