Beginning Clinical Nursing Study Guide Questions
Course Introduction
Beginning Clinical Nursing introduces students to the foundational concepts, skills, and attitudes necessary for safe and effective nursing practice in clinical settings. Throughout this course, students will learn essential nursing procedures, patient assessment techniques, therapeutic communication, and basic care interventions under supervision. Emphasis is placed on developing clinical reasoning, understanding the nursing process, upholding patient dignity, and adhering to ethical and legal standards. Simulated and real clinical experiences provide opportunities for students to integrate theoretical knowledge with practical skills, preparing them for more advanced levels of nursing care.
Recommended Textbook
Fundamentals of Nursing Two Volume Set 3rd Edition by Judith M. Wilkinson
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46 Chapters
1461 Verified Questions
1461 Flashcards
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Page 2
Chapter 1: Evolution of Nursing Thought Action
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) Which type of managed care allows patients the greatest choice of providers,medications,and medical devices?
A) Health maintenance organization
B) Integrated delivery network
C) Preferred provider organization
D) Employment-based private insurance
Answer: C
Q2) Strategies to improve the status of nursing include which of the following? Select all that apply.
A) Standardizing the educational requirements for entry into practice
B) Enacting uniform continuing education requirements
C) Guaranteeing that all nurses will obtain employment upon graduation
D) Encouraging participation in professional organizations
Answer: A,B,D
Q3) A patient who requires long-term rehabilitation needs which type of care?
A) Primary care
B) Secondary care
C) Tertiary care
D) Preventive care
Answer: C
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Chapter 2: Critical Thinking: Nursing Process
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24 Flashcards
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Sample Questions
Q1) Which of the following characteristics do the various definitions of critical thinking have in common? Critical thinking:
A) Requires reasoned thought
B) Asks the questions "why" or "how"
C) Is a hierarchical process
D) Demands specialized thinking skills
Answer: A
Q2) The nurse has just been assigned to the clinical care of a newly admitted patient.To know how best to care for the patient,the nurse uses the Nursing Process.Which step would the nurse probably undertake first?
A) Make an assessment
B) Make a diagnosis
C) Plan outcomes
D) Plan interventions
Answer: A
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4
Chapter 3: Nursing Process: Assessment
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A patient is not feeling well at home and comes to the emergency department to be evaluated.In the initial nursing interview,what is the first question the nurse would ask?
A) "Do you live alone?"
B) "Are you having any pain?"
C) "What is your past medical history?"
D) "Why did you come to the hospital today?"
Answer: D
Q2) A nursing instructor asked his nursing students to discuss their experiences with charting assessment data.Which comment by the student indicates the need for further teaching?
A) "I find it difficult to avoid using phrases like 'the patient tolerated the procedure well.'"
B) "It's confusing to have to remember which abbreviations this hospital allows."
C) "I need to work on charting assessments and interventions right after they are done."
D) "My patient was really quiet and didn't say much, so I charted that he acted depressed."
Answer: D
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Chapter 4: Nursing Process: Diagnosis
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) Based only on Maslow's Hierarchy of Needs,which nursing diagnosis should have the highest priority?
A) Self-Care Deficit
B) Risk for Aspiration
C) Impaired Physical Mobility
D) Functional Urinary Incontinence
Q2) Which of the following is an example of a problem that nurses can treat independently?
A) Hemorrhage
B) Nausea
C) Fracture
D) Infection
Q3) Which statement related to prioritizing patient problems is most accurate?
A) Nurses must resolve one problem before addressing another problem.
B) Nurses prioritize problems in order of urgency.
C) Actual problem always take priority over risk problems.
D) Nurses give the highest priority to problems that the patient thinks are most important.
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Chapter 5: Nursing Process: Planning Outcomes
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following is the best example of an outcome statement? The patient will:
A) Use the incentive spirometer when awake
B) Walk two times during day and evening shift
C) Maintain oxygen saturation above 92% while performing ADLs each morning
D) Tolerate 10 sets of range-of-motion exercises with physical therapy
Q2) The nurse is planning care for a patient.She is using a standardized care plan for Impaired Walking related to left-side weakness.Which of the following activities will the nurse perform when individualizing the plan for the patient?
A) Validating conflicting data with the patient
B) Transcribing medical orders
C) Stating the frequency for ambulation
D) Performing a comprehensive assessment
Q3) How are NANDA-I problem labels and NOC outcome labels alike? Both describe:
A) Health status in terms of human responses
B) Patient response before interventions are done
C) Patient response in positive terms
D) A pattern of related cues
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Chapter 6: Nursing Process: Planning Interventions
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Sample Questions
Q1) A client is admitted to the hospital with an acute episode of chronic obstructive pulmonary (lung)disease.The nurse makes a diagnosis of Ineffective Breathing Pattern related to inability to maintain adequate rate and depth of respirations and has recorded the diagnosis and appropriate goals on the care plan.When selecting nursing interventions,what should the nurse do first?
A) Identify several interventions likely to achieve the desired outcomes.
B) Review the problem and etiology of the nursing diagnosis.
