What is the most common psychogenic disorder among elderly individuals?
- A. Depression
- B. Sleep disturbances (e.g., bizarre dreams)
- C. Inability to concentrate
- D. Decreased appetite
Correct Answer: A
Rationale: Depression is the most common psychogenic disorder among elderly individuals. It can manifest as persistent feelings of sadness, hopelessness, and loss of interest in activities that were once enjoyed. Elderly individuals may also experience changes in appetite, sleep disturbances, and difficulty concentrating. Detecting and addressing depression in the elderly is crucial for their overall well-being and quality of life.
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What is required for effective hand washing?
- A. Soap or detergent to promote emulsification
- B. Hot water to destroy bacteria
- C. A disinfectant to increase surface tension
- D. All of the above
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
All of the following statements are true about donning sterile gloves except:
- A. The first glove should be picked up by grasping the inside of the cuff.
- B. The second glove should be picked up by inserting the gloved fingers under the cuff outside the glove.
- C. The gloves should be adjusted by sliding the gloved fingers under the sterile cuff and pulling the glove over the wrist.
- D. The inside of the glove is considered sterile.
Correct Answer: D
Rationale: When donning sterile gloves, it is essential to maintain sterility. The correct way to don sterile gloves includes grasping the outside of the cuff to put on the first glove and inserting the gloved fingers under the cuff outside the glove to put on the second glove. Adjustments should be made by sliding the fingers under the sterile cuff. It is crucial to remember that once the inside of the glove is touched during the donning process, it is no longer considered sterile.
The physician orders the administration of high-humidity oxygen by face mask and placement of the patient in a high Fowler's position. After assessing Mrs. Paul, the nurse writes the following nursing diagnosis: Impaired gas exchange related to increased secretions. Which of the following nursing interventions has the greatest potential for improving this situation?
- A. Encourage the patient to increase her fluid intake to 200 ml every 2 hours
- B. Place a humidifier in the patient's room
- C. Continue administering oxygen by high humidity face mask
- D. Perform chest physiotherapy on a regular schedule
Correct Answer: D
Rationale: Chest physiotherapy is the most effective intervention in cases of impaired gas exchange related to increased secretions. This technique helps mobilize and clear secretions from the airways, thereby improving gas exchange in the lungs. Placing a humidifier or administering oxygen by high humidity face mask may provide moisture but may not directly address the clearance of secretions. Encouraging increased fluid intake can help with hydration but may not address the underlying issue of impaired gas exchange due to secretions.
If a patient's blood pressure is 150/96, what is his pulse pressure?
- A. 54
- B. 96
- C. 150
- D. 246
Correct Answer: A
Rationale: Pulse pressure is calculated by subtracting the diastolic pressure from the systolic pressure. In this case, the systolic pressure is 150 and the diastolic pressure is 96. Therefore, the pulse pressure is 150 - 96 = 54. Pulse pressure represents the force generated by the heart with each contraction and is an important indicator of cardiovascular health.
The four main concepts common to nursing that appear in each of the current conceptual models are:
- A. Person, nursing, environment, medicine
- B. Person, health, nursing, support systems
- C. Person, health, psychology, nursing
- D. Person, environment, health, nursing
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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