A patient tells you that her mother was a twin, two of her sisters have twins, and several cousins either are twins or gave birth to twins. The patient, too, is expecting twins
Because there is a genetic predisposition to twins in her family, there is a good chance that the patient will have: 1. Dizygotic twins.
2. Monozygotic twins.
3. Identical twins.
4. Nonzygotic twins.
1
Rationale 1: A familial history of twins usually results in dizygotic (fraternal) twins, or twins that result from two separate ova.
Rationale 2: Monozygotic twins, known also as identical twins, are not familial.
Rationale 3: Identical twins, known also as monozygotic twins, are not familial.
Rationale 4: Nonzygotic twins do not exist.
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An older patient who was just diagnosed with a terminal disease states, "All my life I attended church, but I am still worried about what will happen after death." The nurse's best response is which of the following?
a. "The unknown may be frightening. Do you want to talk about this?" b. "Religious people know that God is a good God." c. "People that have had near death expe-riences say it is peaceful." d. "You must feel good about attending church most of your life."
Nurses now have the option to practice in a variety of settings. One of the fastest growing venues of practice for the nurse in today's health care environment is home health care. What is the basis for the growth in this health care setting?
A) The chronic nursing shortage B) The focus on treatment of disease C) The preference of nurses to work during the day instead of evening or night shifts D) The discharge of patients who are more critically ill
A patient has been diagnosed with a grade 1 astrocytoma, an intra-axial brain tumor. The patient asks, "What are my chances of surviving this thing?" The nurse's response is based on which information?
1. A grade 1 astrocytoma is a very aggressive form of this type of tumor. 2. It depends on whether the tumor metastasizes outside the brain. 3. Age is the greatest predictor of patient survival. 4. This type of tumor has a survival rate of 10 years.
An adolescent male expresses concern to the nurse about their enlarged breast tissue. Which response should the nurse provide the client?
A. "This may be due to a hormone imbalance." B. "Are you experiencing any breast pain?" C. "Have you noticed any lumps in the tissue?" D. "This change will resolve on its own."