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NEW QUESTION # 87
A nurse is visiting an Asian family and found that both parents have cardiac problems. The nurse is aware of Asian genetic predisposition to cardiovascular diseases.
The nurse assessment falls below which of the following cultural assessment category?
Answer: A
Explanation:
When assessing the health of a family, considering their genetic predispositions to certain conditions falls under the category of bio-cultural factors. These factors include genetic traits, physical characteristics, and biological variations that can influence health. In this case, the nurse's awareness of the genetic predisposition of Asian individuals to cardiovascular diseases helps in understanding the family's health risks.
NEW QUESTION # 88
A nurse is caring for a patient with HIV who manifest chronic diarrhea, anorexia, a history of oral candidiasis, and weight loss.
Which dietary instruction would be included in the teaching plan?
Answer: B
Explanation:
For a patient with HIV who is experiencing chronic diarrhea, anorexia, and weight loss, a high-protein, high-carbohydrate diet is recommended. This type of diet helps maintain muscle mass, provides energy, and supports overall nutritional status, which is critical for patients with HIV. Eating three large meals per day may not be practical due to anorexia and gastrointestinal symptoms; smaller, more frequent meals are often better tolerated. A low-protein, high-carbohydrate diet would not meet the nutritional needs, and unpasteurized dairy products pose a risk of foodborne infections.
NEW QUESTION # 89
A nurse must be aware that keeping an aggressive patient in a seclusion or restraint requires an order from the doctor.
The renewal of such order for a patient aged 19 years old must be done:
Answer: D
Explanation:
When a patient aged 19 years old is placed in seclusion or restraint, the renewal of the order must be done every 4 hours. This requirement is based on the guidelines provided by the Joint Commission and the Centers for Medicare & Medicaid Services (CMS), which regulate the use of seclusion and restraints in healthcare settings.
* Initial Order: The use of seclusion or restraint must be ordered by a licensed independent practitioner (LIP), such as a physician.
* Time Limits: For adults aged 18 and older, the order must be renewed every 4 hours.
* Renewal Process: This renewal must involve an assessment of the patient's condition and the need for continued seclusion or restraint.
* Documentation: The rationale for using seclusion or restraint and the patient's response to the intervention must be documented thoroughly in the patient's medical record.
References:
* The Joint Commission: Standards for Behavioral Health Care
* Centers for Medicare & Medicaid Services (CMS): Conditions of Participation for Hospitals, 42 CFR
482.13(e)
NEW QUESTION # 90
A nurse is preparing a care plan for a patient with kidney failure on maintaining optimal sleep and comfort level.
Which of the following sleep disorders require priority intervention?
Answer: A
Explanation:
* Sleep Disorders in Kidney Failure:
* Patients with kidney failure often experience various sleep disturbances due to factors like uremic toxins, restless legs syndrome, and sleep apnea.
* Priority Intervention:
* Somnolence and Parasomnia:These are conditions where patients may feel drowsy or experience abnormal behaviors during sleep, but they are not as immediately concerning.
* Hypersomnia:Excessive sleepiness can significantly impact daily functioning and quality of life, making it a priority for intervention.
* Somnambulism:Sleepwalking can pose safety risks but is less common and usually less impactful than hypersomnia in kidney failure patients.
References:
* National Kidney Foundation (NKF)
* American Academy of Sleep Medicine (AASM)
NEW QUESTION # 91
A nursing student who has a high percentage of absenteeism frequently visits the health center complaining of GI symptoms before examinations. The student continues to believe of having a terminal illness despite normal test results.
The student is MOST probably suffering from:
Answer: D
Explanation:
The student is most likely suffering from hypochondriasis, which is now referred to as illness anxiety disorder in the DSM-5. This condition is characterized by an excessive preoccupation with having a serious illness despite medical reassurance and the absence of significant medical findings. The keyfeatures in this scenario are the student's high absenteeism, frequent complaints of gastrointestinal symptoms, and persistent belief in having a terminal illness despite normal test results. Hypochondriasis involves misinterpreting normal bodily sensations as signs of severe illness and seeking repeated medical evaluations.
NEW QUESTION # 92
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