The patient, age 35, is admitted with aplastic anemia. He asks the nurse what aplastic anemia is. An accurate response would be that
a. the activity of the bone marrow is depressed.
b. the bone marrow fails to produce lymphocytes.
c. the bone marrow fails to produce red blood cells.
d. red cells are absent as a result of chronic blood loss.
Question 2Which of the following statements that nurses on a hospital unit made about ethical decision making is most accurate?
A) Instead of making ethical decisions in isolation we should enlist the help of people like ethics committees and clergy..
B) We should ensure that contributors to our ethical decision making have direct experience with the types of hands-on care we provide..
C) Decisions that we make involve complex realities so we have to avoid specific philosophies of ethics..
D) The need for confidentiality means that we shouldn't be discussing particular ethical issues with anyone other than patients themselves..
Question 3The nurse advises the 80-year-old patient not to sleep slumped in the recliner. The nurse explains that proper positioning of the head and neck can help prevent transient ischemic attacks (TIAs) in which of the following ways?
A) Preventing impairment of cerebral blood flow
B) Increasing neck muscle strength
C) Maintaining blood pressure in a normal range
D) Decreasing muscle tension
Question 4A patient is to begin taking iron supplements. The nurse evaluates the patient's understanding of the use of this drug. Which indicates that she has an adequate knowledge base?
a. Using antidiarrheal drugs if she has diarrhea
b. Understanding that black stools may occur
c. Checking her gums for bleeding
d. Brushing her teeth with a soft-bristled brush
Question 5The nurse initiates teaching for the patient and family with newly diagnosed Parkinson's disease. In communicating with the patient and his family, which of the following should the nurse emphasize?
A) Speech problems may affect the patient's expressive abilities.
B) Emotional stability is maintained as the disease progresses.
C) The disease progresses slowly, and therapy can minimize disability.
D) Intellectual functioning is eventually impaired by this disease.
Question 6Which of the following phenomena have contributed to recent increases in the number and complexity of ethical dilemmas for gerontological nurses? Select all that apply.
A) The scope of practice goes beyond simply following doctors' orders.
B) Nurses' levels of responsibility are higher than in past years.
C) Medical technology has made significant advances.
D) The Internet has made patients and their families more informed about health.
E) Deaths from heart disease are declining while deaths from cancer are increasing.
F) Conflicts between cost effectiveness and quality of care
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