Nacc PSW Exam Prep: Test Your Knowledge Today

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1. What is the most common accident in all settings?

Explanation

Falls are the most common accident in all settings. This is because falls can occur in various environments, such as homes, workplaces, and public spaces. Factors like slippery surfaces, uneven flooring, poor lighting, and lack of safety measures contribute to the high occurrence of falls. Additionally, falls can result in various injuries, ranging from minor bruises to severe fractures, making them a common accident across different settings.

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About This Quiz
Nacc PSW Exam Prep: Test Your Knowledge Today - Quiz


Preparing for the NACC PSW Exam can be challenging, but this quiz is tailored to help you succeed. Covering critical areas such as client-centered care, infection control, and... see moreworkplace safety, this quiz is an excellent tool for mastering the concepts required for personal support workers. Additionally, this quiz includes a variety of NACC exam PSW questions and answers, allowing you to test your knowledge and identify areas that need improvement.

Each question is designed to simulate real-world caregiving scenarios, helping you apply theoretical knowledge to practical situations. With detailed feedback on every answer, this quiz ensures that you gain a deeper understanding of caregiving principles, ethical practices, and communication techniques essential for your role as a PSW.
Disclaimer: This quiz is for educational purposes and is designed to assist in exam preparation. It does not guarantee success in the official NACC PSW Exam. For official exam requirements, refer to your certification body. see less

2. How should medications be stored?

Explanation

Medications should be stored in a dry locked cupboard and out of reach of children to ensure their safety. Storing them in a locked cupboard prevents unauthorized access and reduces the risk of accidental ingestion by children. The dry environment helps to maintain the integrity and effectiveness of the medication, while keeping it out of reach of children minimizes the chances of accidental ingestion, which can be harmful or even fatal. This storage method also helps to prevent tampering or misuse of the medication by other family members or residents.

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3. When brushing Mrs. Lam's teeth, what does not need to be reported?

Explanation

Food between the teeth does not typically indicate a health issue and can be resolved with flossing or an interdental brush. However, signs such as bleeding, swelling, or redness of the gums, irritations or sores, and dry or cracked lips may signal oral health problems or systemic issues that need attention. These symptoms should be reported to ensure timely intervention. Identifying and addressing such conditions helps prevent infections, promote oral hygiene, and maintain overall health. Observing and documenting oral health status is an important aspect of caregiving.

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4. Which of the following is not one of the five rights of assisting with medication?

Explanation

The right color is not part of the five rights of medication administration. The five rights are: the right medication, the right person, the right dose, the right route, and the right time. These rights ensure that the patient receives the correct medication in the correct amount and at the right time and in the proper way. Color does not affect the accuracy or safety of medication administration.

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5. What is professionalism?

Explanation

Professionalism is an approach to work that demonstrates respect for others, commitment, competence, and appropriate behavior. This means that individuals who exhibit professionalism not only show respect towards their colleagues and clients but also display dedication and competence in their work. They adhere to ethical standards, maintain a positive attitude, and conduct themselves in a manner that is appropriate for the workplace. Overall, professionalism encompasses various qualities and behaviors that contribute to a positive work environment and the successful completion of tasks.

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6. Kathy says giants are climbing the wall. She is terrified. You see nothing on the wall. What should you do?

Explanation

The correct answer is to offer Kathy comfort and report the hallucinations. This is the most appropriate response because Kathy is terrified and believes she sees giants climbing the wall, which indicates that she may be experiencing hallucinations. Offering comfort shows empathy and support, while reporting the hallucinations is important for her safety and well-being.

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7. Adults of all ages often fear:

Explanation

As humans, we have an innate need for connection and companionship. The fear of dying alone is a common fear among adults of all ages because it represents the idea of facing death without the support and presence of loved ones. This fear can stem from a variety of factors, such as the fear of being forgotten or the fear of not having someone to comfort us in our final moments. It highlights our desire for human connection and the fear of facing the unknown without the support of others.

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8. If you suspect an adult client is being abused, what should you do?

Explanation

If you suspect an adult client is being abused, it is important to inform your supervisor. Your supervisor is in a position of authority and can take appropriate action to address the situation. They may conduct an investigation, involve other professionals, or report the abuse to the relevant authorities. It is crucial to follow proper protocols and procedures to ensure the safety and well-being of the client. Telling the family or asking the person if they were abused may not be appropriate actions as it could potentially put the client at further risk or compromise the investigation process. Calling the police should be done if there is an immediate threat to the client's safety.

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9. A client with major depression suddenly seems happy. She asks you to leave early because she is expecting friends. What should you do?

Explanation

In this scenario, the client with major depression suddenly appearing happy could be a sign of a potential change in their mental state. It is important to ensure their safety and well-being by reporting this unusual behavior to the supervisor. The supervisor can then assess the situation and determine the appropriate course of action to provide the necessary support and care for the client.

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10. What is used to cut fingernails?

Explanation

Nail clippers are the correct tool for cutting fingernails, as they are designed specifically for this purpose. Their curved edges allow for a clean and even cut, following the natural shape of the nail. Scissors may also be used but are less precise and can cause jagged edges. A nail file is used for shaping and smoothing the nail, not for cutting. Toenail clippers are larger and intended for toenails, which are thicker and require a different cutting tool. Nail clippers are the most efficient and safe option for trimming fingernails.

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11. What is the basic unit of body structure?

Explanation

The cell is the basic unit of body structure. It is the smallest functional unit of life, capable of carrying out all the essential processes necessary for an organism's survival. Cells combine to form tissues, organs, and organ systems. Each cell has a specific role, such as energy production, waste removal, and communication within the body.

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12. Mr. Deal states, "My daughter won't give me food until I give her my pension check." This is a sign of:

Explanation

Mr. Deal’s statement indicates that his daughter is withholding food from him until he gives her his pension check, which is a form of financial abuse. Financial abuse involves the manipulation or control of an individual's financial resources, often by someone in a position of trust. In this case, Mr. Deal’s daughter is using his dependency on food to coerce him into giving up his pension. This constitutes a violation of Mr. Deal’s rights and well-being.

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13. Which Law ensures that every citizen has access to health care?

Explanation

The Canada Health Act ensures that every citizen has access to health care. This act sets out the conditions that provinces and territories must meet in order to receive federal funding for health care services. It requires that health care services be provided to all residents of Canada on a prepaid basis, without any direct charges at the point of service. The act also prohibits extra billing by doctors and user fees for medically necessary services. Overall, the Canada Health Act plays a crucial role in ensuring that all citizens have access to necessary health care services.

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14. Which statement best describes the role of a Personal Support Worker (PSW) in a healthcare setting?

Explanation



Personal Support Workers (PSWs) play a crucial role in assisting clients with activities of daily living, such as bathing, dressing, feeding, and mobility. They may also provide basic healthcare services, such as taking vital signs, monitoring patients' conditions, and administering medications under the supervision of registered nurses or other healthcare professionals. PSWs do not typically diagnose medical conditions or perform complex medical procedures, as these tasks are within the scope of practice of licensed healthcare providers.
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15. If Mr. Poulin's hearing aid is not working, what is the first thing you should check?

Explanation

When a hearing aid is not working, the first step should be to check if it is turned on. Often, the issue could simply be that the device was accidentally turned off or the battery was not properly connected. If the device is on and still not working, then you can move on to troubleshooting steps like changing the battery, cleaning it, or seeking professional repair.

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16. What does sundowning refer to?

Explanation

Sundowning is a phenomenon often observed in individuals with dementia, where their symptoms worsen in the late afternoon and evening hours. It can involve increased confusion, agitation, or restlessness, which can be exacerbated by factors like fatigue or changes in lighting. It is important to manage sundowning by providing comfort and a calm environment during these times.

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17. What does a "do not resuscitate" order indicate for a client?

Explanation

A "do not resuscitate" (DNR) order specifies that if the person stops breathing or their heart stops beating, CPR or any other resuscitation efforts will not be performed. This decision is typically made by individuals with terminal illnesses who wish to avoid aggressive life-prolonging treatments and to pass away peacefully. It is a personal choice that should be respected by healthcare professionals, and the order is legally binding in many jurisdictions.

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18. A fire alarm sounds. Which of the following actions is unsafe?

Explanation

Using elevators for a quick exit during a fire alarm is unsafe because elevators can malfunction during a fire, trapping people inside or taking them to the fire-affected floors. This can lead to serious injury or even death. It is recommended to use the stairs instead, as they are a safer and more reliable means of evacuation during a fire emergency.

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19. Mr. Lee has alopecia. What is this condition?

Explanation

Alopecia is a medical condition characterized by hair loss. It is not associated with excessive body hair, dry flakes on the scalp, or lice infestations. The condition can lead to patchy hair loss on the scalp or even complete baldness. There are different types of alopecia, such as alopecia areata, which occurs due to an autoimmune response. Treatment options depend on the cause of alopecia, but the most common symptom is noticeable hair thinning or loss.

