Suzanne, a 25-year-old, comes to your clinic to establish care. You are the student preparing to go into the examination room to interview her. Which of the following is the most logical sequence for the patient-provider interview?

Correct Answer: C

Rationale: The correct sequence (C) starts with greeting the patient to establish rapport, then inviting the patient's story to understand their perspective. Next, establishing the agenda ensures all concerns are addressed. Expanding and clarifying the patient's story allows for a comprehensive assessment. Finally, negotiating a plan involves collaborative decision-making. Option A is incorrect because establishing rapport is essential before setting the agenda. Option B is incorrect as inviting the patient's story should come before negotiating a plan. Option D is incorrect as negotiating a plan should be the final step after understanding the patient's story.

Correct Answer: A

Rationale: The correct answer is A because evidence-based nursing practice involves combining clinical expertise with the use of nursing research to provide the best care for patients while considering the patient's values and circumstances. This approach ensures that nursing interventions are based on the best available evidence, tailored to individual patient needs, and aligned with patient preferences. It emphasizes the integration of research evidence, clinical expertise, and patient values to optimize patient outcomes. Choice B is incorrect because evidence-based nursing practice involves a comprehensive review of multiple research studies, not just one or two articles. Choice C is incorrect because completing a literature search is just one step in the evidence-based practice process, which also involves critically appraising and applying the evidence to patient care. Choice D is incorrect because evidence-based practice focuses on using research evidence, not value-based resources, to guide nursing actions.

Correct Answer: D

Rationale: The correct answer is D because trigger finger can be caused by Dupuytren's disease, ganglion of the tendon sheath, or rheumatoid arthritis. Dupuytren's disease can lead to the formation of nodules in the palm that can affect finger movement. Ganglion of the tendon sheath can cause tendon swelling and lead to triggering of the finger. Rheumatoid arthritis can result in inflammation of the tendon sheaths, causing trigger finger. Therefore, all of the above conditions are part of the differential diagnosis for trigger finger. Choices A, B, and C are incorrect individually because trigger finger can be associated with each condition separately.

Correct Answer: C

Rationale: The true leg length should be measured between the ASIS (anterior superior iliac spine) and the medial malleolus. This is because the ASIS is a prominent bony landmark on the pelvis, representing the top of the femur, and the medial malleolus is the bony prominence on the inner side of the ankle, representing the bottom of the tibia. Measuring between these points provides an accurate representation of the actual length of the leg. Choice A (Greater trochanter to lateral malleolus) is incorrect because the greater trochanter is not the starting point for measuring leg length. Choice B (Umbilicus and lateral malleolus) is incorrect as the umbilicus is not a reliable reference point for leg length measurement. Choice D (Anterior inferior iliac spine and medial malleolus) is incorrect because the AIIS is not typically used as a reference point for leg length measurement.

Correct Answer: D

Rationale: In Erb's palsy, the upper trunk (C5-C6) of the brachial plexus is affected. This leads to weakness or paralysis of the shoulder and elbow muscles. The C5-C6 nerve roots are commonly injured during childbirth trauma. The other choices are incorrect because Erb's palsy specifically involves the upper trunk, not the lower trunk (C8-T1), both upper and lower trunks, or the middle trunk (C7). Therefore, the correct answer is D.