A 56-year-old male complains of anorexia, changes in bowel habits, extreme fatigue, and unintentional weight loss. At times he is constipated and other times he has episodes of diarrhea. His physical examination is unremarkable

It is important for the clinician to recognize the importance of:
A. CBC with differential
B. Stool culture and sensitivity
C. Abdominal x-ray
D. Colonoscopy


ANS: D
The symptoms and severity of the diarrhea vary according to the underlying cause. The symptoms of carcinomas are generally insidious. The diarrhea is mild and intermittent. Often malignancies are found on routine hemoccults, sigmoidoscopy, or colonoscopy. There should be a high index of suspicion with unexplained weight loss or new-onset iron-deficiency anemia in a patient over 40 years old.

Nursing

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A nurse educator recognizes that presenting course content in a logical progression from simple concepts to more complex ones is a characteristic of __________ theories

a. behaviorist b. change c. cognitive d. humanistic

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When a nurse informs a patient's spouse that the patient has died, the spouse states, "You must be mistaken." According to Kübler-Ross's stages of dying theory, the spouse is demonstrating:

a. anger. b. denial. c. depression. d. bargaining.

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The nurse is asked about the characteristics of Alzheimer's disease. The nurse's best response is:

a. usually occurs after the age of 65. b. is classified according to mild, moderate, or severe memory loss. c. there is no cure at this time. d. clients usually die from brain death.

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Which of the following would be most important for the nurse to keep in mind when establishing the nurse–patient relationship with a client with schizophrenia to promote recovery?

A) The relationship typically develops over a short period of time. B) Decisions about care are the responsibility of interdisciplinary team. C) Short, time-limited interactions are best for the client experiencing psychosis. D) Typically, clients with schizophrenia readily engage in a therapeutic relationship.

Nursing