Correct Answer: D

Rationale: The correct answer is D because the nurse would expect the patient to demonstrate functional independence in activities like transferring from a wheelchair to the bed despite having a leg in a cast. This response indicates good mobility and strength, which are positive signs of recovery.

Choices A, B, and C are incorrect as they do not directly address the functional assessment of the patient.
Choice A provides historical information, choice B focuses on pain management, and choice C mentions a self-care routine that is not related to functional ability.

Correct Answer: C

Rationale: The correct answer is C: 55-64 years. This age group has exceeded that of people aged 15-24 due to factors like increased life expectancy, lower birth rates, and the aging baby boomer population. This demographic shift impacts workforce, healthcare, and social services.
Choice A is incorrect as it represents the youngest age group.
Choice B is incorrect as it falls within the working-age group.
Choice D is incorrect as it represents the elderly population, which is still lower than the 55-64 age group in this context.

Correct Answer: C

Rationale: The correct answer is C because determining if the patient can afford her medications is crucial in managing her diabetes effectively. Financial constraints can significantly impact a patient's ability to adhere to treatment, leading to poor health outcomes. By addressing affordability, the nurse can ensure the patient can access and comply with the prescribed medications.

A, finding out why the patient is not compliant, is not the priority at this stage as addressing affordability comes first. B, reinforcing health teaching related to diet and exercise, is important but secondary to ensuring access to medications. D, sending the patient to the diabetic clinic for follow-up, is not as critical as addressing immediate financial concerns.

Correct Answer: D

Rationale: The correct answer is D: Inappropriate affect. Inappropriate affect refers to emotions that are not congruent with the situation. In this case, the patient's laughing while describing a horrifying image indicates a disconnect between his emotions and the context. This behavior is commonly seen in schizophrenia, where there is a lack of appropriate emotional response.

A: Confusion does not accurately describe the patient's behavior, as he is able to describe the picture and his emotional response to it.
B: Ambivalence refers to conflicting emotions or attitudes, which is not evident in the patient's behavior.
C: Depersonalization involves feeling detached from oneself or reality, which is not evident in the patient's behavior.

In summary, the patient's inappropriate laughter in response to a horrifying image is indicative of inappropriate affect, a common feature of schizophrenia.

Correct Answer: B

Rationale: The correct answer is B because asking about future plans post-hospital discharge assesses judgment by evaluating the individual's ability to make considered decisions and anticipate consequences.
Choice A focuses on paranoia, not judgment.
Choice C assesses interpretation skills, not judgment.
Choice D evaluates honesty or ethics, not judgment.
Therefore, B is the best choice for assessing judgment.