C) Choose the best interventions for the patient.
D) Review the goals she has written.
Q2) The nurse is selecting nursing interventions for her patient with diabetes.The nurse will select interventions using which resources available to her? Select all that apply.
A) A standardized list of interventions
B) Interventions generated based on her knowledge base and past experiences
C) Traditional interventions that seem to have worked in the past
D) Only those interventions that agree with patient preferences
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Chapter 7: Nursing Process: Implementation Evaluation
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which type of client-centered evaluation is performed at specific,scheduled times?
A) Intermittent
B) Ongoing
C) Terminal
D) Process
Q2) The nurse is preparing to insert a Foley catheter for her patient.What is the best strategy for the nurse to use to perform this insertion in a timely and efficient manner?
A) Call another nurse to assist with the procedure
B) Gather all supplies and equipment before entering the patient room
C) Instruct and explain the procedure to the patient
D) Check the patient's schedule for the day for the most convenient time
Q3) Which criterion might be used in structure evaluation?
A) "Staff refrains from sharing computer passwords."
B) "Healthcare provider washes hands with each client contact."
C) "A defibrillator is present on each client care area."
D) "Nurse verifies client identification before initiating care."
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Chapter 8: Evidence-Based Practice: Theory Research
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) In his later work,Maslow identified growth needs that must be met before reaching self-actualization.These needs include:
A) Cognitive and aesthetic needs
B) Love and belonging needs
C) Safety and security needs
D) Physiological and self-esteem needs
Q2) The nurse researcher decides to conduct a research study on the association between aging male populations and their development of prostate cancer.She uses a sample size from her community of 50 males aged more than 80 years,a quantitative research design,and finds that many of these participants developed cancer after the age of 80.She reports in her findings: All male patients over the age of 80 years old will most likely develop prostate cancer.Based on the information given above,what is flawed in this research?
A) The problem statement does not provide enough information.
B) Sample size is too small to make a generalization.
C) The research is only valuable to those working with aging males.
D) A quantitative research design is most likely inappropriate for this type of study.
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Page 10
Chapter 9: Life Span: Infancy Through Middle Adulthood
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The second-year nursing student is in a pediatric clinical rotation in the emergency department.While working one day,a 6-year-old child and mother arrive.The student notices bruises on the child and the mother seems to avoid answering any questions related to the bruises.The most appropriate action by the student is to:
A) Contact a child abuse hotline
B) Notify the physician
C) Notify her instructor
D) Continue to ask the mother more questions
Q2) A 12-year-old child diagnosed with cancer is hospitalized for the first time.Considering many children in this age group possess a fear of hospitals,what strategies will the nurse use to help the child during hospitalization? Select all that apply.
A) Encourage visits from outside friends
B) Ask the parents to bring in personal items from home
C) Maintain a strict daily routine to keep the child focused
D) Decrease parent involvement with the child's care
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11
Chapter 10: Life Span: Older Adults
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The daughter of an 82-year old patient tells the nurse,"When I ask my dad to do something,it takes him a long time to respond to me.But he does do what I ask." Which is the most appropriate response by the nurse is?
A) "At this age, your dad does not have the same intelligence he had when he was younger."
B) "It is more difficult for a man in this age group to learn new things."
C) "Reaction time slows in older adults, so it takes him more time to process your requests."
D) "He is likely developing some dementia, as this is a normal development in his age group."
Q2) A 78-year-old couple is moving out of state to be closer to family members.Which of the following residences is most appropriate for this couple?
A) Second story apartment with safety bars in the bathrooms
B) Small two-bedroom home close to shopping center and church
C) One-level living area condominium with good lighting inside and outside
D) Two-level living area condominium close to family members
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Page 12
Chapter 11: Experiencing Health Illness
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Which of the following is particularly valuable in helping a patient with a terminal illness maintain a sense of self?
A) Family relationships
B) Spirituality
C) Nutrition
D) Sleep and rest
Q2) What type of loss is most common among patients who are hospitalized for complex health conditions?
A) Privacy
B) Dignity
C) Functional
D) Identity
Q3) A client has been hospitalized for 6 weeks.All of the following interventions are good ones,but which intervention is specifically focused on helping the patient cope with the emotional responses to prolonged hospitalization?
A) Providing skin care every shift to prevent skin breakdown
B) Encouraging the patient to get up in a chair to eat meals
C) Assisting the patient to ambulate in the hallway for several minutes each day
D) Designating a corner of the patient's room to display personal mementos
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Page 13
Chapter 12: Stress Adaptation
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Before entering the room of a patient who is angry and yelling,the nurse removes her stethoscope from around her neck.The best rationale for doing so is that the stethoscope:
A) Could be used by the patient to hurt her
B) Might cause the patient not to trust her
C) Would distract her from focusing on the patient
D) Will function as another stressor for the patient
Q2) After sustaining injuries in a motor vehicle accident,a patient experiences a decrease in blood pressure and an increase in heart rate and respiratory rate despite surgical intervention and fluid resuscitation.Which stage of the general adaptation syndrome is the patient most likely experiencing?