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20. Reincarnation is the belief that:

Explanation

The correct answer is that reincarnation is the belief that the spirit or soul is reborn into another human body or another form of life. This belief suggests that after death, the soul or spirit continues to exist and is then transferred into a new physical form, either as a human or as another living being. This concept is often associated with certain religious and philosophical traditions, such as Hinduism and Buddhism. It implies a cycle of birth, death, and rebirth, where individuals have multiple lives to fulfill their spiritual journey or attain enlightenment.

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21. When transferring a client to bed, a chair, or a toilet, which side should move first?

Explanation

When transferring a client to bed, a chair, or a toilet, it is important for the client's strong side to move first. This is because the strong side is usually more stable and capable of bearing weight. By having the strong side move first, it helps maintain balance and reduces the risk of falls or injuries during the transfer.

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22. What does it mean if Mr. Lau has bipolar disorder?

Explanation

Bipolar disorder is a mental health condition characterized by extreme mood swings, including episodes of mania and depression. These mood swings can be severe and can significantly impact a person's daily functioning and quality of life. Therefore, the statement "has severe mood swings" accurately describes one of the defining features of bipolar disorder.

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23. Which of the following statements about spousal abuse is true?

Explanation

Spousal abuse is not gender-specific, and both men and women can be victims. It can take various forms, including physical, emotional, psychological, and sexual abuse. Recognizing that abuse is not limited to one gender helps in addressing it more effectively. The other statements are either inaccurate or incomplete, as abuse can involve more than just violence, and there can be multiple types of abuse present in a relationship.

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24. What is palliative care?

Explanation

Palliative care is focused on providing relief from the symptoms of a progressive and life-threatening illness rather than trying to cure it. It aims to improve the quality of life for patients by managing pain, symptoms, and emotional stress. This care includes physical treatments, emotional support, and spiritual guidance, addressing the overall well-being of the patient, especially during the end-of-life stages.

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25. What can a toddler typically do?

Explanation

Toddlers, typically between the ages of 1 and 3 years, develop fine motor skills allowing them to use a spoon and cup for feeding. This is a significant developmental milestone as it helps them gain independence. Riding a bike and helping set the table are skills developed later, while naming parts of the body might come a bit later in toddler development.

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26. Rehabilitation is often slower for which of the following?

Explanation

As people age, their bodies tend to become less resilient and more prone to injury or illness. This can result in a slower rehabilitation process for older adults compared to younger age groups. Additionally, older adults may have preexisting health conditions or reduced mobility, which can further contribute to a slower recovery. Therefore, rehabilitation is often slower for older adults.

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27. When working in a kitchen, which is most hygienic?

Explanation

Using paper towels to dry your hands is the correct answer because it is more hygienic compared to using a shared tea towel. Tea towels can harbor bacteria and other contaminants, which can be transferred to your hands when drying them. Paper towels are disposable and can be used once and then thrown away, reducing the risk of spreading germs.

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28. Goals should be SMART. What does SMART stand for?

Explanation

SMART stands for specific, measurable, achievable, realistic, and timely. This acronym is commonly used in goal-setting to ensure that goals are well-defined, trackable, attainable, relevant, and have a clear deadline. By setting SMART goals, individuals and organizations can increase their chances of success by providing clarity and focus, enabling effective planning and monitoring progress towards their objectives.

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29. What are activities of daily living (ADLs)?

Explanation

The correct answer is self-care activities that people perform daily to remain independent and to function in society. Activities of daily living refer to the basic tasks that individuals need to carry out in order to take care of themselves and maintain their independence. These activities include tasks such as bathing, dressing, eating, using the toilet, and grooming. They are essential for individuals to meet their personal needs and participate in society.

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30. Gloves are worn when in contact with the following, except:

Explanation

Gloves are worn when in contact with blood, body fluids, secretions, and excretions to prevent the transmission of pathogens and maintain hygiene. However, gloves are not typically worn when in contact with sweat because sweat is not considered a high-risk fluid for transmitting infections. Sweat is mostly composed of water and electrolytes, and the risk of transmitting pathogens through sweat is relatively low compared to other bodily fluids. Therefore, gloves are not necessary when handling sweat.

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31. What type of injuries are support workers at greatest risk for?

Explanation

Support workers are at great risk for back injuries due to the nature of their work. They often have to lift and transfer patients, which can put a strain on their back muscles and spine. Additionally, support workers may have to spend long hours standing or bending, further increasing the risk of back injuries. These injuries can be debilitating and can greatly impact the worker's ability to perform their job effectively. It is crucial for support workers to receive proper training on safe lifting techniques and to use assistive devices when necessary to prevent back injuries.

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32. If an RN delegates a task to you, which statement is true? 

Explanation

When an RN delegates a task to you, it means that they are entrusting you with the responsibility of completing that task. However, this does not absolve you from being accountable for your actions. The RN still retains overall responsibility for your actions as they are ultimately responsible for the care provided to the patient. Therefore, both you and the RN are responsible for your actions when a task is delegated to you.

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33. As death approaches, which sense is the last to be lost?

Explanation

As death approaches, hearing is typically the last sense to be lost. Even though other senses like sight or touch may decline, people often retain the ability to hear. This is significant because loved ones can still communicate with the dying person, and hearing may provide comfort in their final moments. It is important to speak to the person, even if they appear unresponsive, as they may still be able to hear.

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34. A mother has red vaginal discharge in the first few days after childbirth. What is this?

Explanation

The red vaginal discharge seen in the first few days after childbirth is called lochia. This discharge consists of blood, mucus, and uterine tissue shedding from the lining of the uterus as it heals after delivery. It is a normal process during the postpartum period, and its color changes over time as the healing progresses. Lochia is not menstrual flow or from an episiotomy but a natural bodily response post-delivery.

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35. In 24-hour time, what does 1330 represent?

Explanation

In 24-hour time, the first two digits (13) represent the hour, and the last two digits (30) represent the minutes. Since 13 hours is in the afternoon (after 12 PM), 1330 represents 1:30 PM. The 24-hour clock system is commonly used in military and medical settings, where the time starts at 00:00 (midnight) and goes until 23:59. It eliminates the need for AM or PM designations.

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36. What does the rehabilitation process address?

Explanation

The rehabilitation process addresses the whole person, not just physical health or emotional health. This means that it takes into consideration all aspects of a person's well-being, including their physical, mental, emotional, and social needs. By addressing the whole person, rehabilitation aims to improve overall functioning and quality of life, rather than focusing on specific areas or limitations.

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37. You and Mrs Jones are talking about her surgery. Which of the following is a closed question?

Explanation

A closed question is one that can be answered with a simple "yes" or "no," providing limited information. "Do you feel better now?" is a closed question because it does not encourage elaboration or discussion. In contrast, open-ended questions such as "Tell me what your plans are for home" require the respondent to provide more detailed answers, promoting dialogue. Closed questions are useful for gathering specific information quickly, but they may not foster deeper conversations or insights, which are often necessary in therapeutic or supportive contexts.

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38. Support services provided through home care do not include:

Explanation

The correct answer is respiratory therapy. Support services provided through home care typically include personal care, assistance with activities of daily living, and assistance with home management. However, respiratory therapy is not typically included in home care services. Respiratory therapy is a specialized medical service that focuses on treating and managing respiratory conditions, such as asthma or chronic obstructive pulmonary disease (COPD), and is usually provided in a hospital or clinic setting.

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39. Which statement will promote communication?

Explanation

Asking "Why are you crying?" promotes communication because it shows empathy and a willingness to understand the other person's feelings. This question opens a dialogue and creates an opportunity to listen and offer support. It encourages the individual to express their emotions, which is important for effective communication. In contrast, the other responses ("Don't worry," "Everything will be just fine," "This is a good facility") may dismiss the person's feelings or fail to engage them in meaningful conversation. Listening is a key component of promoting communication.

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40. People with early-stage dementia usually:

Explanation

In the early stages of dementia, individuals are typically able to live in their own homes with the help of caregivers or family members. While they may require assistance with some daily tasks, they generally maintain a level of independence. However, as dementia progresses, more intensive care may become necessary, including potential relocation to secured units. Early intervention and support can help maintain quality of life and safety for individuals with dementia.
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41. Mr. Smith tires very easily. His morning care includes a bath, hair care and getting dressed. His bed is made after he is dressed. When should Mr. Smith rest?

Explanation

Mr. Smith should rest whenever he feels the need to, especially since he tires easily. Resting at any point during his care routine is essential to prevent exhaustion and support his well-being. Whether it is after his bath or before hair care, providing him the option to rest helps manage his energy levels. Tailoring care to his physical cues ensures he stays comfortable and avoids overexertion, which is important for people with limited stamina or health concerns.

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42. Intense fear of bathing or perineal care may be a sign of which type of abuse?

Explanation

The intense fear of bathing or perineal care can be a sign of sexual abuse. This fear may arise due to the association of these activities with the traumatic experience of abuse. Victims of sexual abuse often develop aversions or fears related to activities that remind them of the abuse, and bathing or perineal care can be triggers for these feelings. It is important to recognize this fear as a potential indication of sexual abuse and to provide support and intervention for the victim.

