Nokea
Which of the following is precipitating factor for Ella`s feeling of wanting to die?
- A. The death of lory
- B. Her authoritative mother
- C. Her age
- D. Her fear of death
Correct Answer: A
Rationale: The death of Lory is the precipitating factor for Ella's feeling of wanting to die. Losing someone close to us can lead to feelings of profound sadness, grief, and hopelessness, which may trigger thoughts of wanting to die. The impact of losing a loved one can be devastating and overwhelming, often leading individuals to question the meaning of life and their own mortality. In Ella's case, the death of Lory has likely caused a significant emotional upheaval, contributing to her desire to end her own life. It is essential to address these feelings of loss and provide support and intervention to help Ella cope with her grief and prevent any self-harm.
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A patient presents with a sudden onset of severe vertigo, nausea, vomiting, and nystagmus. The patient reports a recent upper respiratory tract infection. Which of the following conditions is most likely responsible for this presentation?
- A. Vestibular neuritis
- B. Benign paroxysmal positional vertigo (BPPV)
- C. Ménière's disease
- D. Acoustic neuroma
Correct Answer: A
Rationale: The patient's sudden onset of severe vertigo, nausea, vomiting, and nystagmus following a recent upper respiratory tract infection is consistent with vestibular neuritis. Vestibular neuritis is characterized by acute onset vertigo, often severe, which is typically associated with nausea, vomiting, and nystagmus. The condition is thought to be caused by inflammation of the vestibular nerve, often viral in nature, which can occur following an upper respiratory tract infection. This inflammation leads to dysfunction of the vestibular system in the inner ear, resulting in the symptoms described. Benign paroxysmal positional vertigo (BPPV), characterized by brief episodes of vertigo triggered by specific head movements, is less likely in this case given the sudden onset of symptoms not triggered by head movements. Meniere's disease is characterized by recurrent episodes of vertigo accompanied by hearing loss, tinnitus, and a feeling of fullness
Deductive Reasoning process is applied in:
- A. Qualitative research
- B. Action research
- C. Quantitative research
- D. Applied research
Correct Answer: C
Rationale: Deductive reasoning is a logical process in which conclusions are drawn from a set of premises or given information. In quantitative research, this type of reasoning is commonly used to test hypotheses and make predictions based on theories and existing knowledge. Researchers start with established theories or hypotheses and then collect data to either support or refute them. This structured approach aligns with the principles of deductive reasoning and is a key characteristic of quantitative research methodology.
Sexual dysfunctions 1ike impotence, erectile dysfunction, and lack of libido are likely possibilities in what, prostatic surgery?
- A. Suprapubic prostatectomy
- B. Transurethral resection of the prostate
- C. Laparoscopic prostatectomy
- D. Perineal prostatectomy
Correct Answer: B
Rationale: Sexual dysfunctions like impotence, erectile dysfunction, and lack of libido are common complications following prostatic surgery. Among the options provided, transurethral resection of the prostate (TURP) is associated with a higher risk of these sexual dysfunctions. This is because during TURP, the surgical procedure may damage nerves and blood vessels that are crucial for sexual function, leading to impotence, erectile dysfunction, and decreased libido postoperatively.
A patient with a history of myocardial infarction is prescribed atorvastatin for lipid-lowering therapy. Which parameter should the nurse monitor closely during atorvastatin therapy?
- A. Serum potassium levels
- B. Liver function tests
- C. Blood glucose levels
- D. Serum sodium levels
Correct Answer: B
Rationale: Atorvastatin is a medication commonly used for lipid-lowering therapy to reduce cholesterol levels and decrease the risk of cardiovascular events. However, one of the potential side effects of statin medications such as atorvastatin is liver injury. Therefore, monitoring liver function tests, including alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels, is crucial during atorvastatin therapy.
A patient presents with generalized weakness, headache, and difficulty concentrating. Laboratory tests reveal normocytic normochromic anemia, normal iron studies, and elevated serum erythropoietin levels. Which of the following conditions is most likely to cause these findings?
- A. Chronic kidney disease (CKD)
- B. Iron deficiency anemia
- C. Thalassemia
- D. Aplastic anemia
Correct Answer: A
Rationale: The patient in this scenario presents with normocytic normochromic anemia, normal iron studies, and elevated serum erythropoietin levels. These findings are characteristic of anemia of chronic disease, which is commonly seen in patients with chronic kidney disease (CKD). In CKD, there is a decrease in renal production of erythropoietin, leading to reduced stimulation of erythropoiesis and subsequent anemia. The normocytic normochromic anemia pattern is typical in anemia of chronic disease, as opposed to microcytic hypochromic anemia seen in iron deficiency anemia and thalassemia. Aplastic anemia is characterized by pancytopenia, which is not described in the scenario. Therefore, the most likely cause of the patient's presentation is chronic kidney disease.