You are interviewing an elderly woman in the ambulatory setting and trying to get more information about her urinary symptoms. Which of the following techniques is not a component of adaptive questioning?

Correct Answer: B

Rationale: The correct answer is B because reassuring the patient that urinary symptoms are benign and not related to cancer is not a component of adaptive questioning. Adaptive questioning involves adjusting the questioning technique based on the patient's responses to gather more information effectively. Reassurance may prematurely close the conversation or influence the patient's responses. Directed questioning (A) is a component of adaptive questioning as it helps gather information systematically. Offering multiple choices (C) helps clarify the patient's symptoms. Asking the patient to explain further (D) is also a component of adaptive questioning as it seeks detailed information to better understand the patient's experience.

Correct Answer: A

Rationale: The correct answer is A: "Tell me what prompted that question." This response shows empathy, encourages open communication, and allows M.J. to express her concerns. By asking for clarification, the nurse can assess M.J.'s understanding and emotional state, providing an opportunity to address her fears and offer support. This approach respects M.J.'s autonomy and allows her to share her feelings. Choice B: "I will ask your physician to discuss this matter with you." This response avoids addressing M.J.'s concerns directly and may not respect her preferences for communication. Choice C: "Let's take each day as it comes." This response does not directly address M.J.'s question and may come across as dismissive of her concerns. Choice D: "I think you should discuss that with your family." This response does not acknowledge M.J.'s feelings or provide direct support, potentially undermining the therapeutic relationship between the nurse and M.J.

Correct Answer: C

Rationale: The correct answer is C7 because the index finger is innervated by the C7 dermatome. Each spinal nerve innervates a specific area of skin called a dermatome. In this case, the C7 spinal nerve is responsible for providing sensory information to the skin over the index finger. Choices A (C5), B (C6), and D (C8) are incorrect as they do not correspond to the dermatome responsible for innervating the index finger. Therefore, the correct answer is C7 based on the specific dermatomal distribution of sensory fibers.

Correct Answer: C

Rationale: The correct answer is C, the Sartorius muscle. An ASIS avulsion fracture occurs due to a sudden and forceful contraction of the Sartorius muscle, which attaches to the ASIS. This muscle acts to flex, abduct, and laterally rotate the hip, and its abrupt contraction can lead to avulsion of the ASIS. The other choices, such as A (Long head of the biceps femoris), B (Vastus intermedius muscle), and D (Iliopsoas muscle), do not directly attach to the ASIS and are not involved in causing this specific type of fracture.

Correct Answer: A

Rationale: The correct answer is A: Scaphoid. A fall or blow on a hyperextended wrist can disrupt blood flow to the scaphoid bone, leading to osteonecrosis. The scaphoid is vulnerable due to its location and blood supply. Lunate (B), Triquetrum (C), and Pisiform (D) are less likely to be affected in this scenario due to their different anatomical locations and blood supplies.