Nokea
Which of the following might indicate a problem with the patient's sensory system?
- A. Inability to feel light touch or pain in specific areas.
- B. Normal sensation throughout the body.
- C. Clear and accurate perception of temperature.
- D. Absence of tingling or numbness.
Correct Answer: A
Rationale: Inability to feel light touch or pain suggests sensory system dysfunction. Normal sensation, accurate temperature perception, and absence of tingling are expected findings.
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A patient is brought to the emergency department with an injured lower left leg following a fall while rock climbing. The nurse identifies the presence of a fracture based on what cardinal sign of fracture?
- A. Muscle spasms
- B. Obvious deformity
- C. Edema and swelling
- D. Pain and tenderness
Correct Answer: B
Rationale: Obvious deformity is a clear indicator of a fracture.
As the community health nurse, you meet with Mrs. Rollo 1 week after discharge. She complains to you of increasing joint pain and stiffness despite adherence to the discharge plan for medication therapy and heat treatments. Which of the following aspects would you initially want to evaluate?
- A. Diet
- B. Balance between exercise and rest
- C. Use of fad diet or appliances
- D. Feelings of self-worth and self-concept
Correct Answer: B
Rationale: Imbalance between exercise and rest can exacerbate joint pain and stiffness.
When assessing the patient's ability to perform fine motor tasks, the nurse should:
- A. Ask the patient to perform tasks such as buttoning a shirt or writing a sentence.
- B. Measure the patient's blood pressure.
- C. Inspect the patient's gait and balance.
- D. Check the patient's oral hygiene.
Correct Answer: A
Rationale: Fine motor skills are assessed by tasks like buttoning a shirt or writing. Blood pressure, gait, and oral hygiene are unrelated to fine motor assessment.
Which assessment finding best supports the diagnosis of dissociative amnesia with fugue? The patient states:
- A. I cannot recall why I'm living in this town.
- B. I feel as if I'm living in a fuzzy dream state.
- C. I feel like different parts of my body are at war.
- D. I feel very anxious and worried about my problems.
Correct Answer: A
Rationale: The correct answer is A because the key feature of dissociative amnesia with fugue is the inability to remember important personal information. In this case, the patient cannot recall why they are living in the current town, indicating a significant gap in memory. Choice B describes a feeling of disorientation, not memory loss. Choice C suggests dissociative identity disorder, not dissociative amnesia. Choice D focuses on anxiety, which is not a primary symptom of dissociative amnesia with fugue.
The job of the Nervous System is:
- A. to receive stimulus as sensory input.
- B. integration of stimulus with reaction.
- C. to trigger action as a motor response or motor output.
- D. All of the above.
Correct Answer: D
Rationale: The nervous system performs three primary functions: receiving sensory input, integrating and processing this input, and triggering motor responses. Sensory input involves detecting stimuli from the environment or within the body. Integration occurs in the brain and spinal cord, where information is processed. Motor output involves sending signals to muscles or glands to produce a response. Therefore, the nervous system's job encompasses all these functions, making 'All of the above' the correct answer.