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43. A caesarean delivery involves which type of incision?

Explanation

A caesarean delivery involves an abdominal incision because it is a surgical procedure in which the baby is delivered through an incision made in the mother's abdomen and uterus. This is typically done when a vaginal delivery is not possible or safe for the mother or baby due to certain medical conditions or complications. The incision allows the healthcare provider to access the baby and safely deliver them.

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44. Which action will not help normal elimination?

Explanation

The given answer, "tell the client to hurry as their roommate is waiting for the bathroom," is not correct because it does not prioritize the client's needs and comfort. It is important to provide a safe and comfortable environment for the client, which includes allowing them to assume a normal position for urination, providing privacy, and assisting them to the bathroom or providing necessary aids like a bedpan or urinal as soon as requested. Rushing the client due to their roommate's waiting is not appropriate and may cause discomfort or potential accidents.

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45. When should cord and circumcision care be given?

Explanation

The correct answer is "at every diaper change" because it is important to keep the cord and circumcision area clean and dry to prevent infection. Changing the diaper frequently ensures that any urine or feces that may come into contact with the area are promptly removed, reducing the risk of bacterial growth. Additionally, cleaning the area with mild soap and water or using specialized wipes can help maintain good hygiene and promote healing.

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46. When are bed rails raised?

Explanation

The correct answer is that bed rails are raised when your supervisor and care plan tells you to raise them. This means that the decision to raise the bed rails is based on the instructions and guidance provided by the supervisor and the care plan for the individual. This ensures that the person's safety and well-being are being prioritized and that the appropriate measures are being taken to prevent any accidents or injuries.

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47. Which work setting may provide acute care?

Explanation

Hospitals may provide acute care because they have the necessary resources, equipment, and medical staff to handle critical and severe medical conditions. They are equipped to provide immediate and intensive medical treatment and interventions for patients who require urgent care. Home care, long term care facilities, and assisted living facilities are not typically equipped to provide the same level of acute care as hospitals.

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48. When is post-mortem care done?

Explanation

Post-mortem care is the care provided to a deceased person after they have been pronounced dead. This includes various tasks such as cleaning and preparing the body for viewing or transportation. It is important to perform post-mortem care after the person has been pronounced dead to ensure proper handling and respect for the deceased individual.

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49. Which is not an accurate way to check for the right medication dose?

Explanation

  • A client or family member may not have accurate knowledge of the prescribed dose, which can lead to errors. Verifying the correct dose requires consulting official sources such as the Medication Administration Record (MAR), prescription label, or care plan. These sources are reliable and designed to ensure safe and accurate medication administration.

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50. During an exchange of information, a message is sent from:

Explanation

During an exchange of information, a message is sent from a speaker to a receiver. This implies that the speaker is the one initiating the communication by conveying the message, while the receiver is the intended recipient of the message. The other options, such as "from a receiver to a speaker" or "from a speaker to speaker," do not accurately represent the typical flow of communication where one person is speaking and the other is listening. Additionally, the option "without feedback" is not chosen as it does not specify the direction of the message.

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51. Mr. Graziano puts on his shirt using one arm. His progress is slow. What should you do?

Explanation

Encouraging Mr. Graziano by praising his effort boosts his confidence and motivates him to continue. Rehabilitation often involves small, incremental progress, and recognizing his efforts fosters a positive attitude. Suggesting a new task or making remarks about speed might discourage him. Acknowledging accomplishments, no matter how small, emphasizes progress and promotes self-reliance.

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52. The membership of a healthcare team is determined by:

Explanation

The membership of a healthcare team is determined by the client's needs because the primary goal of any healthcare team is to provide the best possible care and support to the client. The team members are selected based on their expertise and skills that align with the specific needs of the client. This ensures that the client receives appropriate and comprehensive care, tailored to their individual requirements. The client's needs act as the guiding factor in determining the composition of the healthcare team, ensuring that all aspects of their care are addressed effectively.

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53. What is stress?

Explanation

Stress is the emotional, behavioral, or physical reaction that occurs when individuals face a challenging situation. It can manifest in various ways, such as anxiety, increased heart rate, or irritability. Stress is not inherently a mental or emotional disorder but can contribute to the development of such conditions. The intensity of stress depends on personal factors, such as temperament and coping mechanisms.

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54. What is the abbreviation for "at once, immediately"?

Explanation

The abbreviation "STAT" is commonly used in medical settings to indicate that something should be done immediately or urgently. It is derived from the Latin word "statim," meaning "immediately." When healthcare professionals see "STAT," they understand it is a priority action that needs to be performed without delay, which makes it the correct abbreviation for the phrase "at once, immediately."

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55. In which order should you do laundry, dust surfaces, and mop the floor?

Explanation

Starting with laundry reduces clutter and frees up space for other tasks. Dusting comes next to remove particles that could fall onto the floor during cleaning. Mopping is done last to ensure any dust or dirt dislodged during previous tasks is thoroughly cleaned. This sequence ensures efficiency and a cleaner environment.

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56. Which of the following is not a sign of infection?

Explanation

Bleeding is not typically a sign of infection. Infections often manifest as fever, redness, swelling, pain, or systemic symptoms like fatigue or loss of appetite. These occur as the body’s immune system responds to invading pathogens such as bacteria, viruses, or fungi. While bleeding may accompany infections in rare cases, it is more commonly associated with trauma, injuries, or specific medical conditions unrelated to infection. Proper assessment of symptoms helps differentiate infections from other health issues, allowing for timely diagnosis and appropriate treatment.

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57. What is the outer layer of the skin called?

Explanation

The outer layer of the skin is called the epidermis. It is the topmost layer of the skin and acts as a protective barrier against external factors such as bacteria, UV radiation, and chemicals. The epidermis is composed of several layers of cells, including keratinocytes which produce a protein called keratin that gives the skin its strength and waterproofing properties. Additionally, the epidermis contains melanocytes, which produce melanin, the pigment responsible for skin color. Overall, the epidermis plays a crucial role in maintaining the integrity and health of the skin.

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58. What does a holistic approach to health involve?

Explanation

A holistic approach to health takes into account the whole person, considering not only their physical health but also their mental, emotional, and social well-being. It recognizes that all aspects of a person's life are interconnected and can impact their overall health. This approach aims to address the root causes of health issues rather than just treating the symptoms, and emphasizes the importance of prevention and self-care. By considering the whole person, healthcare professionals can provide more comprehensive and personalized care to promote overall well-being.

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59. What is cerebral palsy usually caused by?

Explanation

Cerebral palsy is often caused by a lack of oxygen to the brain, which can occur during pregnancy, labor, or shortly after birth. This oxygen deprivation can lead to brain damage, particularly affecting the motor control centers of the brain. The condition typically results in physical disabilities such as difficulty with movement and coordination. The other options, such as an extra chromosome or fever, are not common causes of cerebral palsy, though infections during pregnancy can be a contributing factor in some cases.

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60. Shira, 15, has lost 30 pounds. She is terrified of becoming fat, even though she is extremely thin and avoids food. Shira likely has:

Explanation

Shira's fear of becoming fat and her extreme thinness, along with her avoidance of food, suggest that she may have anorexia nervosa. Anorexia nervosa is an eating disorder characterized by an intense fear of gaining weight, a distorted body image, and restrictive eating habits. Shira's behaviors align with the symptoms commonly associated with anorexia nervosa, making it the most likely explanation for her condition.

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61. Which thermometer is rarely used in healthcare settings?

Explanation

Glass thermometers are rarely used in healthcare settings because they are fragile and can break easily, posing a risk of injury to patients and healthcare professionals. Additionally, glass thermometers require more time to measure temperature accurately compared to digital or electronic thermometers, which can provide instant readings. Therefore, healthcare settings prefer to use more durable and efficient thermometers such as digital or electronic ones.

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62. If the nurse gives Mr. Smith medication for pain and a procedure is scheduled for this time, what should you do?

Explanation

The correct answer is to wait half an hour to let the medication take effect. This is because pain medication needs time to start working and provide relief. Performing the procedure immediately after giving the medication may not be effective as the medication may not have had enough time to take effect. Waiting for half an hour allows the medication to be absorbed and begin working, ensuring that the procedure can be performed with the maximum benefit of pain relief.

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63. Which of the following helps prevent permanent plantar flexion?

Explanation

A foot board is a device that helps to prevent permanent plantar flexion, which is the downward bending of the foot. It provides support and keeps the foot in a neutral position, preventing it from becoming fixed in a downward position. This can be particularly important for individuals who are bedridden or have limited mobility, as it helps to maintain proper alignment and prevent contractures or deformities in the foot and ankle.

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64. Mrs. Muyama says, "I didn't sleep at all last night because of the pain in my back." This is:

Explanation

Mrs. Muyama's statement reflects her personal experience and perception of the pain she is feeling, which makes it subjective data. Subjective data is information shared by the patient that cannot be directly observed or measured by others. This type of data is crucial in understanding the patient's condition and guiding appropriate care. It provides insight into how the patient feels and their challenges, which helps healthcare professionals in planning treatment and interventions.
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65. Where is a single-tip cane used?

