You are growing fatigued of performing a maneuver on examination because you have never found a positive and are usually pressed for time. How should you next approach this maneuver?
A) Use this test when you have a higher suspicion for a certain correlating condition.
B) Omit this test from future examinations.
C) Continue doing the test, but rely more heavily on laboratory work and diagnostics.
D) Continue performing it on all future examinations.
A) Use this test when you have a higher suspicion for a certain correlating condition.
This is an example of a specific test that lacks sensitivity. With this scenario, when you finally find a positive, you might be very certain that a given condition is present. We generally develop our examinations to fit our clinical experiences. Sensitive tests are performed routinely on the screening examination, while specific tests are usually saved for the detailed or “branched” examinations. Branched examinations are further maneuvers we can perform to investigate positive findings on our screening examinations. Save this type of maneuver to confirm your hypothesis. All of this information also applies to history questions.
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Precepting differs from the role of a mentor because preceptors are:
A. Assigned to a new nurse orienting to a position B. Identified as accountable for the new orientee's actions C. Only with the new staff member at the patient's bedside D. Paired to a new staff member for staffing purposes only
The nurse assesses a client as experiencing maladaptive grieving. Which of the following factors confirms the nurse's assessment?
A. The client's spouse died 12 months ago. B. The client still cries when recalling memories of the deceased. C. The client reports feelings of worthlessness. D. The client reports intermittent anxiety.
A nurse is caring for an unresponsive client. Which therapeutic nursing intervention is appropriate when providing mouth care to this client?
A) Have a suction catheter available, if ordered. B) Avoid using cleansing solutions. C) Avoid using a tongue blade. D) Put the client in a supine position.
Which of the following statements regarding prostatic-specific antigen (PSA) is INCORRECT?
A. It is produced by prostatic epithelial cells. B. Small amounts of PSA can be detected in the bloodstream of adult males. C. Higher than normal levels of PSA occur in the blood of men with carcinoma of the prostate. D. A higher than normal level of PSA in the blood is diagnostic of carcinoma of the prostate, as elevated PSA does not occur in men with benign prostatic hyperplasia or other benign diseases of the prostate.