A resident, Martha, fears bathing and especially, perineal care. This could be caused by having experienced which of the following?

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Question 1 of 5

A resident, Martha, fears bathing and especially, perineal care. This could be caused by having experienced which of the following?

Correct Answer: B

Rationale: Fear of bathing and perineal care, intimate tasks, suggests sexual abuse , where past violation during such care could trigger trauma responses. Physical abuse involves general harm, less specific to bathing fear. Emotional abuse affects self-worth, not necessarily hygiene tasks. Financial abuse is unrelated. PSWs must recognize abuse signs, and sexual abuse aligns with psychological impacts on personal care, per trauma studies, making it the correct cause.

Question 2 of 5

Drainage is another term for:

Correct Answer: A

Rationale: Drainage refers to discharge from the body, like pus or fluid from wounds, a term PSWs use in reporting. Infection may cause drainage, not define it. A suctioning device removes fluid, not the fluid itself. An oral arch is anatomical, unrelated. Medical vocabulary aligns 'Drainage' with discharge, making it the correct synonym.

Question 3 of 5

Three year old Vicki is having a hard time with her new baby brother. She cries whenever he is awake, wets the bed every night and insists on having her juice in a bottle like his. These are signs of:

Correct Answer: B

Rationale: Vicki's behaviors crying, bedwetting, bottle use show regression , reverting to earlier stages due to stress from a sibling, per child development theory. Adjusting implies coping, not retreat. Progressing is forward growth. Projecting is emotional displacement. PSWs recognize regression in family dynamics, making it the correct sign.

Question 4 of 5

Hydrocephalus often occurs with:

Correct Answer: A

Rationale: Hydrocephalus, excess brain fluid, often occurs with spina bifida , a neural tube defect linked to fluid buildup, per medical texts. Down's , autism , and fetal alcohol syndrome have other features, not typically hydrocephalus. PSWs caring for such conditions recognize this association, making 'Spina bifida' the correct answer.

Question 5 of 5

Profound truths of nutrition at end of life includes:

Correct Answer: D

Rationale: At the end of life, nutritional needs shift dramatically as the body shuts down. Eating doesn't necessarily prolong life , as the dying process often overrides caloric benefits, and forcing it can cause distress. Food and water may increase suffering by causing nausea, bloating, or aspiration in a weakened state, a common observation in palliative care. Food refusal is a natural part of dying, as appetite and digestion wane, signaling the body's preparation for death. Combining B and C reflects these truths holistically, aligning with hospice principles that prioritize comfort over forced nutrition. PSWs witness this, supporting families to accept it rather than fight it, making 'Both b and c' the correct and compassionate answer based on end-of-life care standards.

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