Explanation

A single-tip cane is used on the strong side because it provides support and stability to the weaker side of the body. By using the cane on the strong side, the individual can shift their weight onto the cane, relieving pressure on the weaker side and reducing the risk of falls or injuries. This allows for better balance and mobility while walking.

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66. Which factor does not influence a person's reaction to a stressor?

Explanation

A person's sex does not influence their reaction to a stressor. Stressors can affect individuals regardless of their gender. Factors such as past experiences with the same stressor, the number of stressors present, and the person's temperament or personality can all play a role in how an individual reacts to stress. However, gender does not have a direct impact on how a person responds to a stressor.

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67. What should you not do when a person is having a stroke?

Explanation

When someone is having a stroke, it is important not to give them anything to eat or drink, as they may have difficulty swallowing and risk choking. Instead, you should position the person on their unaffected side to help with breathing and circulation, loosen tight clothing to ease discomfort, and keep them calm and warm while waiting for emergency medical help.

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68. Which of the following should you do to prevent falls, except?

Explanation

Keeping the bed in the highest position does not help in preventing falls. In fact, it can increase the risk, particularly for individuals with mobility issues. A lower bed height makes it easier for individuals to get in and out of bed, reducing the risk of falls. It is important to ensure that the bed is positioned safely to avoid any accidents, particularly for those who are at higher risk of falling. Therefore, keeping the bed in the highest position should be avoided.

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69. What is a symptom of mastitis?

Explanation

Mastitis is an infection of the breast tissue that often affects breastfeeding women. One of its most common symptoms is pain in the breast, typically in the form of localized soreness, redness, and swelling. The pain is often accompanied by other signs such as fever, chills, and general discomfort. Mastitis can occur when bacteria enter the breast tissue through cracked skin or blocked milk ducts, and it requires prompt medical treatment to prevent complications.

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70. Which is not a purpose of bathing?

Explanation

Bathing serves various purposes such as increasing circulation, preventing odors, cleansing the skin, and refreshing and relaxing the person. However, promoting drying of the skin is not a purpose of bathing. In fact, bathing can sometimes have the opposite effect and actually moisturize the skin.

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71. When is an ostomy pouch usually emptied?

Explanation

An ostomy pouch should be emptied when feces is present, as this maintains hygiene and prevents discomfort or leakage for the client. Unlike scheduled intervals like every 4 to 6 hours or every morning, there is no fixed timeframe for emptying the pouch. It depends on the accumulation of waste in the pouch. Regular monitoring is necessary to ensure that the pouch is emptied when needed, as delaying could lead to skin irritation or other health concerns for the client.

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72. Protein is needed for:

Explanation

Protein is an essential nutrient that plays a crucial role in tissue growth and repair. When our body undergoes physical activity or experiences injuries, protein is needed to repair and rebuild damaged tissues. It is also involved in the synthesis of enzymes, hormones, and antibodies, which are important for the proper functioning of our immune system. Therefore, consuming an adequate amount of protein is necessary to support the growth and repair of tissues in our body.

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73. Which statement about the Canadian Charter of Rights and Freedoms is false?

Explanation

The Canadian Charter of Rights and Freedoms is indeed part of the Canadian constitution. It protects Canadians' right to equality before and under the law, as well as their right to freedom of expression. However, the statement that it does not apply at a provincial level is false. The Charter applies to all levels of government in Canada, including provincial and territorial governments. Therefore, the given answer is incorrect.

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74. Which statement about feeding a client is false?

Explanation

The use of a fork is not necessarily the best approach for all clients. Some clients may need assistance with eating, and others may prefer or require different types of utensils, such as spoons or their hands. Assessing the client's individual needs and preferences ensures that they receive appropriate assistance during mealtime, which can improve their eating experience.

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75. In older adults, when arteries lose their elasticity and become narrow, what result can occur?

Explanation

When arteries lose elasticity and narrow with age, it creates resistance to blood flow, leading to poor circulation. The heart must work harder to pump blood through these narrowed arteries, which can result in various health problems. The reduced circulation impairs oxygen and nutrient delivery to tissues and organs, contributing to complications such as high blood pressure, heart disease, and organ dysfunction. Maintaining cardiovascular health is crucial to prevent these aging-related issues.

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76. Which of the following is not a sign of physical abuse?

Explanation

The presence of staff and sore joints is not a sign of physical abuse. This answer implies that the person may be experiencing discomfort or pain due to factors unrelated to abuse, such as overexertion or a medical condition. Physical abuse typically involves visible injuries like old and new bruises, frequent or untreated injuries, or an unbelievable explanation for injuries. However, staff and sore joints alone do not indicate physical abuse.

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77. Which statement about laying infants down to sleep is false?

Explanation

  • Placing pillows under infants' heads while they sleep is unsafe. Pillows pose a suffocation hazard as infants may accidentally roll onto their faces, obstructing their airways. Safe sleep practices recommend laying infants on their backs without pillows, soft toys, or loose bedding to reduce the risk of Sudden Infant Death Syndrome (SIDS). Overheating should also be avoided to ensure a safe sleeping environment. These measures help prevent accidents and provide a safe, comfortable sleep setting for infants.

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78. When assisting with oxygen therapy, what should you do?

Explanation

  • Ensuring that the oxygen tubing is free of kinks is essential for maintaining the proper flow of oxygen to the patient. Kinks can obstruct the oxygen supply, leading to inadequate oxygenation. Only trained medical personnel should adjust, start, or decide on oxygen therapy devices. Maintaining a smooth and unobstructed oxygen flow ensures effective therapy and minimizes the risk of complications or reduced oxygen delivery to the patient.

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79. When do developmental disabilities occur?

Explanation

Developmental disabilities can occur before birth, at birth, or during childhood or adolescence. This means that these disabilities can arise at any point before adulthood. It is important to note that not all developmental disabilities occur during adulthood, as the other options suggest. Developmental disabilities can result from various factors such as genetic conditions, exposure to harmful substances during pregnancy, complications during birth, or environmental factors during childhood or adolescence.

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80. Which statement about restraints is false?

Explanation

The purpose of restraints is to ensure the safety of the person, not to make staff tasks easier. Restraints include devices or medications that limit movement to prevent harm, such as falls or injury. They are used only when necessary and as a last resort, following proper medical or care guidelines. Misuse of restraints for staff convenience is unethical and violates care standards focused on dignity and safety.

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81. Which blood vessels carry blood away from the heart?

Explanation

Arteries carry blood away from the heart. They are thick-walled blood vessels that transport oxygenated blood from the heart to various parts of the body. The walls of arteries are elastic and muscular, allowing them to withstand the high pressure generated by the heart's pumping action. This enables efficient distribution of oxygen and nutrients to tissues and organs throughout the body.

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82. Which of the following statements about measuring weight is false?

Explanation

A digital scale should not read "10" before the client is weighed. The scale should read zero before the client steps on it to get an accurate measurement of their weight. If the scale reads a number other than zero before the client is weighed, it means that there is an error or calibration issue with the scale.

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83. In a community setting, who usually assesses, monitors, and evaluates a client's needs and coordinates the services of the healthcare team?

Explanation

The case manager is responsible for assessing, monitoring, and evaluating a client's needs in a community setting. They also coordinate the services provided by the healthcare team. This role involves collaborating with various healthcare professionals, such as the family physician, occupational therapist, and social worker, to ensure that the client's needs are met effectively. The case manager plays a crucial role in coordinating and managing the overall care and services provided to the client in a community setting.

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84. The goals of first aid are to:

Explanation

The primary goals of first aid are to prevent death and prevent further injuries from becoming worse. This involves providing immediate care to stabilize the injured or ill person, applying techniques such as CPR, controlling bleeding, or immobilizing injuries, until professional medical help arrives. Effective first aid can be life-saving, reduce the severity of injuries, and improve the chances of recovery. Staying calm and reassuring the person is also important, but the focus is on preventing further harm.
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85. When giving CPR to an adult, how deep should chest compressions be?

Explanation

When performing CPR on an adult, chest compressions should be 4 to 5 cm (1 1/2 to 2 in) deep using both hands. This depth ensures sufficient force to help circulate blood and maintain oxygen to vital organs. Using two hands distributes the force evenly, maximizing the effectiveness of compressions while minimizing the risk of injury to the rescuer.
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86. When checking a client with heat application, which of the following do you not need to report?

Explanation

When heat is applied to a client's body, it is expected that the skin will become warm. Therefore, warm skin does not need to be reported as it is a normal response. However, other signs like shivering, pale skin, or cyanosis are signs of potential complications and should be reported promptly, as they may indicate adverse reactions.

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87. Which of the following conditions does not usually require a sodium-restricted diet?

Explanation

Sodium-restricted diets are typically recommended for conditions that involve fluid retention or increased blood pressure, such as heart disease, kidney disease, and liver disease. Diabetes itself does not usually require a sodium-restricted diet, though individuals with diabetes should still maintain balanced nutrition. High sodium intake can contribute to complications in individuals with diabetes, but it is not a primary dietary restriction for managing the disease.

