Multiple choice questions can evaluate the student's knowledge of the facts, as well as:
1. his or her ability to apply the knowledge to the clinical care scenario.
2. the ability to select professional options.
3. the ability to determine stem and answer.
4. the ability to avoid distractors.
5.
1
Rationale 1: Application of knowledge is important in developing critical thinking skills.
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Risk factors for the development of primary liver cancer include which of the following?
A) positive history for hepatic cysts B) history of colon polyps C) presence of diverticula D) history of previous infection with hepatitis B or C
Which statement by a patient at risk for excessive bleeding indicates that more teaching is needed?
A) "I will brush my teeth with a soft toothbrush." B) "I need to avoid playing football with my children." C) "Stool softeners will help me avoid straining." D) "I have a new pair of sandals that I bought to wear this summer."
A client has severe right-sided weakness and is unable to complete bathing and grooming inde-pendently. Based on this observation, the nurse identifies a nursing diagnosis of:
1. Powerlessness 2. Self-care deficit 3. Tissue integrity impairment 4. Knowledge deficit of hygiene practices
Which activity performed by the community health nurse best reflects primary prevention of cancer?
A. Assisting women to obtain free mammograms B. Teaching a class on cancer prevention C. Encouraging long-term smokers to get a chest x-ray D. Encouraging sexually active women to get annual Papanicolaou (Pap) smears