Foundations and Adult Health Nursing Test Bank

Correct Answer: A

Rationale: Of the options provided, documenting objective, observable findings such as large bruises on the thigh upon assessment is the most defensible entry in court. This type of entry is based on the nurse's direct observation and assessment of the patient's physical condition, which can be corroborated by other healthcare providers or evidence. It provides clear, factual information without making assumptions or subjective judgments. In court, this type of documentation can help support the nurse's credibility and reliability as a witness.

Correct Answer: C

Rationale: The hypothalamus is the link between the nervous system and the endocrine system. It plays a crucial role in maintaining homeostasis in the body by communicating with the pituitary gland, which is often referred to as the "master gland" of the endocrine system. The hypothalamus produces hormones that regulate the release of hormones from the pituitary gland, which then controls the functions of other endocrine glands throughout the body. This connection allows the nervous system to influence and coordinate various hormonal responses in the body, helping to regulate processes such as metabolism, growth, stress responses, and reproduction.

Correct Answer: D

Rationale: Since Nadine is just four years old, determining her favorite toys is not a critical aspect for Nurse Alma to consider in terms of routines and rituals. While knowing Nadine's favorite toys may help provide comfort or distraction, it is not as essential as ensuring proper feeding, sleep patterns, and toilet training for a young child's well-being and development. The focus should primarily be on aspects that directly impact her physical health, growth, and daily routines at this age.

Correct Answer: A

Rationale: The clinical presentation of fever, chills, headache, and myalgia following a trip to sub-Saharan Africa is highly suggestive of malaria, which is caused by the Plasmodium species. Specifically, the presence of intraerythrocytic ring forms and trophozoites on blood smear examination points towards Plasmodium falciparum as the most likely causative agent.

Correct Answer: A

Rationale: Smoking is a harmful habit that is known to contribute to a variety of health problems, including heart disease, lung disease, and cancer. Smoking does not provide any benefits for Alzheimer's patients and, in fact, can worsen the condition due to its negative impact on overall health. Therefore, smoking does not help improve Alzheimer's and may exacerbate the symptoms and complications associated with the disease.