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88. Which of the following conditions does not usually require a sodium-restricted diet?

Explanation

While diabetes requires careful management of blood sugar levels, it does not necessarily require a sodium-restricted diet. Sodium restriction is typically recommended for conditions like heart disease, kidney disease, and liver disease to manage fluid retention and blood pressure. However, people with diabetes should still maintain a balanced diet, with attention to sodium intake as part of overall health management.

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89. When confronted by an abusive client, you should not:

Explanation

When confronted by an abusive client, it is important not to touch the person. Physical contact can escalate the situation and potentially lead to harm. It is best to maintain a safe distance of about two meters (6 feet) from the person to ensure personal safety. Instead of touching, it is advisable to communicate calmly with the person, trying to de-escalate the situation. If the situation feels dangerous, it is recommended to leave the room or house quickly to protect oneself from any potential harm.

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90. The stage of infancy is the first:

Explanation

Infancy is generally considered the first year of life. This period is marked by rapid physical, emotional, and cognitive development. Infants experience significant milestones, such as learning to roll over, sit up, and take their first steps. During this year, brain growth and the formation of critical neural connections occur at a fast rate. Providing a safe, nurturing environment is essential during infancy to promote healthy growth and development.

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91. What is a major complication of nasogastric or nasointestinal tubes?

Explanation

Aspiration is a major complication of nasogastric or nasointestinal tubes. When these tubes are inserted into the nose or intestine for feeding purposes, there is a risk of the contents of the tube entering the airway instead of the stomach or intestines. This can lead to aspiration pneumonia, a serious condition where the lungs become infected due to the presence of foreign material. Therefore, it is crucial to carefully manage and monitor the placement and functioning of nasogastric or nasointestinal tubes to prevent aspiration.

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92. Where does rehabilitation take place?

Explanation

Rehabilitation takes place in a variety of facilities and community settings because different individuals have different needs and preferences when it comes to their recovery process. Some people may require the specialized care and equipment available in hospitals or long-term care facilities, while others may prefer to receive rehabilitation services in their own homes or in community-based settings. By offering rehabilitation services in various locations, individuals can have access to the type of environment that best suits their needs and promotes their overall well-being.

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93. What is the most pressing cause of healthcare reform?

Explanation

The rising costs of providing technology, drugs, and services have been the most pressing cause of health care reform. This is because these increasing costs have made healthcare unaffordable for many individuals and have put a strain on healthcare systems and providers. As a result, there is a need for reform to address these rising costs and make healthcare more accessible and affordable for all.

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94. Mr. Mueller sees a psychologist to explore unconscious conflicts and understand the underlying reasons for his problems. What type of therapy is being used?

Explanation

Psychoanalysis focuses on exploring unconscious conflicts and hidden emotions that influence behavior. It aims to bring repressed thoughts and feelings to the conscious mind, allowing insight and resolution. This approach, developed by Sigmund Freud, helps individuals uncover the root causes of emotional or psychological difficulties. In contrast, occupational therapy aids in daily activities, behavior therapy modifies specific behaviors, and group therapy provides support through shared experiences.

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95. What is the goal of bowel training?

Explanation

Bowel training aims to help individuals regain control over bowel movements by establishing a regular elimination schedule. This is particularly beneficial for those with fecal incontinence or irregular bowel patterns. The process often includes scheduled toileting, dietary adjustments, and exercises to strengthen the pelvic floor. While preventing constipation, impaction, and incontinence may be secondary benefits, the primary focus is on creating a predictable and manageable routine. This promotes independence, improves quality of life, and reduces discomfort associated with irregular bowel habits.

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96. What disorder is Mrs. Pare most likely to have if she washes her hands excessively due to fear of disease?

Explanation

Mrs. Pare's excessive hand washing and fear of catching a disease indicate that she may have obsessive-compulsive disorder (OCD). OCD is characterized by recurring obsessions and compulsions that cause distress and interfere with daily life. In this case, Mrs. Pare's obsession is the fear of catching a disease, which leads to the compulsion of washing her hands excessively. This behavior is driven by her need to alleviate anxiety and prevent the perceived threat of disease. Panic disorder, phobic disorder, and anorexia disorder do not align with the symptoms described in the question.

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97. What type of residents are typically found in retirement facilities?

Explanation

Residents in retirement facilities generally include older adults with limited care needs. Retirement facilities are designed to provide housing and support services for older adults who are still relatively independent but may require some assistance with daily activities. These facilities often offer amenities such as meals, housekeeping, transportation, and social activities to enhance the residents' quality of life. The focus is on providing a safe and comfortable environment for older adults who do not require extensive medical or personal care.

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98. Which of the following statements is false?

Explanation

It is false to say that a country has only one ethnic group. Many countries are home to diverse ethnic groups, each with its own unique culture, language, and traditions. For example, the United States, India, and Brazil are multi-ethnic nations. Ethnicity refers to shared cultural characteristics, and a nation can have a variety of ethnic communities living within it.

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99. What do home management duties include?

Explanation

Home management duties primarily involve tasks that maintain a clean and organized living space. Light housekeeping includes activities like dusting, vacuuming, and mopping. These tasks ensure a hygienic and comfortable environment. More intensive tasks, such as organizing a garage or cleaning the attic, typically fall outside the scope of basic home management duties.

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100. You are angry with a co-worker but yell at a friend instead. What defense mechanism is this?

Explanation

Displacement is the defense mechanism being exhibited in this scenario. Displacement occurs when a person redirects their feelings or emotions from their original source onto a less threatening target. In this case, the individual is angry with their co-worker but instead of expressing their anger towards them, they yell at their friend. This allows them to release their anger in a safer way, avoiding potential conflict with their co-worker.

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101. What is the term for when a client's skin rubs against the sheet?

Explanation

Friction occurs when two surfaces rub against each other, creating resistance. In this scenario, when a client's skin rubs against the sheet, it creates friction. This can lead to irritation, discomfort, and potential skin damage, especially if the rubbing is prolonged. Friction is a common concern in healthcare settings, as it can contribute to skin breakdown, particularly in immobile patients. Shearing, on the other hand, refers to the force that causes the skin and underlying tissues to slide in opposite directions, which can also cause damage.

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102. Which of the following statements about dementia is false?

Explanation

Dementia is not a normal part of aging. While it is more common in people over the age of 65, it can affect individuals as young as in their 40s. Dementia is a progressive condition that involves cognitive decline, affecting memory, reasoning, and other mental functions. It is important to distinguish dementia from normal age-related changes, as it requires medical intervention and care. Dementia can significantly impact quality of life and independence, so early diagnosis and treatment are essential.
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103. Mr. Dunn has moderate dementia and tends to wander. Which of the following should you not do?

Explanation

It is important to ensure Mr. Dunn's safety by taking preventive measures such as turning on door alarms, ensuring he wears an ID bracelet, and helping him with exercise as ordered. However, telling him about safe areas for wandering may not be effective, as his dementia could impair his memory and ability to understand, making it better to provide a safe, supervised environment instead.

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104. To prevent equipment accidents, which action should you avoid?

Explanation

  • Fixing broken equipment is not a responsibility for untrained individuals and could cause further damage or accidents. Instead, report broken items to qualified maintenance personnel for repair. Using equipment as intended, stopping usage at the first sign of a burning smell, and using three-pronged plugs are proper safety measures. These precautions ensure safe and effective use of equipment, minimizing the risk of accidents or injuries.

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105. Mrs. Stein has sore, swollen joints in her hands. Which of the following is not likely your responsibility?

Explanation

The correct answer is pouring the medication for her and administering to her. This is not likely your responsibility because Mrs. Stein is capable of pouring her own medication, and it is not necessary for you to administer it to her. Your responsibilities would include loosening and removing container lids, supporting her hand as she pours her medication, and closing the container for her and putting it away.

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106. What is the Trendelenburg's bed position?

Explanation

Trendelenburg's bed position is a semi-sitting position where the head of the bed is lowered and the foot of the bed is raised. This position is often used in medical settings to improve blood flow to vital organs, especially in cases of shock or low blood pressure. By lowering the head and raising the foot of the bed, gravity helps to increase blood flow back to the heart and improve circulation. This position can also be used during certain surgical procedures or to relieve symptoms of conditions like congestive heart failure.

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107. What do standard precautions involve?

Explanation

Standard precautions are a set of infection control practices that are used to protect healthcare workers and clients from the transmission of infectious diseases. These precautions include hand hygiene, the use of personal protective equipment, safe injection practices, and proper handling and disposal of sharps. By stating that standard precautions are used for all clients, the answer implies that these measures should be followed regardless of the client's age or specific condition, as they are essential for preventing the spread of infections in any healthcare setting.

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108. Good body alignment means:

Explanation

Good body alignment means having the head, trunk, arms, and legs align with one another. This refers to the proper positioning and alignment of the body's major parts, ensuring that they are in a balanced and neutral position. When the head, trunk, arms, and legs are aligned, it helps to distribute weight evenly, reduces strain on muscles and joints, and promotes good posture. This alignment also allows for efficient movement and helps to prevent injuries and discomfort.

