Examination of the patient in the lithotomy, or knee-chest, position includes:
a. inspection for inguinal hernias.
b. palpation of anal sphincter tone.
c. percussion of pelvic structures.
d. stereognosis testing.
B
With the patient in the lithotomy position, the examiner can inspect the external and internal fe-male genitalia and perform a rectal examination to assess and palpate anal sphincter tone. The other choices require the patient to be in the supine or standing position.
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An Asian American patient rarely showed eye contact. This nursing diagnosis was formulated: Situational low self-esteem related to poor social skills as evidenced by lack of eye contact
Interventions to raise the patient's self-esteem were not successful; the patient's eye contact did not improve. Select the best analysis of this scenario. a. The patient's poor eye contact is indicative of anger and hostility that have not been addressed. b. The nurse should not have independently assessed, diagnosed, and planned for this patient. c. The patient's eye contact should have been addressed by role-playing to increase comfort. d. The nurse should have assessed the patient's culture before making this diagnosis and plan.
When choosing to delegate, the nurse should delegate the task to the most qualified person or to the person he or she wishes to:
a. develop. b. promote. c. punish. d. reward.
The term used to describe the extent to which the findings of a study are confirmed by or are applicable to a different group is:
A) creditibility B) transferability C) confirmability D) applicability
A client is brought into the emergency department because of complaints from the neighbors that the client was acting strangely
The nurse assesses the client and suspects schizotypal personality disorder based on assessment of which of the following? Select all that apply. A) Magical beliefs B) Hallucinations C) Paranoia D) Avoidance of eye contact E) Meticulous dress