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Omaniination for Nurses Questions 26–30 (page: 7)

Updated On: 24-Feb-2026

A nurse is educating a client who was involved in a gunshot incident for the purpose of preventing post-trauma syndrome.
Which of the following behaviors indicates client's understanding of the education?

  1. Client expresses beliefs and values freely
  2. Client demonstrates an increase in activity level
  3. Client maintains anxiety level at manageable level
  4. Client demonstrates ability to deal with emotional reactions

Answer(s): D

Explanation:

In educating a client involved in a gunshot incident to prevent post-trauma syndrome, the most indicative behavior of understanding is the client's ability to deal with emotional reactions. This is a critical aspect of managing post-traumatic stress.
Expressing Beliefs and Values Freely: This is important for overall well-being but does not directly address coping with trauma.
Increasing Activity Level: Physical activity can help, but it is not the primary indicator of understanding trauma management.
Maintaining Manageable Anxiety Levels: While managing anxiety is important, it is part of the broader goal of dealing with emotional reactions.
Dealing with Emotional Reactions: This directly addresses the psychological impact of trauma and demonstrates effective coping mechanisms and emotional resilience.


Reference:

American Psychiatric Association (APA): Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
National Institute of Mental Health (NIMH): Post-Traumatic Stress Disorder



A nurse is checking laboratory findings of a patient with Sickle Cell Disease (SCD).
Which of the following laboratory values would be MOSTLY seen in this disease?

  1. High platelet level
  2. Low hematocrit level
  3. Low leucocyte level
  4. High reticulocyte level

Answer(s): D

Explanation:

In patients with Sickle Cell Disease (SCD), a high reticulocyte level is commonly observed. High Platelet Level: This is not typically associated with SCD. Low Hematocrit Level: While common in SCD due to anemia, it is not as specific as reticulocyte count.
Low Leucocyte Level: This is not characteristic of SCD.

High Reticulocyte Level: Elevated reticulocyte count indicates increased red blood cell production in response to chronic hemolysis (breakdown of red blood cells) seen in SCD.


Reference:

National Heart, Lung, and Blood Institute (NHLBI): Sickle Cell Disease American Society of Hematology (ASH): Sickle Cell Disease and Reticulocyte Count



A nurse is assigned to care for a client diagnosed with brain cancer who is undergone radiation therapy. On assessment, the nurse notes cachexia.
Which of the following nursing measures would take FIRST for this client?

  1. Encourage high protein and high calorie diet
  2. Encourage frequent oral hygiene
  3. Encourage daily physical activity
  4. Encourage small cold meals

Answer(s): A

Explanation:

For a client with brain cancer undergoing radiation therapy and exhibiting cachexia, the first nursing measure should be to encourage a high protein and high-calorie diet. High Protein and High Calorie Diet: Cachexia is a severe form of malnutrition often seen in cancer patients, characterized by weight loss, muscle wasting, and decreased quality of life. Ensuring adequate nutrition is crucial to improve strength, immune function, and overall well-being. Frequent Oral Hygiene: This is important, especially if the patient has oral side effects from radiation, but it does not address the primary issue of malnutrition. Daily Physical Activity: Beneficial for maintaining muscle mass and overall health but should be secondary to addressing severe nutritional deficits.
Small Cold Meals: These may be more palatable if the patient has nausea but should also be high in calories and protein to combat cachexia.


Reference:

American Cancer Society: Managing Cancer Cachexia
Oncology Nursing Society (ONS): Nutrition and Cancer Care



Which of the following characteristics of older adults would be expected in today's society?

  1. Chronic conditions result in some limitations in ADL
  2. Most older adults live independently or in home care centers
  3. There is steady increase in percentage of workers in the labor force
  4. Married people have higher mortality rate than unmarried people at all ages

Answer(s): A

Explanation:

Chronic Conditions and ADLs:
Older adults are more likely to suffer from chronic conditions such as arthritis, hypertension, heart disease, and diabetes. These conditions can lead to some limitations in Activities of Daily Living (ADLs), which include tasks like bathing, dressing, eating, and walking. According to the Centers for Disease Control and Prevention (CDC), chronic diseases are the leading cause of death and disability in the United States, and they significantly impact the quality of life of older adults.
Living Arrangements:
While many older adults do live independently or in home care settings, a significant number also live with chronic conditions that impact their ADLs, hence answer B is less accurate compared to A. As per the Administration for Community Living (ACL), the majority of older adults do live independently; however, chronic conditions still play a significant role in their daily lives.
Labor Force Participation:
There is an increase in the percentage of older adults in the labor force, but this is not a primary characteristic affecting most older adults today.
Marital Status and Mortality:
Studies have shown that married individuals often have a lower mortality rate compared to unmarried individuals, making option D incorrect.


Reference:

Centers for Disease Control and Prevention (CDC)
Administration for Community Living (ACL)



A couple attends infertility clinic to review the investigation results. The laboratory results show that the man has aspermi

  1. He asked the nurse about the meaning of aspermia.
    The nurse replied that: "the aspermia means
  2. absence of sperms"
  3. prematurity of sperms"
  4. abnormalities of the sperms'"
  5. sperms count is lower than 20 million/milliliter"

Answer(s): A

Explanation:

Aspermia Definition:
Aspermia is a medical term used to describe the complete absence of semen, which includes the absence of sperms.
This condition can result from various factors such as hormonal imbalances, obstruction of the reproductive tract, or surgeries like vasectomy.
Differentiation from Other Terms:
Prematurity of Sperms: Refers to sperm cells that are not fully mature. Abnormalities of Sperms: Indicates that the sperm present have structural or functional defects. Low Sperm Count (Oligospermia): Describes a condition where the sperm count is lower than the normal threshold (20 million/milliliter).


Reference:

Mayo Clinic
American Society for Reproductive Medicine (ASRM)



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