A) Alarm
B) Resistance
C) Exhaustion
D) Recovery
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14
Chapter 13: Psychosocial Health Illness
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) A 45-year-old man with a history of anxiety comes into the emergency department and is diagnosed with a myocardial infarction (MI).He says to the nurse,"This is the most ridiculous thing I've ever heard of.I eat well,exercise,and am too young to have a heart attack." The nurse recognizes that this man is most likely experiencing:
A) Fear related to the diagnosis
B) Anxiety related to the diagnosis
C) Ineffective denial
D) Overreaction
Q2) An elderly patient admitted from a skilled nursing residence to a medical-surgical unit is exhibiting confusion,distractibility,memory loss,and irritability.She has a medical diagnosis of Dehydration.Which of the following should lead the nurse to suspect that dementia,rather than depression or dehydration,is the source of the symptoms?
A) Rambles, speaks incoherently, answers questions inappropriately
B) Speaks slowly with delayed response to questions, but responds appropriately
C) Awakens early in the day yet sleeps almost constantly during the day
D) Sometimes has difficulty concentrating on details of the present situation
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Chapter 14: The Family
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is working with a wife who is caring for her chronically ill husband who requires around-the-clock care.The nurse notices that the wife often speaks to her husband sharply.The bed linens are soiled with food and the patient has a strong body odor.Both the house and the wife are unkempt.When encouraged to talk,the wife says,"I just drag around.I can't make myself do anything.I'm so tired of it all." What nursing diagnosis best fits these defining characteristics?
A) Dysfunctional Family Processes
B) Caregiver Role Strain
C) Defensive coping
D) Impaired Verbal Communication
Q2) The nurse is developing a teaching plan on coping strategies for an extended family of a severely disabled 11-year-old child.What step should the nurse take first in developing this plan?
A) Assess the current coping patterns.
B) Establish each member's role.
C) Assign specific tasks and deadlines for each member.
D) Assess which family member has the most ineffective coping patterns.
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Page 16
Chapter 15: Culture Ethnicity
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24 Verified Questions
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Sample Questions
Q1) The nursing student tells her instructor,"My patient is Jewish and when I tried to teach her about her antihypertensive medication she said,'I'd rather eat chicken soup than take those medications.'" What is the most appropriate response by the instructor?
A) "This is common folk medicine among some Jewish people. You can talk to her about taking her medications and eating chicken soup."
B) "There is no scientific evidence to support chicken soup as a substitute for antihypertensive medications. Maybe you should do some research on this."
C) "The patient can make her own choices and decisions, and there is nothing we can do about this."
D) "You can tell the patient she can eat her soup, but she needs to understand that she has to take her medications first."
Q2) Which statement(s)about culture is/are true? Select all that apply.
A) Culture exists on both material and nonmaterial levels.
B) Culture mainly influences food choices and special holidays.
C) Cultural customs change over time at different rates.
D) Culture is learned through life experiences shared by other members of the culture.
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Page 17
Chapter 16: Spirituality
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The nurse is working in a pediatric intensive care unit.A young couple has just been informed that their 6-year-old son has died after being in the unit for 1 month.The couple is grief stricken and says to the nurse,"We can't believe this has happened.He was too young.God is watching over him.Do you believe in God?" What is the most appropriate response by the nurse?
A) "It was his time. He is in a better place."
B) "He suffered enough. He is in peace now."
C) "I believe he is with angels, but what you think is most important."
D) "It doesn't matter what I think. It is only important what you think."
Q2) What are some activities nurses can do to gain a broader view of spirituality? Select all that apply.
A) Develop critical and reflective thinking abilities
B) Participate in religious and spiritual practices regularly
C) Increase knowledge base of religion and spirituality
D) Recognize that all spirituality is deeply ingrained in religion
Q3) Which type of medicine do those of the Hindu faith typically practice?
A) Ayurvedic medicine
B) Western medicine
C) Chiropractic medicine
D) Tribal medicine
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Chapter 17: Loss,Grief, Dying
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26 Verified Questions
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Sample Questions
Q1) According to William Worden,which task in the grieving process takes longest to achieve?
A) Accepting that the loved one is gone
B) Experiencing the pain from the loss
C) Adjusting to the environment without the deceased
D) Investing emotional energy
Q2) A patient dying of heart failure has changed his choice about his end-of-life treatment measures several times.He says,"I just can't make up my mind about it." Which nursing diagnosis is most appropriate for this patient?
A) Deficient Knowledge
B) Spiritual Distress
C) Decisional Conflict
D) Death Anxiety
Q3) Which intervention takes priority for the patient receiving hospice care?
A) Turning and repositioning the patient every 2 hours
B) Assisting the patient out of bed into a chair twice a day
C) Administering pain medication to keep the patient comfortable
D) Providing the patient with small frequent, nutritious meals
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19
Chapter 18: Documenting Reporting
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Sample Questions
Q1) The electronic health record (EHR)is used to document client care management.Which statement(s)below is/are applicable to EHR? Select all that apply.
