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NU 518 NEWEST EXAM WITH 400+
VERIFIED QUESTIONS AND ANSWERS |
GUARANTEED PASS
question-Core values of medical ethics - answer-1. non-maleficence
- beneficence
- autonomy
- decisional capacity
- confidentiality
- informed consent
- truth telling
- justice question-How to resolve a clinical ethical delimma - answer-1. state the ethical question
- collect relevant info
- identify eithical principles and guidelines
- delineate and relate options to values and principles
- evaluate the different options
- make an action plan question-Skilled interview techniques - answer-a. Active or attentive listening b. Guided questioning c. Empathetic responses
d. Summarization e. Transitions f. Partnering g. Validation h. Empowering the patient i. Reassurance j. Appropriate verbal communication k. Appropriate nonverbal communication question-Guidelines for working with an interpreter: INTERPRET - answer-i. I: Introductions ii. N: note goals iii. T: transparency iv. E: ethics v. R: Respect beliefs vi. P: patient focus vii. R: retain control viii. E: explain ix. T: thanks question-Situations best suited for face-to-face interpreter rather than the use of telephonic interpreter services include: - answer-i. Serious diagnosis or other bad news ii. When the patient is hard of hearing iii. Family meetings or group discussion
- explaining and planning
- closing the encounter question-social determinants of health - answer-1. economic stability
- education
- social and community context
- health and health care
- neighborhood and built environment question-1. Culture Humility - answer-A process that requires humility as individuals continually engage in self-reflection and self-critique as lifelong learners and reflective practioners question-Three dimensions of cultural humility - answer-i. Self-awareness ii. Respectful communication iii. Collaborative partnerships question-The 5 Rs of Cultural Humility - answer-i. Reflection: there is always something to learn ii. Respect: preserve dignity and respect iii. Regard: don't let unconscious bias interfere iv. Relevance: apply culture to every encounter v. Resiliency question-Challenging patient situations and behaviors - answer-a. Silent
b. Talkative c. With confusing narrative d. With altered state or cognition e. With emotional lability f. Angry or aggressive g. Flirtatious h. Discriminatory i. With hearing loss j. With low or impaired vision k. With limited intelligence l. Burdened by personal problems m. Nonadherent n. With low literacy o. With low health literacy p. With limited language proficiency q. With terminal illness or dying question-Kubler-Ross stages of grief - answer-1. Denial and isolation
- Anger
- Bargaining
- Depression
- Acceptance
i. Tenderness on palpation of anterior chest` A 38-year-old accountant comes to your clinic for evaluation of a headache. The throbbing sensation is located in the right temporal region and is an 8 on a scale of 1 to 10. It started a few hours ago, and she has noted nausea with sensitivity to light; she has had headaches like this in the past, usually less than one per week, but not as severe. She does not know of any inciting factors. There has been no change in the frequency of her headaches. She usually takes an over the-counter analgesic, and this results in resolution of the headache. Based on this description, what is the most likely diagnosis of the type of headache? A) Tension B) Migraine C) Cluster D) Analgesic rebound - answer-B question-A 29-year-old computer programmer comes to your office for evaluation of a headache. The tightening sensation is located all over the head and is of moderate intensity. It used to last minutes, but this time it has lasted for 5 days. He denies photophobia and nausea. He spends several hours each day at a computer monitor/keyboard. He has tried over-the-counter medication; it has dulled the pain but not taken it away. Based on this description, what is your most likely diagnosis? A) Tension B) Migraine C) Cluster D) Analgesic rebound - answer-A
question-Which of the following is a symptom involving the eye? A) Scotomas B) Tinnitus C) Dysphagia D) Rhinorrhea - answer-A question-A 49-year-old administrative assistant comes to your office for evaluation of dizziness. You elicit the information that the dizziness is a spinning sensation of sudden onset, worse with head position changes. The episodes last a few seconds and then go away, and they are accompanied by intense nausea. She has vomited one time. She denies tinnitus. You perform a physical examination of the head and neck and note that the patient's hearing is intact to Weber and Rinne and that there is nystagmus. Her gait is normal. Based on this description, what is the most likely diagnosis? A) Benign positional vertigo B) Vestibular neuronitis C) Ménière's disease D) Acoustic neuroma - answer-A question-A 55-year-old bank teller comes to your office for persistent episodes of dizziness. The first episode started suddenly and lasted 3 to 4 hours. He experienced a lot of nausea with vomiting; the episode resolved spontaneously. He has had five episodes in the past 1½ weeks. He does note some tinnitus that comes and goes. Upon physical examination, you note that he has a normal gait. The Weber localizes to the right side and the air conduction is equal to the bone conduction in the right ear. Nystagmus is present. Based on this description, what is the most likely diagnosis?