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109. Which method is usually used to take a pulse?

Explanation

The radial pulse is usually used to take pulse. The radial artery is located on the wrist, making it easily accessible and convenient for measuring the pulse rate. Health professionals often use this method as it provides a reliable and accurate measurement of the heart rate. Additionally, the radial pulse is less invasive compared to other methods such as the apical or brachial pulse, making it a preferred choice in many healthcare settings.

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110. People with diabetes must:

Explanation

A high-fiber diet is important for people with diabetes because it helps regulate blood sugar levels. Fiber slows the absorption of glucose, which can prevent sudden spikes in blood sugar. It also aids in digestion and promotes heart health. While fluid intake, fat, protein, and carbohydrate balance are important, a high fiber diet is particularly recommended to manage diabetes effectively. Foods like whole grains, vegetables, and fruits provide beneficial fiber for individuals with diabetes.

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111. Which of the following changes to the skin occurs with aging?

Explanation

With aging, the skin becomes more fragile and dry, and using soap daily can strip the skin of its natural oils, which worsens the dryness. Instead of harsh soaps, gentle cleansers should be used to maintain skin hydration. Applying lotion according to the care plan and providing good skin care help protect the skin's integrity. Keeping the body warm and moisturizing the skin regularly can help maintain skin health and comfort, which is crucial in older adults.

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112. A gastrostomy tube is inserted into the:

Explanation

A gastrostomy tube is a feeding tube inserted directly into the stomach through the abdominal wall. It is used for patients who cannot eat or swallow normally due to various medical conditions. The procedure allows for long-term feeding without the need for oral intake. The stomach is the intended location for the gastrostomy tube, and it provides a more direct and comfortable route for delivering nutrition and medications over an extended period.

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113. How often should you check Mrs. Know and the position of her restraint?

Explanation

The correct answer is "every 15 min" because Mrs. Know has a restrain, which implies that she may be at risk of harm or injury. Checking her and the position of the restrain at regular intervals ensures her safety and prevents any potential accidents or discomfort. Checking her every 15 minutes allows for timely adjustments or interventions if needed, ensuring that she remains secure and comfortable throughout.

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114. What type of service aims to provide a temporary break to family caregivers?

Explanation

Respite services provide temporary relief to family caregivers by giving them a break from caregiving duties. These services can be offered in various settings such as in-home care, adult day programs, or residential care facilities. The goal is to allow caregivers to recharge, reducing the stress and risk of burnout. It helps ensure that caregivers can continue to provide care without compromising their health or well-being.

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115. What is the term for black, tarry stool?

Explanation

Melena refers to the black, tarry stool that occurs due to the presence of digested blood in the gastrointestinal tract. It is usually caused by bleeding in the upper digestive system, such as the stomach or small intestine. The dark color of the stool is a result of the breakdown of hemoglobin in the blood as it passes through the digestive system. Melena is an important symptom that indicates internal bleeding and should be promptly evaluated by a healthcare professional.

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116. A person complains of pain in the left side of the chest, extending to the left jaw, shoulder, and arm. This is:

Explanation

The person's description of pain spreading from the left side of the chest to the left jaw, shoulder, and arm suggests that the pain is radiating from its source. Radiation pain occurs when pain is felt in an area away from the actual source of the pain. In this case, the pain is likely originating from the chest and radiating to other areas.

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117. What does spina bifida involve?

Explanation

Spina bifida is a condition that occurs when the spine does not close properly during fetal development. This can result in various complications, such as paralysis, difficulty walking, and problems with bladder and bowel control. The other options mentioned, such as seizures, abnormalities in the structure of the heart, and changes in the x-chromosomes, are not directly associated with spina bifida. Therefore, the correct answer is "improper closing of the spine."

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118. Which of the following measures will not help Mr. Smith rest or sleep?

Explanation

Helping Mr. Smith to ambulate (walk) before rest or sleep will not help him to rest or sleep. Ambulating before rest or sleep may actually increase his energy levels and make it more difficult for him to relax and fall asleep. Walking can stimulate the body and mind, making it harder to wind down and enter a restful state. Therefore, this measure would not be beneficial in promoting rest or sleep for Mr. Smith.

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119. What does the term "medial" refer to?

Explanation

The term "medial" refers to something that is closer to the middle or midline of the body or body part. It is used to describe anatomical structures located towards the center, as opposed to lateral, which refers to structures farther from the midline. Medial is a key directional term used in anatomy to pinpoint locations in relation to the body's central axis.

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120. What does the abbreviation BRP stand for?

Explanation

BRP stands for "Bathroom Privileges," which is a term used in healthcare to indicate that a patient is allowed to use the bathroom when necessary. This is common for patients who are mobile or have been granted certain freedoms in their care plan. The other options do not accurately describe the meaning of BRP in this context.

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121. Mrs. Carrera always tries to get up without help. You should do the following except:

Explanation

The correct approach is to allow Mrs. Carrera to maintain as much independence as possible while ensuring her safety. Deciding on your own to keep bedrails up could restrict her movement and independence, which might lead to frustration or a feeling of loss of control. It is more effective to remind her to call for assistance, check on her regularly, and help her to the bathroom at appropriate times, as needed.

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122. What does the intentional threat to touch someone without consent represent?

Explanation

Assault refers to the intentional attempt or threat to touch a person's body without their consent. It involves the act of creating fear or apprehension in the victim, even if physical contact does not occur. This can include actions such as raising a fist or brandishing a weapon, which instill a sense of imminent harm. Battery, on the other hand, involves the actual physical contact or harmful touching without consent. Defamation refers to making false statements that harm a person's reputation, while false imprisonment involves unlawfully restraining someone's freedom of movement.

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123. Which of the following is the best practice for a Personal Support Worker (PSW) when assisting a client with mobility?

Explanation

Personal Support Workers (PSWs) should use proper body mechanics and lifting techniques to prevent injury to both themselves and the client. This includes using assistive devices when necessary and seeking help if required. Lifting a client by oneself without assistance can lead to injuries, and asking a client to move independently when they need assistance can be unsafe.

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124. The highest functions of the brain take place in the:

Explanation

The cerebral cortex is responsible for the highest functions of the brain, such as conscious thought, reasoning, perception, and voluntary movement. It is the outermost layer of the brain and plays a crucial role in information processing, memory, language, and decision-making. The medulla and brain stem are involved in regulating basic bodily functions like breathing, heart rate, and blood pressure. Spinal nerves transmit sensory and motor signals between the spinal cord and the rest of the body. However, these functions are not considered as high-level as those performed by the cerebral cortex.

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125.
  1. When brushing hair that is not matted or tangled, where should you start?

Explanation

When brushing hair that is not matted or tangled, it is recommended to start at the scalp. This is because brushing from the scalp helps distribute the natural oils produced by the scalp throughout the hair, promoting healthy hair growth and preventing dryness. Additionally, starting at the scalp allows for a more thorough and even brushing, ensuring that all sections of the hair are properly cared for.

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126. Which of the following is not true of chronic illness?

Explanation

Chronic illness is characterized by long-lasting and persistent health conditions. The given answer states that people usually recover from chronic illness, which is not true. Unlike acute illnesses, chronic illnesses generally cannot be cured completely, and individuals often have to manage their symptoms and treatment for an extended period of time. This answer contradicts the nature of chronic illnesses and their long-term impact on individuals' health and well-being.

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127. Which effect of hearing problems is often not obvious to others?

Explanation

Hearing problems often lead to loneliness and social isolation because individuals with hearing difficulties may struggle to engage in conversations, leading to withdrawal from social situations. While symptoms like talking too loudly, asking to repeat things, or answering questions inappropriately are observable, the emotional and social effects of hearing loss are more subtle. These effects can result in feelings of isolation, but they are often less visible to others compared to the physical signs of hearing impairment.

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128. Which member of the rehabilitation team evaluates a client's strength and balance?

Explanation

The physiotherapist is the healthcare professional responsible for evaluating and improving a client's strength and balance. They perform assessments to identify weaknesses and mobility challenges, then create tailored rehabilitation plans to help the client regain strength and balance. Physiotherapists use various therapeutic techniques and exercises to address physical impairments, helping clients to recover and function better. The other members of the rehabilitation team play different roles but are not directly responsible for evaluating strength and balance as physiotherapists are.

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129. When does playing with other children begin?

Explanation

During the preschool years, children begin to engage in more complex social interactions and start playing with other children. This is when they develop essential social skills like sharing, cooperation, and understanding social roles. Preschool years mark a significant stage in children's social development, as they begin forming friendships, participating in group activities, and learning to interact positively with peers. These experiences are crucial for their emotional, cognitive, and social growth.

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130. The statement "urinary elimination, impaired" is on a care plan. What type of statement is this?

Explanation

The statement "urinary elimination, impaired" is on a care plan. This indicates that it is a nursing diagnosis. Nursing diagnoses are statements that describe a client's actual or potential health problems that nurses can treat independently. They focus on the client's response to a health problem rather than on the medical diagnosis itself. Therefore, "nursing diagnosis" is the correct answer in this case.