A) Increases the potential for breaches in confidentiality
B) Decreases the time spent to complete documentation
C) Minimizes medical errors through use of alert systems
D) Communicates the client's plan of care to the healthcare team
Q2) The surgeon enters a computerized order for a patient in the postoperative period after a unilateral thoracotomy for lung cancer.The order states: OOB in AM.Which action indicates that the nurse is following the surgeon's order? The nurse:
A) Performs oral care
B) Assists the patient out of bed
C) Assists the patient with bathing
D) Changes the patient's operative dressings
Q3) A patient refuses a dose of medication.How should the nurse document the event?
A) Patient is uncooperative and refuses the prescribed dose of digoxin.
B) Patient refuses the 0900 dose of digoxin.
C) Patient is belligerent, argumentative, and refuses the 0900 dose of digoxin.
D) 0900 dose of digoxin not given.
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20
Chapter 19: Teaching Learning
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Sample Questions
Q1) Which teaching strategy is typically most effective for presenting information to large groups?
A) Distributing printed materials
B) Lecturing using audiovisual format
C) Online sources of information
D) Role modeling
Q2) The nurse manager is devising a teaching schedule for the staff who are about to begin using a new type of patient bed in the ICU.Implementation is planned in 6 weeks.When is the best time for the manager to schedule the teaching sessions?
A) Immediately
B) One week before implementation
C) Two weeks before implementation
D) Four weeks before implementation
Q3) How can the nurse best provide teaching for a patient whose primary spoken language is not the same as hers?
A) Provide written materials in the patient's primary language.
B) Make arrangements to teach using an interpreter.
C) Provide a demonstration and request a return demonstration.
D) Use visual teaching aids to convey information.
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Page 21
Chapter 20: Measuring Vital Signs
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Sample Questions
Q1) Which of the following sets of vital signs are all within normal limits for patients at rest?
A) Infant: T 98.8°F (rectal), HR 160, RR 16, BP 120/54
B) Adolescent: T 98.2°F (oral), HR 80, RR 18, BP 108/68
C) Adult: T 99.6°F (oral), HR 48, RR 22, BP 130/84
D) Older adult: T 98.6°F (oral), HR 110, RR 28, BP 170/95
Q2) The nurse administers two blood pressure (BP)medications to a patient and asks the certified nurse assistant (CNA)to obtain a BP reading in 30 minutes.The CNA states,"I just took his BP." What is the most appropriate response by the nurse?
A) "Take it again so we can be sure nothing else is wrong with him."
B) "I need to check the patient's response to the BP medications."
C) "If his BP drops too much, I'll need to discontinue one of the medications"
D) "If you just took his BP, then recheck it in 2 hours instead."
Q3) When assessing the quality of a client's pedal pulses,what is the nurse assessing? Select all that apply.
A) Rhythm of the pulses
B) Strength of the pulses
C) Bilateral equality of pulses
D) Rate compared with apical pulse
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Page 22
Chapter 21: Communication Therapeutic Relationships
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Sample Questions
Q1) Which statement(s)about communication is/are true? Select all that apply.Communication is:
A) Used to meet physical and psychosocial needs
B) Most basically described as talking and listening
C) The process of sending and receiving information
D) The basis for forming relationships
E) The act of talking or listening to convey a message
Q2) The nurse must insert a nasogastric (NG)tube into a patient with a bowel obstruction.Before inserting the tube,the nurse must explain the procedure to the patient.Which explanation by the nurse is best? Assume that all provide correct information.
A) "I'm going to insert an NG tube and connect it to low Gomco to keep your stomach empty."
B) "I'm going to insert a tube through your nose into your stomach to prevent you from vomiting."
C) "I'm going to insert an NG tube through your nares to suction your secretions and prevent emesis."
D) "Hold still, please; I need to elevate the head of the bed and insert this tube."
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Page 23
Chapter 22: Health Assessment
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Sample Questions
Q1) When testing near vision,the nurse should position printed text how many inches away from the patient?
A) 20
B) 18
C) 16
D) 14
Q2) Which of the following statements are true of common neurological changes in older adults? Select all that apply.
A) Older adults have a slower reaction and a decreased ability for rapid problem-solving.
B) With advanced age, the number of functioning neurons decreases.
C) Neurological deficits may be attributed to medications or medication interactions.
D) With normal aging, long-term memory and the ability to discriminate decrease.
Q3) Which assessment question helps assess immediate memory?
A) "How did you get to the hospital today?"
B) "Can you repeat the numbers 2, 7, 9 for me?"
C) "Do you Knowledge the three items I mentioned earlier?"
D) "What was your birth date including the year?"
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24
Chapter 23: Promoting Asepsis Preventing Infection
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Sample Questions
Q1) The hospital nurse educator is preparing an orientation class for those newly hired on the surgical suite.Which of the following will the educator include in the orientation curriculum regarding hand and fingernail care? Select all that apply.
A) Healthcare staff must routinely inspect their hands for breaks in skin.
B) Artificial nails are permitted if properly secured to the nailbed.
C) Wristwatches be may be worn as long as they are all metal.
D) Healthcare staff are to avoid wearing nail polish at all times.
