Nokea
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.
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Joan is diagnosed with a gastric ulcer. What symptoms would she exhibit?
- A. Epigastric pain worse before meals, pain on awakening, and melena.
- B. Decreased bowel sounds, rigid abdomen, rebound tenderness, and fever.
- C. Boring epigastric pain radiating to back and left shoulder, bluish-gray discoloration of periumbilical area, and ascites.
- D. Epigastric pain that is worse after eating and weight loss.
Correct Answer: A
Rationale: Gastric ulcers typically cause pain before meals and at night.
A healthcare professional is caring for a client who has just developed a pulmonary embolism. Which of the following medications should the healthcare professional anticipate administering?
- A. Furosemide
- B. Dexamethasone
- C. Heparin
- D. Atropine
Correct Answer: C
Rationale: The correct answer is C: Heparin. Heparin is a common anticoagulant used to prevent further clotting in patients with pulmonary embolism. It works by inhibiting blood clot formation. Furosemide (A) is a diuretic used for conditions like heart failure and edema, not for pulmonary embolism. Dexamethasone (B) is a corticosteroid used for inflammation and immune suppression, not for pulmonary embolism. Atropine (D) is used to treat bradycardia and not indicated for pulmonary embolism. Administering heparin is crucial to prevent worsening of the pulmonary embolism and potential life-threatening complications.
Tom reports abdominal pain that started over the periumbilical area and moved to the right lower quadrant area. Tom probably has
- A. Crohn's disease.
- B. Cholecystitis.
- C. Appendicitis.
- D. Diverticulitis.
Correct Answer: C
Rationale: Appendicitis typically presents with migrating pain from the periumbilical area to the right lower quadrant.
In a client receiving opiate therapy, which of the following should the nurse closely monitor for in order to minimize the risk for imbalanced nutrition?
- A. Diarrhea
- B. Anorexia and nausea
- C. GI tract infection
- D. Gastric ulcer
Correct Answer: B
Rationale: The correct answer is B because opiates commonly cause gastrointestinal side effects such as nausea and anorexia, which can lead to nutritional imbalances.
What is the primary goal of treating hyperopia?
- A. Improve near vision
- B. Improve distance vision
- C. Correct astigmatism
- D. None of the above
Correct Answer: A
Rationale: Hyperopia primarily affects near vision, so treatment focuses on improving it.