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131. When does Down syndrome occur?

Explanation

Down syndrome occurs at fertilization when an extra copy of chromosome 21 is present, typically due to an error in the formation of the egg or sperm. This results in a fertilized egg with three copies of chromosome 21, instead of the normal two. This genetic abnormality is present from the very beginning of development, and it is not caused by external factors such as trauma or occurring later in pregnancy. Down syndrome is present from conception and continues throughout a person’s life.

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132. Where does most food absorption take place?

Explanation

The small intestine is the correct answer because it is the primary site for food absorption in the gastrointestinal tract. It has a large surface area due to the presence of villi and microvilli, which facilitate the absorption of nutrients into the bloodstream. The stomach primarily functions in the digestion of food, while the colon and large intestine are mainly involved in the absorption of water and electrolytes.

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133. Which of the following should be reported to your supervisor immediately?

Explanation

An adult having a pulse of 120 beats per minute is reported to the supervisor at once because it is considered abnormal. A normal resting heart rate for adults is typically between 60-100 beats per minute. A pulse rate of 120 beats per minute may indicate an underlying medical condition or an elevated heart rate due to physical exertion or stress. It is important to report this to the supervisor to ensure appropriate medical attention or intervention if necessary.

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134. What is systolic blood pressure?

Explanation

The systolic blood pressure is the point where the first sound is heard. This is because the first sound, known as Korotkoff sound, is produced when the blood starts flowing through the constricted artery as the pressure cuff is slowly released. This sound indicates the highest pressure exerted on the arterial walls during a heartbeat, which is the systolic blood pressure.

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135. How are people with speech and language disorders often affected emotionally?

Explanation

People with speech and language disorders often face emotional challenges, particularly in social interactions. Difficulty communicating can lead to misunderstandings, frustration, and isolation, making it harder to connect with family and friends. Over time, these challenges can impact relationships and self-esteem, highlighting the importance of communication support and therapy.

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136. Which of the following is false about changes in the musculoskeletal system with aging?

Explanation

It is false that older adults should avoid exercise. In fact, regular exercise is crucial for maintaining muscle strength, flexibility, and bone health. Range of motion exercises can help slow the progression of musculoskeletal changes, improve mobility, and reduce pain from stiff or painful joints. Exercise, when done appropriately, can enhance the overall quality of life for older adults by improving strength, balance, and coordination, and by reducing the risk of falls and fractures.

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137. Why should older adults avoid fried and fatty foods?

Explanation

  • Aging leads to a natural reduction in digestive juices, such as stomach acid and enzymes, which are essential for breaking down and processing foods, especially fats. Fried and fatty foods are harder to digest and may cause discomfort or indigestion in older adults due to this decrease. Choosing easily digestible foods helps support their digestive health and prevents gastrointestinal distress.

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138. What is true of all people with intellectual disabilities?

Explanation

Individuals with intellectual disabilities may face challenges in acquiring knowledge or skills, as their learning processes are affected. However, the extent of impairment varies widely, and many can learn new skills with proper support and time. It is inaccurate to assume they cannot learn or always require specialized care, as abilities and needs differ across individuals.
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139. What is the prolonged retention and accumulation of feces in the rectum called?

Explanation

Fecal impaction occurs when stool hardens and accumulates in the rectum, making it difficult or impossible to pass naturally. It often results from chronic constipation or insufficient fiber and fluid intake. Symptoms include abdominal pain, bloating, and a feeling of fullness. Left untreated, fecal impaction can lead to complications such as rectal damage or infection. Treatment usually involves manual removal, enemas, or laxatives. Constipation is a less severe difficulty in bowel movement, while diarrhea and anal incontinence involve the uncontrolled or frequent release of stool rather than retention.

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140. What characterizes an acute illness?

Explanation

An acute illness is characterized by its sudden onset and short duration. Unlike a slow, progressive illness, an acute illness develops rapidly and resolves quickly. It does not result in disability, as people usually recover from it. This answer accurately describes the defining characteristics of an acute illness.

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141. Which of the following is a benefit of the team approach to healthcare?

Explanation

The team approach to healthcare offers opportunities for collaboration among healthcare professionals. Collaboration allows for the sharing of knowledge, expertise, and resources, leading to improved patient outcomes. By working together, healthcare team members can combine their skills and perspectives to develop comprehensive and effective treatment plans. Collaboration also promotes communication and coordination, ensuring that all team members are on the same page and working towards a common goal. This approach fosters a supportive and cohesive healthcare environment, enhancing the quality of care provided to patients.

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142. What does flexion involve?

Explanation

Flexion involves bending the body part. This means that the joint angle decreases, bringing two body segments closer together. Flexion is a movement that occurs in many joints, such as the elbow, knee, and spine. It allows for a range of motion and is essential for various activities, such as walking, reaching, and sitting.

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143. What is the drainage called when you note clear, watery drainage from a wound?

Explanation

Serous drainage is a clear, watery fluid commonly seen in wounds, often indicating a normal and uncomplicated healing process. It consists primarily of plasma, which is the liquid part of blood, and helps to keep the wound moist and promote healing. Unlike purulent drainage, which is thick and yellow, or serosanguineous drainage, which contains a small amount of blood, serous drainage is indicative of a clean wound without infection.
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144. Kathy, 19, has schizophrenia and believes she is a famous actor. What is this an example of?

Explanation

Kathy's belief that she is a famous actor, despite no evidence to support this, is an example of delusions of grandeur. This type of delusion involves an exaggerated sense of self-importance or power, and is common in conditions like schizophrenia. These delusions can lead to individuals believing they have special abilities, connections, or fame that others do not recognize, which is a hallmark symptom of the disorder.

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145. Which of the following is false? People with substance dependence disorder:

Explanation

The statement "people with substance dependence disorder have only themselves to blame" is false. Substance dependence disorder is a complex condition influenced by genetic, environmental, and psychological factors. Blaming individuals solely ignores the many contributing factors such as trauma, mental health issues, and societal influences. It is crucial to approach addiction with empathy, offering support for recovery, rather than attributing blame, to help individuals overcome their dependency in a compassionate manner.

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146. What is the best position for using a bedpan?

Explanation

Fowler's position is the best position for using a bedpan because it allows the patient to sit up at a 45-60 degree angle, which promotes better bowel movement and reduces the risk of discomfort or spills. This position also provides easier access for caregivers to assist the patient in using the bedpan. The supine position (lying flat on the back), prone position (lying face down), and side lying position are not suitable for using a bedpan as they do not provide the necessary support and angle for effective and comfortable use.

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147. How should a surgical bed be positioned?

Explanation

A surgical bed is typically kept in the lowest position to ensure patient safety, especially when transferring or reducing the risk of falls. The lowest position allows patients to get in and out of bed more easily and securely. Fowler's and semi-Fowler's positions are commonly used for comfort, respiratory therapy, or eating, while the highest position is used for specific treatments or during certain medical procedures. Positioning is always adjusted based on the patient’s condition and care requirements. Ensuring the correct position reduces risks and facilitates proper medical care.

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148. Mr. Poulin has Meniere's disease. Which of the following is likely true?

Explanation

Meniere's disease is a disorder of the inner ear that can cause vertigo, which is a sensation of spinning or dizziness. It is characterized by episodes of vertigo, hearing loss, tinnitus (ringing in the ears), and a feeling of fullness or pressure in the affected ear. Therefore, it is likely true that vertigo is a major symptom of Mr. Poulin's Meniere's disease.

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149. You and Mr. Long are talking; Mr. Long avoids facing you and steps back from you. Which of the following is false?

Explanation

The statement "All people respond to cultural differences in the same way" is false. Cultural responses can vary greatly among individuals based on their background, experiences, and understanding. Cultural differences affect communication, roles, and perceptions of healthcare, but how people react to these differences is not uniform. Personal and contextual factors influence each individual's response to cultural diversity.

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150. If a client's SpO2 is 98%, which of the following is true?

Explanation

A SpO2 of 98% is within the normal range, which typically falls between 95% and 100%. This reading indicates that the client’s oxygen levels are adequate, meaning they are receiving sufficient oxygen through respiration. SpO2 readings are used to assess respiratory function and ensure that the body’s oxygen supply is adequate. A reading of 98% is considered healthy and does not require any immediate intervention, such as suctioning.

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151. A person has an indwelling catheter. Which action is incorrect?

Explanation

It is incorrect to tape any leaks at the connection site of an indwelling catheter. Taping leaks can result in the catheter becoming dislodged or causing further discomfort to the patient. Instead, any leaks should be reported to the healthcare provider for proper assessment and resolution.

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152. Which of the following statements about prejudice is false?

Explanation

Prejudice is an unjustified negative attitude toward individuals or groups based on characteristics like race, religion, or gender. It is generally harmful and not considered acceptable under any circumstances. Prejudice often leads to discrimination—actions that unfairly disadvantage certain groups. Stereotypes, or oversimplified generalizations, frequently contribute to the development of prejudice. While some may attempt to justify prejudice based on cultural or personal beliefs, this does not make it acceptable. Promoting understanding and inclusivity helps combat prejudice and its associated harmful effects on individuals and society.