Q2) The nurse is teaching a group of newly hired nursing assistive personnel (NAP)about proper handwashing.The nurse will know that the teaching was effective if the NAP demonstrate which of the following? Select all that apply.
A) Uses a paper towel to turn off the faucet
B) Holds fingertips above the wrists while rinsing off the soap
C) Removes all rings and watch before washing hands
D) Cleans underneath each fingernail
Q3) A patient who has a temperature of 101°F (38.3°C)most likely requires:
A) Acetaminophen (Tylenol)
B) Increased fluids
C) Bedrest
D) A tepid bath
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Page 25
Chapter 24: Promoting Safety
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Sample Questions
Q1) Physiological changes associated with aging place the older adult especially at risk for which nursing diagnosis?
A) Risk for Falls
B) Risk for Ineffective Airway Clearance (choking)
C) Risk for Poisoning
D) Risk for Suffocation (drowning)
Q2) While teaching a session at the local library,the nurse emphasizes that according to the National Weather Service,which of the following is the leading cause of weather-related fatalities?
A) Floods
B) Lightning strikes
C) Hurricanes
D) Tornadoes
Q3) Which is the most commonly reported incident in hospitals?
A) Equipment malfunction
B) Patient falls
C) Laboratory specimen errors
D) Treatment delays
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26
Chapter 25: Facilitating Hygiene
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Sample Questions
Q1) After receiving a course of chemotherapy,a patient begins losing hair.This adverse effect of chemotherapy should be documented as:
A) Pediculosis
B) Alopecia
C) Dandruff
D) Hirsutism
Q2) The nurse has been teaching a student how to perform mouth care for her unconscious patient.The student will show evidence of learning if she places the patient in which position for this care?
A) Supine
B) Prone
C) Semi-Fowler's
D) Side-lying
Q3) A patient with dementia becomes belligerent when the nurse attempts to give him a tub bath.How should the nurse proceed?
A) Call for assistance to help the patient into the bathtub.
B) Wait for the patient to calm down, and then give him a towel bath.
C) Allow the patient to go without bathing for a day or two.
D) Ask another staff member to attempt the tub bath.
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Page 27
Chapter 26: Administering Medications
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Sample Questions
Q1) Which documentation entry related to prn medication administration is complete?
A) 6/5/14 0900 morphine 4 mg IV given in right antecubetal fossa for pain rated 8 on a 1-10 scale, J. Williams RN
B) 0600 famotidine 20 mg IV given in right hand, S. Abraham RN
C) 9/2/14 0900 levothyroxine 50 mcg PO given
D) 1/16/14 furosemide 40 mg PO given, J. Smith RN
Q2) A patient with terminal cancer requires increasing doses of an opioid pain medication to obtain relief from pain.This patient is exhibiting signs of drug:
A) Abuse
B) Misuse
C) Tolerance
D) Dependence
Q3) A patient who just returned from the postanesthesia care unit is complaining of severe incision pain.Which drug contained in his medication administration record will offer him the fastest relief?
A) Liquid acetaminophen with codeine
B) Intravenous morphine sulfate
C) Intramuscular meperidine
D) Oral oxycodone tablets
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Page 28
Chapter 27: Nutrition
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Q1) A patient who was prescribed furosemide (Lasix)is deficient in potassium.Which of the following is an appropriate nutritional goal for this patient? The patient will increase his consumption of:
A) Bananas, peaches, molasses, and potatoes
B) Eggs, baking soda, and baking powder
C) Wheat bran, chocolate, eggs, and sardines
D) Egg yolks, nuts, and sardines
Q2) Which food provides the body with no usable glucose?
A) Wheat germ
B) Apple
C) White bread
D) White rice
Q3) For a patient with Risk for Imbalanced Nutrition: Less Than Body Requirements related to Impaired Swallowing,which nursing interventions are appropriate? Select all that apply.
A) Check inside the mouth for pocketing of food after eating.
B) Provide a full liquid diet that is easy to swallow.
C) Remind the patient to raise the chin slightly to prepare for swallowing.
D) Keep the head of the bed elevated for 30 to 45 minutes after feeding.
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Page 29
Chapter 28: Urinary Elimination
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Q1) The nurse educator is preparing a teaching plan on preventing urinary tract infections for a group of female college students.What information will the nurse include in the plan? Select all that apply.
A) Empty the bladder soon after sexual intercourse.
B) Urinate when you first feel the urge to void.
C) Wear appropriate underwear, including nylon or synthetic garments.
D) Wipe perineum area from back to front after voiding.
E) Use tampons instead of sanitary napkins while menstruating.
Q2) The nurse is caring for a patient with suspected kidney dysfunction.In reviewing the patient's home medication list,the nurse is most alerted to which medications? Select all that apply.
A) Aspirin
B) Gentamicin
C) Estrogen
D) Ibuprofen
E) Insulin
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Chapter 29: Bowel Elimination
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Q1) A day after abdominal surgery,a postoperative patient on a surgical unit says to the nurse,"I'm having a problem with a lot of gas.Maybe it's the food I'm eating." What is the appropriate response by the nurse? Select all that apply.
