Which of the following is an ethical obligation of physicians?
- A. Patience
- B. Veracity
- C. Mercy
- D. Honor
Correct Answer: B
Rationale: Veracity, or truthfulness, is a core ethical duty in medicine.
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The nurse is preparing to read the Mantoux tuberculin skin test placed on the forearm of a patient with HIV. Which finding should the nurse report as a positive test for this patient?
- A. 2 mm
- B. 3 mm
- C. 4 mm
- D. 5 mm
Correct Answer: D
Rationale: The correct answer is D (5 mm) for a positive Mantoux test in a patient with HIV. In HIV-positive individuals, a positive test is considered when the induration is ≥5 mm. This is because the immune system may be compromised, leading to a delayed immune response. Choices A, B, and C (2 mm, 3 mm, 4 mm) are not considered positive for HIV-positive individuals due to their weakened immune system, requiring a larger induration size to indicate a positive test.
A widow grieving her husbands sudden death tells the nurse, Im not feeling well. Yesterday, I saw my husband walk through the door, stop, and smile at me. Then he just faded away. Which is the nurses most appropriate action?
- A. Assess for recent substance abuse.
- B. Suggest a referral to the mental health clinic.
- C. Arrange for an evaluation for antidepressant medication.
- D. Counsel the widow that visualizations are a normal part of grieving.
Correct Answer: D
Rationale: Grieving patients often dream about, visualize, think about, or search for the lost loved one. The patient should be told that this is considered a normal phenomenon and not a sign of mental illness. Visualization does not suggest substance abuse or mental illness in this case.
A patient asks for information about Alcoholics Anonymous (AA). Which is the nurse’s best response?
- A. It is a self-help group with the goal of sobriety.'
- B. It is a form of group therapy led by a psychiatrist.'
- C. It is a group that learns about drinking from a group leader.'
- D. It is a network that advocates strong punishment for drunk drivers.'
Correct Answer: A
Rationale: The correct answer is A: "It is a self-help group with the goal of sobriety." This is the best response because Alcoholics Anonymous (AA) is indeed a self-help group focused on achieving and maintaining sobriety through shared experiences and support. Choice B is incorrect because AA is not led by a psychiatrist but rather by individuals who are also in recovery. Choice C is incorrect as AA does not focus on learning about drinking but rather on supporting recovery. Choice D is incorrect as AA does not advocate for punishment but rather emphasizes compassion and understanding towards individuals struggling with alcohol addiction.
The introductory section of a research report should aim to:
- A. Identify the specific focus of the study
- B. Provide a rationale for the dissertation, or article
- C. Grab the reader's attention
- D. All of the them
Correct Answer: D
Rationale: The introduction should focus the study, justify it, and engage readers, per APA guidelines.
You are caring for a client who has been assessed as having a past history of violent and dangerous behaviors towards others. You, as the nurse, are concerned about this client's past history and the dangers that may adversely affect others including staff, visitors and other clients on the unit. What is the first thing that you should do to prevent violence towards others?
- A. Restrain the client
- B. Place the client in seclusion
- C. Get an order for a sedating medication
- D. Establish trust with the client.
Correct Answer: D
Rationale: Establishing trust (D) is the first step to de-escalate potential violence.