Current Medical Diagnosis And Treatment Tb Exam
Quizzes And Answers 2023-2024 Graded A
students for leadership and management roles in various industries. It focuses on critical thinking, decision-making, problem-solving, and understanding
organizational processes. A typical business program might cover topics like accounting
MULTIPLE RESPONSE
• The nurse is discussing end-of-life wishes with a client and his family. Since the client is
not sure of what type of care he wants, the nurse provides the document Five Wishes because
this document provides which of the following types of information? (Select all that apply.)
1. What the client wants his loved ones to know
2. The level of comfort that the client wants
3. Comments and ideas for health care providers
4. The person designated by the client to make health care decisions
5. The kinds of medical treatment that the client wants or does not want
6. The way in which the client wants to be treated
ANS: 1, 2, 4, 5, 6
The Five Wishes document helps clients express themselves if they are seriously ill and unable
to communicate their wishes for themselves. It looks at all of a clients needs: medical,
personal,
PTS: 1 DIF: Apply REF: Role of the Hospice and Palliative Care Nurse
• The nurse is making a home visit to a client receiving hospice care. Which of the
following symptoms will the nurse assess in the client during the visit? (Select all that
apply.)
1. Aggression
2. Anxiety
3. Confusion
4. Depression
, 1.
5. Increased appetite
6. Urinary continence
ANS: 2, 3, 4
Common symptoms of the client receiving hospice care include pain, dyspnea, nausea,
vomiting, constipation, loss of appetite, urinary urgency and incontinence, insomnia, confusion,
delirium, anxiety, and depression. Aggression, increased appetite, and urinary continence are not
symptoms typically assessed in a client receiving hospice care.
PTS:1DIF:Applystudents for leadership and management roles in various industries. It focuses on critical thinking, decision-making, problem-solving, and understanding organizational processes.
A typical business program might cover topics like accounting
REF:Assessment of the Patient Receiving Hospice and Palliative Care
• The nurse, assessing pain in a client receiving hospice care, uses the ABCDE model to guide
pain management. Which of the following is a part of this pain management approach? (Select
all that apply.).
1. Ask about the pain regularly.
2. Believe the patient and family in their reports of pain.
3. Confront the patient if you believe pain control was not achieved.
4. Deliver interventions only when requested.
Enable the patient to control her course of pain management to the greatest extent
5. possible.
6. Utilize complementary alternative medicine approaches first.
ANS: 1, 2, 5
The ABCDE model is a guide to pain management. For A, the nurse should regularly ask about
pain. For B, the nurse should believe the patient and family in their reports of pain and what
relieves it. For C, the nurse should choose pain control options that are appropriate for the
patient. The nurse should not confront the patient about pain control since this is not therapeutic.
For D, interventions should be delivered in a timely, logical, and coordinated manner and not
only when requested. For E, patients and families should be empowered. Complementary
alternative medicine approaches should not be used first.
• The nurse is providing a terminally ill client with morphine for pain control. In addition to
this medication, which of the following can be provided to enhance analgesic effect? (Select all
, 1.
that apply.)
1. Antihypertensive
2. Antidepressant
3. Antibiotic
4. Antiemetic
5. Anticonvulsant
6. Corticosteroid
ANS: 2, 5, 6
Adjuvant medications can enhance analgesic effect and include antidepressants, anticonvulsants,
and corticosteroids. Antihypertensives, antibiotics, and antiemetics are not considered adjuvant
medications for pain control. students for leadership and management roles in various industries. It focuses on critical thinking, decision-making, problem-solving,
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PTS:1DIF:ApplyREF:Managing Pain
5.A client with a terminal illness refuses pain medication. The nurse realizes that the client
may decline pain medication for which of the following reasons? (Select all that apply.)
1. Fear that the pain means the disease is worse
2. Insufficient health plan benefits to pay for the medication
3. Cultural background prevents the use of pain medication
4. Fear of becoming addicted to pain medication
5. Fear of side effects
6. Concern about being labeled as a bad client
ANS: 1, 4, 5, 6
Client barriers to sufficient pain management include fear that the disease is worse, fear of
, 1.
becoming addicted to pain medication, fear of side effects, and concern about being labeled as a
bad client. Insufficient health plan benefits to pay for the medication and cultural background
preventing the use of pain medication are not identified client barriers to sufficient pain
management.
1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks
medical attention. The nurse realizes this client understands that pain is important because it:
1. is a protective system.
2. includes the automatic withdrawal reflex.
3. creates sensitivity to pain.
4. helps with healing.
ANS: 1
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes,
memory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain
response, it does not explain why pain is important. Pain does not create sensitivity to pain. Pain
does not help with healing.
PTS: 1 DIF: Analyze REF: Definitions and Implications of Painstudents for leadership and management roles in various industries. It focuses on
critical thinking, decision-making, problem-solving, and understanding organizational processes. A typical business program might cover topics like accounting
2.A client complains that the bed sheets touching his skin are extremely painful. The
nurse realizes this client is experiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as
very painful. Kinesthesia is the awareness of movement. Proprioception is the awareness of
body position. Modulation is an influencing factor in the perception of pain.
PTS: 1 DIF: Analyze REF: Peripheral Nervous System