A) "If the problem continues after you go home, you'll need to avoid gas-producing foods such as beans."
B) "Let's get you out of bed and walking more. This can help with your gas."
C) "When was your last bowel movement? You may be a bit constipated."
D) "I understand. I'll have to call the doctor for an insertion of a rectal tube."
Q2) A mother of a school-age child seeks healthcare because her child has had diarrhea after being ill with a viral infection.The patient states that after vomiting for 24 hours,his appetite has returned.Which recommendation should the nurse make to this mother?
A) Consume a diet consisting of bananas, white rice, applesauce, and toast.
B) Drink large quantities of water regularly to prevent dehydration.
C) Take loperamide [an antidiarrheal] as needed to control diarrhea.
D) Increase the consumption of raw fruits and vegetables.
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Chapter 30: Sensation,Perception, Cognition
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Q1) The nurse is caring for a patient with dementia who becomes agitated every evening.Which intervention by the nurse is best for calming this patient?
A) Encouraging family members to visit only during the day
B) Applying wrist restraints during periods of agitation
C) Playing soft, calming music during the evening
D) Administering lorazepam (a tranquilizer)
Q2) Which assessment finding is considered an age-related change?
A) Presbycusis
B) Hyperopia
C) Increased sensitivity to touch
D) Increased sensitivity to taste
Q3) Which factors in a health history place a patient at risk for hearing loss? Select all that apply.
A) Being an older adult
B) Childhood chickenpox
C) Frequent otitis media
D) Diabetes mellitus
E) Congenital rubella
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Chapter 31: Pain
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Q1) Which pain management task can be safely delegated to nursing assistive personnel?
A) Assessing the quality and intensity of the patient's pain
B) Evaluating the effectiveness of pain medication
C) Providing a therapeutic back massage
D) Administering oral dose of acetaminophen
Q2) A 64-year-old patient just returned from surgery.She is breathing rapidly and moving constantly in bed.She states,"I am scared and I hurt so much." What would be an appropriate intervention? Select all that apply.
A) Immediately notify the surgeon of these data (physical symptoms and patient's statement).
B) State calmly, "I am going to do everything I can to make you more comfortable."
C) Tell the patient you would like to help her calm down and take some deep breaths.
D) Ask the nursing assistive personnel to stay with the patient while you get an analgesic for her.
E) Turn on the television to distract her from the pain and anxiety.
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Chapter 32: Physical Activity Mobility
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Q1) What is the correct method for turning an adult patient who recently sustained a spinal cord injury?
A) Ask the patient to assist with the turn by holding the siderails of the bed.
B) Place a draw sheet under the patient to assist with turning.
C) Request help from another nurse to perform the logrolling technique.
D) Use a mechanical lift for safe turning and protecting the nurse's back.
Q2) A patient has started a fitness program.What program features illustrate that he has started a well-rounded program? Select all that apply.
A) Flexibility
B) Balance exercises
C) Resistance training
D) Aerobic conditioning
E) None of the above
Q3) The nurse assessing the mobility of a patient with Parkinson's disease might expect to observe which type of gait?
A) Antalgic
B) Propulsive
C) Scissors
D) Steppage
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Page 34
Chapter 33: Sexual Health
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Q1) Normal physiological changes in women's sexual responses that occur with aging include which of the following? Select all that apply.
A) Delayed nipple erection
B) Increased vaginal expansion
C) Reduced vaginal lubrication
D) Reduced labial separation and swelling
Q2) The nurse is performing a sexual assessment on a newly admitted married 60-year-old female patient.Which question should the nurse omit from the nursing assessment?
A) "Are you sexually active?"
B) "How often do you have sexual intercourse?"
C) "Do you experience any discomfort during sex?"
D) "What method of birth control are you currently using?"
Q3) When caring for a woman who was sexually assaulted,what is your best approach for collecting information surrounding the event? Select all that apply.
A) Use a calm, reassuring voice when asking questions of your patient.
B) Ask only close family members to describe events related to the incident.
C) Provide privacy by asking questions behind a closed curtain.
D) Document the details using the patient's own words.
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Page 35
Chapter 34: Sleep and Rest
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Q1) From what stage of sleep are people typically most difficult to arouse?
A) NREM, alpha waves
B) NREM, sleep spindles
C) NREM, delta waves
D) REM
Q2) ____________________ disorders are those that occur when signs and symptoms of a disease appear or become worse during sleep.
Q3) A mother expresses concern that her 7-year-old has episodes of nocturnal enuresis approximately 3 to 4 times per week.The nurse's best response would be which of the following? Choose all that apply.
A) "Your daughter's bladder is still developing at this point in her life."
B) "Be patient; most children outgrow enuresis."
C) "Wake your daughter every 4 hours to use the bathroom."
D) "You might consider purchasing protective pads for the bed."
E) "Try a bed alarm to wake her when she starts wetting the bed at night."
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Chapter 35: Skin Integrity-Wound Healing
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Q1) When teaching a patient about the healing process of an open wound after surgery,which of the following points would the nurse make?
