Palliative care nurses' self-awareness may be most critical when dealing with

Correct Answer: C

Rationale: Self-awareness is most critical during end-of-life issues (Option C), where nurses confront personal beliefs about death, affecting their ability to support patients and families emotionally. Prognostic (A) and ethical (B) issues require awareness, but end-of-life situations intensify personal reflection. Loss of self-care (D) is less tied to nurse self-awareness.

Correct Answer: D

Rationale: In this scenario, the correct answer is option D, which is a Hemoglobin level of 9.5 mg/dl. This result indicates anemia, which could pose a significant risk to the client undergoing surgery. Anemia can affect the body's ability to carry oxygen, potentially leading to complications during and after surgery, such as poor wound healing or cardiac issues. Option A, a Platelet count of 250,000/cu.mm, is within the normal range and would not typically require immediate action before surgery. Option B, a Total cholesterol of 325 mg/dl, while elevated, is not an urgent concern in the context of pre-surgery preparation. Option C, a Blood urea nitrogen (BUN) of 17 mg/dl, is also within the normal range and would not necessarily warrant contacting the surgeon. It is crucial for healthcare providers, including nurses, to have a comprehensive understanding of how different lab values can impact surgical outcomes. Recognizing abnormal values that could increase the risk of complications is essential for ensuring patient safety and optimal surgical results. Nurses play a vital role in advocating for patients by identifying and addressing potential concerns before surgical procedures.

Correct Answer: C

Rationale: In the context of a postoperative client receiving a tray with gelatin, pudding, and vanilla ice cream, the correct diet order to anticipate would be a full liquid diet (Option C). A full liquid diet consists of foods that are liquid at room temperature or foods that turn into a liquid state at body temperature. Gelatin, pudding, and ice cream are all examples of foods that fit within the parameters of a full liquid diet. These foods are easy to digest, reduce the workload on the digestive system, and are often recommended for clients who may have difficulty chewing or swallowing after surgery. Option A, a bland diet, would include foods that are gentle on the digestive system but do not necessarily need to be in a liquid form. Option B, a soft diet, typically includes foods that are soft in texture but not necessarily liquid. Option D, a regular diet, would include solid foods which would not align with the foods on the client's tray in this scenario. Educationally, understanding the rationale behind different diet orders is crucial for nurses in providing optimal care for postoperative clients. By knowing the specific characteristics and indications for each type of diet, nurses can ensure that clients receive appropriate nutrition that supports their recovery and overall well-being.

Correct Answer: C

Rationale: In the field of behavioral nursing, understanding acronyms and their meanings is crucial for effective communication and accurate documentation. In this context, the full form of PMA is Psycho Motor Activity. The correct answer is C) Psycho Motor Activity because in behavioral nursing, PMA typically refers to an individual's ability to perform physical movements and coordinate them with cognitive processes. This term is commonly used to assess a patient's level of functioning, especially in relation to motor skills and mental health conditions. Option A) Pre Morbid Activity is incorrect because it does not accurately reflect the meaning of PMA in the context of behavioral nursing. Pre Morbid Activity usually refers to a person's functional level before the onset of a particular illness or condition, which is different from Psycho Motor Activity. Option B) Post Menopausal Activity is also incorrect as it is not relevant to the field of behavioral nursing or the acronym PMA. Post Menopausal Activity does not have any association with motor skills or mental health assessments. Option D) Psycho Mental Authority is incorrect as well. While it contains some relevant terms like "Psycho" and "Mental," it does not accurately represent the concept of PMA in behavioral nursing, which is more focused on the integration of physical and cognitive functions rather than authority or power. Educationally, this question serves to reinforce the importance of understanding terminology in the specific context of behavioral nursing. It highlights the need for precision in communication within healthcare settings to ensure accurate assessment, diagnosis, and treatment of patients. By knowing the correct full form of PMA, healthcare professionals can effectively communicate and collaborate in providing holistic care to individuals with mental health issues.

Correct Answer: A

Rationale: In nursing, physical assessment plays a crucial role in identifying signs and symptoms related to various health conditions, including eating disorders like bulimia. The correct answer is A) Prominent parotid glands. This is because bulimia nervosa, characterized by recurrent episodes of binge eating followed by compensatory behaviors like self-induced vomiting, can lead to swelling of the parotid glands due to repeated exposure to gastric contents. Option B) Peripheral edema is more commonly associated with conditions like heart failure or kidney disease, rather than bulimia. Option C) Thin, brittle hair is a common finding in malnutrition, which can occur in bulimia, but it is not a specific or prominent physical assessment finding. Option D) Amenorrhea is more commonly associated with anorexia nervosa, another type of eating disorder, rather than bulimia. For nursing students and healthcare professionals, understanding the physical manifestations of bulimia is essential for early detection, intervention, and providing appropriate care for patients. Recognizing the signs like prominent parotid glands can prompt further assessment and appropriate referral to mental health professionals for comprehensive treatment of the eating disorder. It underlines the importance of a holistic approach in nursing care, addressing both physical and mental health aspects of patients with eating disorders.