During an alternative therapy conference, a nurse attends a session related to massage therapy. Which of the following statements made by the presenter should the nurse question?
a. Massage therapy is most useful for individuals who are between the ages of 13 and 60.
b. Massage therapy involves the use of lotion or powder.
c. Several massage techniques can be used, including kneading and pinching the skin.
d. Massage therapy is best used by a licensed massage therapist.
Answer:
a. Massage therapy is most useful for individuals who are between the ages of 13 and 60.
d. Massage therapy is best used by a licensed massage therapist.
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A client calls the mental health clinic and asks to speak with the nurse. The client explains that he or she has recently been diagnosed with a substance problem and the way it was explained is that it has "dependence"
The client asks if the nurse can explain what that means. What should be the nurse's response? A) "Substance dependence means physiologic and psychologic dependence on alcohol or other drugs that affect the central nervous system in such a way that withdrawal symptoms are experienced when the substance is discontinued." B) "I am sorry, I can't give you any information. You will have to ask your physician." C) "Substance dependence means the person has a maladaptive pattern of use that shows physiologic, cognitive, and behavioral indications that the person continues to use the substance despite the resulting negative effects." D) "Substance dependence means that you depend on alcohol or drug use to get through your normal daily activities."
A mother confides to the nurse that she is thinking of divorce. Which suggestion by the nurse would be most helpful in minimizing the effects of the divorce on the couple's son?
A) "Tell him together, using appropriate terms." B) "Reassure him that no one loves him more than you." C) "Do special things with him to make up for the divorce." D) "Share your feelings about your spouse with the child."
The chief executive officer asks the nurse manager of the telemetry unit to justify the disproportionately high number of registered nurses on the telemetry unit
The nurse manager explains that nursing research has validated which statement about a low nurse-to-patient ratio? It: a. Promotes teamwork among healthcare providers. b. Increases adverse events. c. Improves outcomes. d. Contributes to duplication of services.
What abnormality of the scrotum is most likely the diagnosis?
A 48-year-old policeman comes to your clinic, complaining of a swollen scrotum. He states it began a couple of weeks ago and has steadily worsened. He says the longer he stands up the worse it gets, but when he lies down it improves. He denies any pain with urination. Because he is impotent he doesn't know if intercourse would hurt. He states he has become more tired lately and has also gained 10 pounds in the last month. He denies any fever or weight loss. He has had some shortness of breath with exertion. His past medical history consists of type 2 diabetes for 20 years, high blood pressure, and coronary artery disease. He is on insulin, three high blood pressure pills, and a water pill. He has had his gallbladder removed. He is married and has five children. He is currently on disability because of his health problems. Both of his parents died of complications of diabetes. On examination you see a pleasant male appearing chronically ill. He is afebrile but his blood pressure is 160/100 and his pulse is 90. His head, eyes, ears, nose, throat, and neck examinations are normal. There are some crackles in the bases of each lung. During his cardiac examination there is an extra heart sound. Visualization of his penis shows an uncircumcised prepuce but no lesions or masses. Palpation of his scrotum shows generalized swelling, with no discrete masses. A gloved finger is placed through each inguinal ring, and with bearing down there are no bulges. The prostate is smooth and nontender. A) Hydrocele B) Scrotal hernia C) Scrotal edema D) Varicocele