A) The patient will need to take antibiotics until the wound is completely healed.
B) Because the patient's wound was left open, the wound will likely become infected.
C) The patient will have more scar tissue formation than there would be for a wound closed at surgery.
D) The patient should expect to remain hospitalized until complete wound healing occurs.
Q2) A patient has underlying cardiac disease and requires careful monitoring of his fluid balance.He also has a draining wound.Which of the following methods for evaluating his wound drainage would be most appropriate for assessing fluid loss?
A) Draw a circle around the area of drainage on a dressing.
B) Classify drainage as less or more than the previous drainage.
C) Weigh the patient at the same time each day on the same scale.
D) Weigh dressings before they are applied and after they are removed.
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Chapter 36: Oxygenation
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Q1) When using sterile technique to perform tracheostomy care of a new tracheostomy,which of the following is correct?
A) You will need a single pair of sterile gloves.
B) Place the patient in semi-Fowler's position, if possible.
C) Clean the stoma under the faceplate with hydrogen peroxide.
D) Cut a slit in sterile 4 in. ´ 4 in. gauze halfway through to make a dressing.
Q2) The nurse administers an antitussive/expectorant cough preparation to a patient with bronchitis.Which of the following responses indicates to the nurse that the medication is effective?
A) The amount of sputum the patient expectorates decreases with each dose administered.
B) Cough is completely suppressed, and she is able to sleep through the night.
C) Dry, unproductive cough is reduced, but her voluntary coughing is more productive.
D) Involuntary coughing produces large amounts of thick yellow sputum.
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Chapter 37: Circulation
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Q1) The nurse is planning care for an elderly patient diagnosed with end-stage heart failure and a nursing diagnosis of Decreased Cardiac Output secondary to ineffective left ventricular function.What outcome would the nurse plan for this patient to measure improvement in cardiac output?
A) Brisk capillary refill in feet bilaterally.
B) Heart rate within expected range
C) Breath sounds clear with no shortness of breath
D) Regular pulse rhythm
Q2) The nurse is preparing to apply a cardiac monitor to a patient.Where should the nurse place the electrodes?
A) Over the indicated rib
B) Near the indicated rib
C) On soft spongy areas
D) On the abdomen
Q3) Which outcome statement is related to Decreased Cardiac Output? Select all that apply.
A) No dyspnea or shortness of breath with exertion
B) Normal skin color
C) Respiratory rate less than 16 breaths/min
D) Brisk capillary refill
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Chapter 38: Fluids,Electrolytes, Acidbase Balance
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Q1) The nurse records a patient's hourly urine output from an indwelling catheter as follows: 0700: 36 mL 0800: 45 mL 0900: 85 mL 1000: 62 mL 1100: 50 mL 1200: 48 mL 1300: 94 mL 1400: 78 mL 1500: 60 mL The nurse can conclude that the patient's urine output should be described as which of the following?
A) Low
B) Within normal limits
C) High
D) Inconclusive
Q2) Which laboratory result on a client's health record should alert the nurse to a potential problem?
A) Na+ = 137 mEq/L
B) K+ = 5.2 mEq/L
C) Ca2+ = 9.2 mg/dL
D) Mg2+ = 1.8 mg/dL
Q3) Which electrolyte is the primary regulator of fluid volume?
A) Potassium
B) Calcium
C) Sodium
D) Magnesium
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Page 40
Chapter 39: Perioperative Care
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Q1) The nurse is caring for a patient scheduled for repair of a torn rotator cuff.The nurse understands that this surgery will be classified as:
A) Reconstructive, minor, elective
B) Cosmetic, minor, urgent
C) Ablative, major, emergency,
D) Reconstructive, major, urgent
Q2) The intraoperative nurse observes the anesthesiologist administer general anesthesia,insert the endotracheal tube,and take control of the airway.The nurse understands that the next important nursing intervention for this patient is to:
A) Prepare the surgical site
B) Shave the surgical site
C) Position the patient
D) Pad bony prominences
Q3) Identify the desired effects of general anesthesia.Select all that apply.
A) Reduction of risk
B) Analgesia
C) Amnesia
D) Muscle relaxation
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Chapter 40: Leading Managing
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Q1) Delegation is the process of transferring work to subordinates.A nurse manager can appropriately delegate which task?
A) Scheduling staff assignments for the next month
B) Terminating a nursing assistant for insubordination
C) Deciding on salary increases for licensed practical nurses
D) Telling a staff nurse to initiate disciplinary action against a peer
Q2) Staff nurses on the medical unit are discussing how they never see their unit manager and that she lacks involvement in unit activities.What leadership style is this manager displaying?
A) Authoritarian
B) Democratic
C) Laissez-faire
D) Transformational
Q3) The nurse is working to manage time effectively and has created a to-do list.What is the first thing the nurse should do?
A) Prioritize list items.
B) Question item effectiveness.
C) Practice self-reliance.
D) Get a treat.
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Page 42
Chapter 41: Nursing Informatics
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Q1) Which informatics concept concerns the appropriate use of knowledge in managing or solving human problems?
