Martina, a Tennis champ was devastated after many new competitors outpaced her in the Wimbledon event. She became depressed and always seen crying. Martina is clearly on what kind of situation?

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Question 1 of 5

Martina, a Tennis champ was devastated after many new competitors outpaced her in the Wimbledon event. She became depressed and always seen crying. Martina is clearly on what kind of situation?

Correct Answer: D

Rationale: Martina is in a crisis (D). Her devastation, depression, and crying after losing at Wimbledon suggest a sudden, overwhelming event disrupting her homeostasis, fitting crisis definition. Stress (A) is too mild; anxiety (B) lacks the depth of her response. Exhaustion in GAS (C) follows prolonged stress, but this is acute. Crisis involves intense emotional distress from a specific trigger, like career setback, making D correct.

Question 2 of 5

Which of the following, if seen on the Nurses notes, violates characteristic of good recording?

Correct Answer: C

Rationale: Refused betaxolol' (C) violates good recording; it lacks why or follow-up, per standards (e.g., completeness). A, B, D are specific and clear. C's brevity omits context, making it the violation.

Question 3 of 5

The American Nurses association formulated an innovation of the Nursing process. Today, how many distinct steps are there in the nursing process?

Correct Answer: B

Rationale: The ANA's nursing process is ADPIE (B) assessment, diagnosis, planning, implementation, evaluation 5 steps, per current standards. APIE (A) omits diagnosis, ADOPIE (C) and ADOPIER (D) aren't recognized. B reflects practice, making it correct.

Question 4 of 5

Using the principles of standard precautions, the nurse would wear gloves in what nursing interventions?

Correct Answer: D

Rationale: Standard precautions are infection control practices used to prevent the transmission of pathogens in healthcare settings. They apply to all patient care situations where there is potential contact with blood, body fluids, secretions, excretions (except sweat), non-intact skin, or mucous membranes. Providing oral hygiene involves direct contact with saliva, which is considered a body fluid that may contain pathogens, such as bacteria or viruses, especially in patients with poor oral health or infections. Wearing gloves during this intervention protects the nurse from potential exposure to infectious agents and prevents cross-contamination to other patients or surfaces. In contrast, providing a back massage, feeding a client, or providing hair care typically does not involve contact with body fluids or high-risk areas unless specified otherwise (e.g., open wounds or soiled conditions). Therefore, gloves are not routinely required for these tasks under standard precautions unless additional risk factors are present. The correct answer is D because oral hygiene uniquely involves potential exposure to mucous membranes and saliva, necessitating glove use.

Question 5 of 5

Mr. Gary said that the pain he is experiencing is radiating to the upper right quadrant of his abdomen. This type of pain is called?

Correct Answer: C

Rationale: Pain radiating to Mr. Gary's upper right quadrant is referred pain (C), where sensation is felt away from its source, per pain types (e.g., gallbladder to shoulder). Acute (A) and chronic (B) describe duration, not location. Phantom (D) is post-amputation. Referred pain aligns with anatomical nerve pathways, common in visceral issues, making C correct for this pattern.

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