A major advantage of fixed-alternative questions is that they:
A) Are easy to construct
B) Are easy to analyze
C) Encourage in-depth responses
D) Prevent biased responses
B
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A man has come in to the clinic for a skin assessment because he is worried he might have skin cancer. During the skin assessment the nurse notices several areas of pigmentation that look greasy, dark, and "stuck on" his skin
Which is the best prediction? a. Senile lentigines, which do not become cancerous b. Actinic keratoses, which are precursors to basal cell carcinoma c. Acrochordons, which are precursors to squamous cell carcinoma d. Seborrheic keratoses, which do not become cancerous
A patient is taking bismuth subsalicylate [Pepto-Bismol] to prevent diarrhea. The nurse performing an assessment notes that the patient's tongue is black. What will the nurse do?
a. Assess further for signs of gastrointestinal (GI) bleeding. b. Reassure the patient that this is an ex-pected side effect of this drug. c. Request an order for liver function tests to evaluate for hepatotoxicity. d. Withhold the drug, because this is a sign of bismuth overdose.
Security was contacted to remove a handgun that a client, admitted with wounds sustained in a fight, had in a pants pocket. The nurse should include which of the following nursing diagnoses for this client's plan of care?
1. Risk for Situational Low Self-Esteem 2. Risk for Other-Directed Violence 3. Fear 4. Risk for Loneliness
The nurse is assisting the client to eat. Which action by the nurse is the most appropriate?
1. Sitting on the side of the bed while feeding the client 2. Telling the client to sit back and relax while the nurse does all the work 3. Asking what the client would like to eat or drink next 4. Feeding the client quickly to decrease the feeling of being a burden