A) Wisdom
B) Data
C) Knowledge
D) Information
Q2) A nurse is entering a pharmacy request for patient medication in the patient's electronic health record (EHR)while seated at a computer in the nursing station.A physician approaches her and asks her to access another patient's EHR so that he can look at the patient's laboratory report.Which of the following is the best action for the nurse to take?
A) Access the lab report for the physician.
B) Log off the computer before proceeding.
C) Quickly finish the pharmacy requisition before the physician logs on.
D) Allow the physician to access the laboratory report immediately.
Q3) CINAHL is a(n):
A) Popular periodical
B) Internet site
C) Scholarly journal
D) Literature database
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Chapter 42: Promoting Health
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Q1) The nurse is implementing a wellness program based on data gathered from a group of low-income seniors living in a housing project.He is using the Wheels of Wellness as a model for his planned interventions.Which of the following interventions would be appropriate based on this model? Select all that apply.
A) Creating a weekly discussion group focused on contemporary news
B) Facilitating a relationship between local pastors and residents of subsidized housing
C) Coordinating a senior tutorial program for local children at the housing center
D) Establishing an on-site healthcare clinic operating 1 day per week
E) None of the above
Q2) The nurse is planning a health promotion class for adolescents.The presentation is too long.Which topic would be least important and therefore appropriate for the nurse to delete?
A) Stranger danger
B) Motor vehicle safety
C) Firearm safety
D) Alcohol and drug use
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Chapter 43: Community-Home Health Nursing
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Q1) Identify the nurse who is acting as a community health nurse.Select all that apply.
A) School nurse who provides screening and direct care in the elementary school
B) Parish nurse who offers health education after services each Sunday
C) Nurse who works for the Red Cross by providing disaster relief
D) A nurse administering vaccines to inmates in a correctional facility
E) None of the above
Q2) A patient was involved in a motor vehicle accident that resulted in multiple traumatic injuries.He was hospitalized for 8 days in the intensive care unit and 3 days on the surgical floor.He has been discharged home with home health support.Identify the primary goal of his home care.
A) Provide comprehensive direct care.
B) Promote sleep and rest for healing.
C) Teach the patient and family how to provide care.
D) Explain how home care differs from hospital care.
Q3) The inhabitants of Yulupa,California,form which of the following?
A) Aggregate
B) Community
C) Population
D) Vulnerable population
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Page 45
Chapter 44: Ethics Values
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Q1) The nurse is a member of the ethics committee.An alert,oriented,and competent 87-year-old man has asked to have a DNAR (AND)prescription put on his chart.The patient's family does not agree with his decision and requests the ethics committee to intervene on their behalf.The ethics committee would most likely use which model in this patient's case?
A) Social justice
B) Patient benefit
C) Autonomy
D) DNAR (AND) determination
Q2) The nurse arrives at work to find the unit will be short staffed for the shift because a nurse called in sick at the last minute,leaving no time to find a replacement.What factors contribute to the dilemma faced by the nurse working this shift? Select all that apply.
A) The nurse's multiple obligations and relationships
B) Value conflicts and lack of clarity within the profession
C) Autonomy versus escaping hard choices
D) Higher pay versus cost effectiveness
E) Caring versus the decreased time to spend with patients
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Chapter 45: Legal Accountability
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Q1) The charge nurse uses a whiteboard located at the nurse's station to write the nurses' patient assignments and the patients' diagnoses.This is a violation of which of the following?
A) Americans with Disabilities Act (ADA)
B) Patient Self-Determination Act (PSDA)
C) Health Insurance Portability and Accountability Act (HIPAA)
D) Health Emergency Medical Treatment and Active Labor Act (EMTALA)
Q2) Upon initial assessment of a 75-year-old patient,you identify bruises and scratches on the patient's arms,legs,and trunk in various stages of healing.You notify your supervisor when you suspect the patient may be a victim of physical abuse.You are complying with which of the following state laws?
A) Good Samaritan Law
B) Mandatory Reporting Law
C) Nurse Practice Act
D) Nursing Standards of Practice
Q3) What do negligence and malpractice have in common? Select all that apply.
A) Negligence and malpractice are unintentional torts.
B) Negligence and malpractice are felonies.
C) Malpractice is the professional form of negligence.
D) Negligence and malpractice involve the intent to do harm to a patient.
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Chapter 46: Holistic Healing
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Q1) A patient is receiving healthcare focused on his illness and counteracting his symptoms.What type of healthcare is he receiving?
A) Holistic
B) Integrative
C) Complementary
D) Allopathic
Q2) A woman is receiving physical therapy after surgery to repair a hip fracture.She tells the therapist before therapy begins that she expects therapy to be very painful.She rates her pain as 1 on a scale of 1 to 10 before therapy.Three minutes into the treatment session,the patient complains of excruciating pain rated as 10 and says she cannot tolerate exercise any longer.The therapist is concerned with the amount of pain,because severe pain is not expected during that form of exercise.The therapist considers the patient could be experiencing:
A) Phantom limb pain
B) Ineffective pain medication
C) A nocebo effect
D) A complication from the surgery
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