question-A 12-year-old presents to the clinic with his father for evaluation of a painful lump in the left eye. It started this morning. He denies any trauma or injury. There is no visual disturbance. Upon physical examination, there is a red raised area at the margin of the eyelid that is tender to palpation; no tearing occurs with palpation of the lesion. Based on this description, what is the most likely diagnosis? A) Dacryocystitis B) Chalazion C) Hordeolum D) Xanthelasma - answer-C question-A 15-year-old high school sophomore presents to the emergency room with his mother for evaluation of an area of blood in the left eye. He denies trauma or injury but has been coughing forcefully with a recent cold. He denies visual disturbances, eye pain, or discharge from the eye. On physical examination, the pupils are equal, round, and reactive to light, with a visual acuity of 20/20 in each eye and 20/20 bilaterally. There is a homogeneous, sharply demarcated area at the lateral aspect of the base of the left eye. The cornea is clear. Based on this description, what is the most likely diagnosis? A) Conjunctivitis B) Acute iritis C) Corneal abrasion D) Subconjunctival hemorrhage - answer-D question-A 67-year-old lawyer comes to your clinic for an annual examination. He denies any history of eye trauma. He denies any visual changes. You inspect his eyes and find a triangular
thickening of the bulbar conjunctiva across the outer surface of the cornea. He has a normal pupillary reaction to light and accommodation. Based on this description, what is the most likely diagnosis? A) Corneal arcus B) Cataracts C) Corneal scar D) Pterygium - answer-D question-Which of the following is a "red flag" regarding patients presenting with headache? A) Unilateral headache B) Pain over the sinuses C) Age over 50 D) Phonophobia and photophobia - answer-C question-A sudden, painless unilateral vision loss may be caused by which of the following? A) Retinal detachment B) Corneal ulcer C) Acute glaucoma D) Uveitis - answer-A question-Sudden, painful unilateral loss of vision may be caused by which of the following conditions? A) Vitreous hemorrhage
question-Very sensitive methods for detecting hearing loss include which of the following? A) The whisper test B) The finger rub test C) The tuning fork test D) Audiometric testing - answer-D question-Which area of the fundus is the central focal point for incoming images? A) The fovea B) The macula C) The optic disk D) The physiologic cup - answer-A question-A light is pointed at a patient's pupil, which contracts. It is also noted that the other pupil contracts as well, though it is not exposed to bright light. Which of the following terms describes this latter phenomenon? A) Direct reaction B) Consensual reaction C) Near reaction D) Accommodation - answer-B question-A patient is assigned a visual acuity of 20/100 in her left eye. Which of the following is true?
