Adult Health Nursing Study Guide Answers

Correct Answer: B

Rationale: Becoming emotional is an example of a barrier to successful negotiation because emotions can cloud judgment, lead to irrational decision-making, and hinder effective communication. When negotiating, it is important to remain calm, composed, and rational to navigate the discussion effectively. Emotions can derail the negotiation process, making it challenging to find common ground and reach a mutually beneficial agreement.

Correct Answer: A

Rationale: Signs such as using tissues to doorknobs suggest that the patient is unconsciously controlling unacceptable impulses or feelings. This behavior falls under the category of defense mechanisms, specifically displacement, where the individual redirects their emotions from a threatening target to a safer one. In this case, the patient may be experiencing anxiety or fear related to contamination or germs, leading them to use tissues to avoid touching doorknobs directly. It is a way for the patient to manage their underlying emotions, albeit unconsciously, through this compulsive behavior.

Correct Answer: C

Rationale: Battery occurs when there is an intentional harmful or offensive contact with a person without their consent. In this scenario, Nurse Edna applied a body restraint to the patient without the doctor's order, which constitutes unauthorized physical contact. The patient did not give consent for the restraint, and Nurse Edna's action could be considered battery. It is important for healthcare providers to obtain proper authorization before using any form of physical restraint on a patient to avoid legal implications such as battery.

Correct Answer: A

Rationale: Bleeding is the most serious complication of Dengue infection, typically occurring between the 4th to 7th day after the onset of symptoms. This is known as the critical phase of Dengue fever, where the patient is at a higher risk of developing severe symptoms such as bleeding manifestations. Monitoring for symptoms of bleeding during this period is crucial for timely intervention and proper management to prevent further complications or fatalities. While bleeding can occur outside this timeframe in some cases, the 4th to 7th day window is when the risk is highest and vigilance is most needed.

Correct Answer: A

Rationale: X-ray is the most appropriate imaging modality for evaluating wrist involvement in rheumatoid arthritis. It can show joint space narrowing, erosions, soft tissue swelling, and periarticular osteopenia. X-rays are readily available, cost-effective, and provide valuable information about joint damage and disease progression in rheumatoid arthritis. In this case, X-ray would be able to confirm the presence of erosions, joint deformities, and assess the severity of the disease in the wrist joint. While MRI and ultrasound can also be helpful in evaluating rheumatoid arthritis, X-ray remains the initial imaging modality of choice due to its convenience and ability to assess bony changes. Dual-energy X-ray absorptiometry (DEXA) scan is not indicated for evaluating wrist involvement in rheumatoid arthritis.