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Questions 164

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Question 1 of 5

A 31-year-old client is admitted to the psychiatric unit after cutting both wrists with a kitchen knife. The client has a diagnosis of borderline personality disorder. The most therapeutic approach by the nurse is one that is:

Correct Answer: C

Rationale: A firm and consistent approach provides structure and boundaries, which are therapeutic for clients with borderline personality disorder who often test limits.

Question 2 of 5

The nurse in a college health clinic is teaching the male students testicular self-examination. Which statement made by one of the young men indicates a need for more teaching?

Correct Answer: D

Rationale: Testicular cancer primarily affects younger men (15–35 years), not older men, indicating a need for more teaching. Monthly exams, shower timing, and reporting lumps are correct.

Question 3 of 5

A nurse prepares to care for a 4 year-old newly admitted for rhabdomyosarcoma. The nurse should alert the staff to pay more attention to the function of which area of the body?

Correct Answer: A

Rationale: the muscles. Rhabdomyosarcoma is the most common children's soft tissue sarcoma. It originates in striated (skeletal) muscles and can be found anywhere in the body. The clue is in the middle of the word -- 'myo' --which typically means muscle.

Question 4 of 5

The nurse is caring for a newborn with patent ductus arteriosus. Which finding would be consistent with the condition?

Correct Answer: C

Rationale: Patent ductus arteriosus causes a loud, machine-like murmur (
C) due to continuous blood flow. Other murmurs (A, B,
D) are associated with different cardiac conditions.

Question 5 of 5

The nurse is caring for a client receiving treatment for benign prostatic hyperplasia. Which client statement requires further investigation?

Correct Answer: A

Rationale: Burning on urination (
A) suggests a urinary tract infection, requiring investigation. Dribbling (
B), nocturia (
D), and missing doses (
C) are common with BPH or medication non-adherence but less urgent.

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