A) She obtains a 20% correct score at 100 feet. B) She can accurately name 20% of the letters at 20 feet. C) She can see at 20 feet what a normal person could see at 100 feet. D) She can see at 100 feet what a normal person could see at 20 feet. - answer-C question-On visual confrontation testing, a stroke patient is unable to see your fingers on his entire right side with either eye covered. Which of the following terms would describe this finding? A) Bitemporal hemianopsia B) Right temporal hemianopsia C) Right homonymous hemianopsia D) Binasal hemianopsia - answer-C question-You note that a patient has anisocoria on examination. Pathologic causes of this include which of the following? A) Horner's syndrome B) Benign anisocoria C) Differing light intensities for each eye D) Eye prosthesis - answer-A question-A patient is examined with the ophthalmoscope and found to have red reflexes bilaterally. Which of the following have you essentially excluded from your differential? A) Retinoblastoma B) Cataract
A) Leukoplakia B) Torus palatinus C) Thrush (candidiasis) D) Kaposi's sarcoma - answer-B question-A young woman undergoes cranial nerve testing. On touching the soft palate, her uvula deviates to the left. Which of the following is likely? A) CN IX lesion on the left B) CN IX lesion on the right C) CN X lesion on the left D) CN X lesion on the right - answer-D question-A college student presents with a sore throat, fever, and fatigue for several days. You notice exudates on her enlarged tonsils. You do a careful lymphatic examination and notice some scattered small, mobile lymph nodes just behind her sternocleidomastoid muscles bilaterally. What group of nodes is this? A) Submandibular B) Tonsillar C) Occipital D) Posterior cervical - answer-D question-You feel a small mass that you think is a lymph node. It is mobile in both the up-and- down and side-to-side directions. Which of the following is most likely? A) Cancer
B) Lymph node C) Deep scar D) Muscle - answer-B question-You are conducting a pupillary examination on a 34-year-old man. You note that both pupils dilate slightly. Both are noted to constrict briskly when the light is placed on the right eye. What is the most likely problem? A) Optic nerve damage on the right B) Optic nerve damage on the left C) Efferent nerve damage on the right D) Efferent nerve damage on the left - answer-B question-A physician tells the nurse that a patients vertebra prominens is tender and asks the nurse to reevaluate the area in 1 hour. The area of the body the nurse will assess is: a Just above the diaphragm. b Just lateral to the knee cap. c At the level of the C7 vertebra. d At the level of the T11 vertebra. - answer-C question-A mother brings her 2-month-old daughter in for an examination and says, My daughter rolled over against the wall, and now I have noticed that she has this spot that is soft on the top of her head. Is something terribly wrong? The nurses best response would be: a Perhaps that could be a result of your dietary intake during pregnancy. b Your baby may have craniosynostosis, a disease of the sutures of the brain.
question-A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her head. The nurse suspects damage to CN and proceeds with the examination by a XI; palpating the anterior and posterior triangles b XI; asking the patient to shrug her shoulders against resistance c XII; percussing the sternomastoid and submandibular neck muscles d XII; assessing for a positive Romberg sign - answer-B question-When examining a patient's CN function, the nurse remembers that the muscles in the neck that are innervated by CN XI are the: a Sternomastoid and trapezius. b Spinal accessory and omohyoid. c Trapezius and sternomandibular. d Sternomandibular and spinal accessory. - answer-A question-A patients laboratory data reveal an elevated thyroxine (T4) level. The nurse would proceed with an examination of the gland. a Thyroid b Parotid c Adrenal d Parathyroid - answer-A
question-A patient says that she has recently noticed a lump in the front of her neck below her Adams apple that seems to be getting bigger. During the assessment, the finding that leads the nurse to suspect that this may not be a cancerous thyroid nodule is that the lump (nodule): a Is tender. B Is mobile and not hard. C Disappears when the patient smiles. D Is hard and fixed to the surrounding structures. - answer-B question-The nurse notices that a patients submental lymph nodes are enlarged. In an effort to identify the cause of the node enlargement, the nurse would assess the patients: a Infraclavicular area. B Supraclavicular area. C Area distal to the enlarged node. D Area proximal to the enlarged node. - answer-D question-The nurse is aware that the four areas in the body where lymph nodes are accessible are the: A Head, breasts, groin, and abdomen. B Arms, breasts, inguinal area, and legs. C Head and neck, arms, breasts, and axillae. D Head and neck, arms, inguinal area, and axillae - answer-D
