Your new 90-year-old patient is admitted with a broken wrist and multiple bruises. The caregiver reports the patient falls when she wanders. Which of the following would lead you to suspect elder abuse?
- A. Inconsistent explanations about the details of the falls.
- B. The patient tells you she doesnt like the caregiver.
- C. The patient begins crying when her daughter arrives.
- D. The patient has a UTI.
Correct Answer: A
Rationale: Inconsistent explanations of injuries are a common indicator of abuse. All of the other responses would not be indicators on their own, but with other factors may lead you to suspect abuse.
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You are planning discharge education for your client who has a new colostomy. Which complication of a colostomy should you educate this client about?
- A. A prolapsed stoma
- B. A vitamin B12 deficiency
- C. Nocturnal enuresis
- D. Gl stone formation
Correct Answer: A
Rationale: A prolapsed stoma (A) is a common colostomy complication.
The child's ability to understand numerical concepts develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: C
Rationale: Numerical understanding, like conservation of number, emerges in the concrete operational stage (Piaget).
What are the nursing implications associated with administering blood and blood products to a client who has a blood type of B negative?
- A. The nurse must be knowledgeable about the fact that this client has A and B agglutinins and lacks the Rh factor
- B. The nurse must be knowledgeable about the fact that this client has B and O agglutinins and lacks the Rh factor
- C. The nurse must be knowledgeable about the fact that this client has B agglutinins and lacks the Rh factor
- D. The nurse must be knowledgeable about the fact that this client has A agglutinins and lacks the Rh factor
Correct Answer: C
Rationale: B negative clients have B agglutinins (C) and lack Rh factor.
is the basis of community development projects.
- A. Self-evaluation
- B. Self-help
- C. Participation
- D. Collaboration
Correct Answer: C
Rationale: Self-help empowers communities to address their own needs, forming the basis of sustainable development projects.
The theorist who believes that individual interprets experiences is
- A. Jean Piaget
- B. Erik Erikson
- C. Lev Vygotsky
- D. John Dewey
Correct Answer: A
Rationale: Jean Piaget's cognitive theory emphasizes how individuals actively interpret and construct knowledge from experiences.
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