Mark each of the following statements as therapeutic or nontherapeutic. c. "Dr. Daniels knows what he is talking about. Just follow his recommendations."

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Vital Signs Assessment for Nurses Questions

Question 1 of 5

Mark each of the following statements as therapeutic or nontherapeutic. c. "Dr. Daniels knows what he is talking about. Just follow his recommendations."

Correct Answer: B

Rationale: The correct answer is B: Nontherapeutic. This statement is nontherapeutic because it implies a lack of autonomy and empowerment for the individual seeking help. It suggests blindly following advice without considering personal preferences or values. This can hinder the therapeutic process by diminishing the client's ability to actively participate in decision-making and problem-solving. Therapeutic communication focuses on collaboration, empowerment, and respect for the client's autonomy. Choices A, C, and D are left blank as they do not provide a suitable rationale for the given question.

Question 2 of 5

During which phase of throwing is the elbow joint placed under the most valgus stress?

Correct Answer: D

Rationale: The correct answer is D: Late cocking. During late cocking phase of throwing, the arm is maximally externally rotated which places the elbow joint under the most valgus stress. This is due to the extreme abduction and extension of the arm at this stage, leading to increased valgus force on the elbow joint. In contrast, in the early cocking phase (choice C), the arm is in a more neutral position with less valgus stress. The wind-up phase (choice B) involves more shoulder and trunk movements rather than stressing the elbow joint. Follow-through phase (choice A) comes after the release of the ball and does not involve significant valgus stress on the elbow.

Question 3 of 5

Which test is the most specific test to diagnose an ACL tear?

Correct Answer: A

Rationale: The correct answer is A: Pivot shift. This test is the most specific for diagnosing an ACL tear because it assesses the rotational instability of the knee joint, which is a key characteristic of an ACL injury. During the test, the examiner applies a valgus force and internal rotation to the knee while extending it, causing the tibia to subluxate anteriorly. If there is an ACL tear, the tibia will suddenly reduce back into place, producing a characteristic "pivot shift" movement. Summary of other choices: B: Lachman test - While also used to assess ACL integrity, it primarily evaluates anterior translation of the tibia and is not as specific for rotational instability. C: Anterior drawer sign - This test is primarily used to assess anterior translation of the tibia and is not specific to diagnosing an ACL tear. D: Ege's test - This test is not commonly used in clinical practice for diagnosing ACL tears.

Question 4 of 5

If a patient presents with a burn with damage to the epidermis but only partial damage to the dermis and has blistering, how is the burn classified?

Correct Answer: B

Rationale: The correct answer is B: Second degree or partial thickness. This type of burn involves damage to both the epidermis and the dermis, resulting in blistering. First-degree burns (A) only affect the epidermis. Third-degree burns (C) extend through the dermis into deeper tissues. Unstageable burns (D) are typically associated with pressure ulcers, not burns. In this case, the presence of blistering indicates partial damage to the dermis, making the burn a second-degree or partial thickness burn.

Question 5 of 5

Which contraction generates the least force?

Correct Answer: D

Rationale: The correct answer is D: Fast concentric. During fast concentric contractions, the muscle shortens quickly, generating the least force compared to other contractions. This is because the muscle fibers have less time to develop tension, resulting in lower force production. Slow eccentric contractions (choice A) generate more force as the muscle lengthens under tension. Fast eccentric contractions (choice B) produce more force than fast concentric contractions due to the muscle lengthening while under tension. Slow concentric contractions (choice C) generate more force than fast concentric contractions as the muscle shortens slowly, allowing for greater force development.

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