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Questions 149

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Question 1 of 5

A 75-year-old man is brought to the auditory clinic by his son, who tells the nurse that his father is having trouble hearing and seems to be a little depressed. The man says, 'There's no point in getting a hearing aid. I don't have much time left and didn't use the time I had very good anyway.' The nurse recognizes that this behavior indicates that the client might be:

Correct Answer: D

Rationale: The client's statement reflects a sense of regret and despair about his life, consistent with Erikson's stage of integrity versus despair, common in older adults evaluating their life's meaning.

Question 2 of 5

A young woman who is fearful of getting into elevators is admitted. Two days after admission, she is scheduled for group therapy sessions that meet on the sixth floor. Her room is on the second floor. The other clients and the nurse go to the sixth floor on the elevator. The client starts trembling and refuses to get on the elevator. Which action is most therapeutic for the nurse to take?

Correct Answer: D

Rationale: Walking up the stairs with support respects her phobia, allowing participation in therapy without forcing exposure to the feared stimulus.

Question 3 of 5

While a client is taking chlorpromazine (Thorazine), he should be observed for which of these symptoms?

Correct Answer: A

Rationale: Pseudoparkinsonism is a common side effect of chlorpromazine due to its effect on dopamine receptors, mimicking Parkinson's symptoms.

Question 4 of 5

The nurse is reviewing content prepared by the student nurse, who is planning a presentation on risk reduction for developing ovarian cancer. Which statement should the nurse delete from the student's prepared content?

Correct Answer: C

Rationale: A. Nulliparity increases the risk of developing ovarian cancer. B. A high-fat diet increases the risk of developing ovarian cancer. C. The nurse should delete the statement about avoiding oral contraceptives. Using oral contraceptives is associated with a lower ovarian cancer risk if they are used for more than 5 years. D. Breastfeeding reduces the risk of developing ovarian cancer.

Question 5 of 5

The school nurse is reviewing the immunization record of the 8-year-old incoming student. Which finding warrants further follow-up by the nurse?

Correct Answer: B

Rationale: Hepatitis B requires 3 doses for full immunization, so 2 doses warrant follow-up.

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