Nokea
Which statement with respect to the disadvantages of insufficient physical activity is most correct?
- A. People are not so much concerned with the disadvantages, because these will only affect them in the long run
- B. The disadvantages can be compensated by moderate eating
- C. When explained, the disadvantages are enough to motivate people to change their behaviour
- D. The disadvantages result from inadequate behavioural control (self-efficacy)
Correct Answer: A
Rationale: Inactivity's downsides long-term creep, folks shrug, not diet-fixed, rarely spur change, or just control flops. Nurses see this apathy, a chronic slow burn.
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A nurse who works in an oncology clinic is assessing a patient who has arrived for a 2-month follow-up appointment following chemotherapy. The nurse notes that the patient's skin appears yellow. Which blood tests should be done to further explore this clinical sign?
- A. Liver function tests (LFTs)
- B. Complete blood count (CBC)
- C. Platelet count
- D. Blood urea nitrogen and creatinine
Correct Answer: A
Rationale: Yellow skin signals jaundice, often tied to liver dysfunction, a frequent issue post-chemotherapy due to metastatic spread or drug toxicity. Liver function tests (LFTs) like ALT, AST, and bilirubin directly assess liver health, pinpointing if metastases or chemo agents (e.g., hepatotoxic drugs like methotrexate) are at play. A CBC might show anemia or infection but doesn't target liver issues. Platelet count could hint at clotting problems, possibly liver-related, but it's too narrow. Blood urea nitrogen and creatinine check kidney function, not liver, despite both organs handling chemo clearance. Since the liver's a common metastatic site especially from cancers like breast or lung LFTs are the go-to here, guiding the nurse to catch complications early and adjust care, critical in oncology follow-ups.
Clients with chronic illness want the health care system to provide them with which of the following?
- A. Less information
- B. Less travel time
- C. Ways to adjust to disease consequences
- D. Limited information on ways to cope with their symptoms
Correct Answer: C
Rationale: Chronic folks crave adaptation tools handling fear, sleep woes, or sex shifts not less info or travel ease. Nurses deliver this, a lifeline for illness' long tail, not just quick fixes.
Which of the following countries has the highest percentage of diabetes patients?
- A. USA
- B. Britain
- C. India
- D. Saudi Arabia
Correct Answer: D
Rationale: Saudi Arabia's diabetes rate soars wealth, sedentary shifts, and diet spike it past USA's obesity-driven numbers, Britain's milder load, and India's vast but diluted count. Over 20% prevalence there trumps others' teens, a chronic epidemic nurses track in Gulf states, tied to rapid modernization.
A 62-year-old woman diagnosed with breast cancer is scheduled for a partial mastectomy. The oncology nurse explained that the surgeon will want to take tissue samples to ensure the disease has not spread to adjacent axillary lymph nodes. The patient has asked if she will have her lymph nodes dissected, like her mother did several years ago. What alternative to lymph node dissection will this patient most likely undergo?
- A. Lymphadenectomy
- B. Needle biopsy
- C. Open biopsy
- D. Sentinel node biopsy
Correct Answer: D
Rationale: Sentinel node biopsy (SLNB) is the modern go-to less invasive than old-school dissection (lymphadenectomy), it maps the first lymph node cancer hits, sparing arm swelling (lymphedema) if clean. Needle or open biopsies are less targeted, more for diagnosis than staging here. SLNB's standard for breast cancer now, checking spread without ripping out nodes like her mom's era. Nurses in oncology highlight this shift less trauma, same intel easing her fears with precision care.
Rehabilitation is an ongoing process which is individual for each patient. Which of the following concepts are not part of the goals of the rehabilitation process for the patient?
- A. Adaptation
- B. Reconstruction of self-identity
- C. Ongoing dependency
- D. Developing a sense of a new normal
Correct Answer: C
Rationale: Rehab rebuilds adapt, re-ID, new normal aims up, not down. Dependency's the foe, not goal. Nurses push this, a chronic comeback.