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153. Which of the following is NOT used to treat pressure ulcers?

Explanation

Plastic draw sheets and waterproof pads are not used to treat pressure ulcers because they do not provide any therapeutic benefits for the healing process. While special beds, waterbeds and flotation pads, as well as heel elevators and elbow protectors, are commonly used in the management of pressure ulcers to relieve pressure, promote circulation, and protect vulnerable areas, plastic draw sheets and waterproof pads only serve to protect the bedding from moisture and stains. They do not address the underlying cause or contribute to the healing of pressure ulcers.

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154. The illegal restraint of another person's movement is called:

Explanation

False imprisonment refers to the illegal restraint of another person's movement. It occurs when someone intentionally confines another person without their consent and without lawful justification. This can involve physical barriers, such as locking someone in a room, or the use of threats or intimidation to prevent someone from leaving a certain area. False imprisonment is a civil and criminal offense, and individuals found guilty of this can face legal consequences.

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155. Which of the following is not a common reason for tube feedings?

Explanation

Pneumonia is not a common reason for tube feedings. Tube feedings are typically used when individuals cannot eat or swallow normally due to conditions such as cancer of the esophagus, surgery to the mouth, or dysphagia (difficulty swallowing). Pneumonia is a lung infection, and while it can affect a person's overall health, it doesn't directly impede the ability to eat or swallow.

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156. Which of the following is false? People with strong emotional health:

Explanation

People with strong emotional health do not necessarily show their emotions easily. Emotional health is about having the ability to understand and manage one's emotions effectively, rather than expressing them openly. People with strong emotional health are capable of controlling their emotions and expressing them in a healthy and appropriate manner. They have a strong sense of self-esteem, exhibit self-control, and are aware of their own strengths and weaknesses.

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157. Mrs. Kwon has mitt restraints. What is critical to report?

Explanation

If a person is restrained, it is important to report if you felt a pulse in the restrained extremities because it could indicate that the restraints are too tight and may be compromising blood circulation. This could potentially lead to serious complications such as tissue damage or even loss of limb. Therefore, it is crucial to inform the nurse about this observation to ensure the safety and well-being of the patient.

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158. What is nutrition?

Explanation

Nutrition refers to the processes involved in the ingestion, digestion, absorption, and utilization of food and fluids by the body. This complex series of steps ensures that the body receives the necessary nutrients to function properly. It encompasses how food is broken down, absorbed into the bloodstream, and used for energy, growth, and repair. Proper nutrition is essential for maintaining good health, preventing illness, and supporting bodily functions, making it central to overall well-being.

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159. What type of control do skeletal muscles have?

Explanation

Skeletal muscles are under voluntary control, meaning they can be consciously controlled by an individual. These muscles are responsible for movements such as walking, running, and lifting, and are attached to bones. Unlike smooth muscles, which operate involuntarily and are found in organs like the stomach, skeletal muscles can be intentionally contracted or relaxed based on a person's desires. Their striped appearance, due to the arrangement of fibers, distinguishes them from smooth muscles. Voluntary control enables complex and coordinated movement.
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160. Which of the following statements about delirium is false?

Explanation

Delirium is a temporary state of confusion, often caused by medication or infection. It is not something that should be ignored, as it is considered an emergency. Ignoring delirium can lead to further complications and potential harm to the client. It is important to address and treat delirium promptly to ensure the well-being and safety of the individual experiencing it.

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161. Which measure will help prevent stasis ulcers?

Explanation

Stasis ulcers are caused by poor circulation, often due to immobility. Avoiding injury to the legs and feet by ensuring proper positioning, gentle handling, and using cushioning can help prevent these ulcers. Proper foot care, such as avoiding pressure points and keeping the skin intact, is essential in managing the risk of stasis ulcers. The other measures do not directly address circulation or skin protection in the same way, making them less effective in preventing these types of ulcers.
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162. Which statement about ambulation is false?

Explanation

The statement "the client can shuffle or slide when beginning to walk after bed rest" is false. When beginning to walk after bed rest, it is important for the client to use proper walking techniques and maintain a steady gait. Shuffling or sliding while walking can indicate instability or weakness, and it is not a recommended or safe way to ambulate.

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163. At what age do peer group activities become more important?

Explanation

At the age of 8, peer group activities become more important because children start to develop a greater sense of independence and social skills. They become more aware of their own identity and begin to seek validation and acceptance from their peers. Peer group activities provide opportunities for children to interact, collaborate, and learn from their peers, which helps in their social and emotional development. Additionally, engaging in peer group activities allows children to establish friendships, build self-confidence, and develop important life skills such as communication, teamwork, and problem-solving.

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164. After paralysis of his right side, Mr. Graziano needs rehabilitation. How is personal care handled?

Explanation

The correct answer is "done by him to the extent possible." This means that Mr. Graziano is able to perform personal care tasks on his own to the best of his ability, given that his right side is paralyzed. It suggests that he is actively involved in his own rehabilitation process and is taking responsibility for his personal care needs.

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165. Which of the following is common with spina bifida?

Explanation

Individuals with spina bifida often experience bowel and bladder problems due to the impact of the condition on the spinal cord and surrounding nerves. This can disrupt the normal control over bowel and bladder functions, resulting in issues such as incontinence or difficulty emptying the bladder. Early diagnosis and appropriate management can help address these challenges, but individuals with spina bifida may require specialized care for these conditions throughout their lives.

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166. What does assessment involve?

Explanation

The correct answer is "collecting information about the client." This is because assessment involves gathering data and information about the client's health status, medical history, current symptoms, and any other relevant factors. This information is crucial for developing an effective care plan and making informed decisions about the client's healthcare needs. It helps the healthcare provider to understand the client's condition, identify any potential risks or problems, and determine the appropriate interventions or treatments.

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167. How can you ensure a vest restraint is neither too tight nor too loose?

Explanation

 A properly secured vest restraint allows for an open hand to fit between the vest and the person. This ensures the restraint is secure enough to prevent harm or injury while allowing some freedom for breathing and comfort. If the restraint is too tight, it could restrict circulation or cause discomfort; if too loose, it could fail to serve its purpose. This balance ensures patient safety while maintaining dignity and comfort. Checking fit regularly is essential, and adjustments should be made as necessary to comply with safety protocols and patient needs.

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168. Which statement about enemas is false?

Explanation

Enema solutions should be administered slowly to avoid causing discomfort or injury to the patient. Rapid administration can lead to cramping, bloating, or potential harm. The correct procedure involves maintaining a steady flow of the solution to allow the patient to adjust and ensure effectiveness. Enema solutions are typically warmed to body temperature, and the Sim’s position is used to facilitate the process. The enema bag is appropriately positioned to allow gravity to assist the flow without causing undue pressure. Proper technique ensures patient safety and comfort during the procedure.
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169. What causes apraxia of speech?

Explanation

Apraxia of speech is a motor speech disorder that is caused by a brain injury. This injury affects the brain's ability to plan and coordinate the movements necessary for speech production. As a result, individuals with apraxia of speech have difficulty coordinating the muscles used for speaking, leading to inconsistent and inaccurate speech production. Weakness or paralysis in the muscles used to speak may be present in some cases, but the underlying cause is the brain injury itself.

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170. Which of the following is not required for a person to give informed consent?

Explanation

Informed consent requires the individual to be provided with comprehensive information about the nature of the treatment, potential risks, side effects, and the likely consequences of not having the treatment. However, it does not require the healthcare provider to reassure the individual that the proposed treatment is the best and only option. Patients should be informed of alternative treatments to make a fully informed decision.
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171. Which of the following statements about negligence is false?

Explanation

Negligence is a civil wrong (unintentional tort) that involves failure to act in a reasonable manner, causing harm to someone or their property. However, negligence does not usually lead to a prison term. Instead, it often results in compensation or damages for the injured party. It differs from criminal acts, where imprisonment is a possible consequence. Negligence cases typically involve financial restitution rather than criminal penalties.

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172. Which is not a developmental task of young adulthood?

Explanation

In young adulthood, individuals go through various developmental tasks such as selecting a partner, choosing an occupation, and becoming a parent. These tasks are considered important milestones in their personal and social development. However, adjusting to changes in the body and physical appearance is not typically considered a specific developmental task during this stage. While individuals may experience changes in their body and appearance, it is not a primary focus or specific task that they need to accomplish during young adulthood.

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173. A person with the spastic type of cerebral palsy has problems with:

Explanation

A person with the spastic type of cerebral palsy has problems with posture, balance, and movement. Spastic cerebral palsy is characterized by increased muscle tone, which leads to stiffness and difficulty in controlling movements. This can affect the person's ability to maintain a proper posture, balance themselves, and perform coordinated movements. They may experience muscle tightness, jerky movements, and difficulty in walking or controlling their limbs.

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174. Maslow's hierarchy of needs can best be described as?

Explanation

Maslow's hierarchy of needs is a well-known psychological theory that categorizes human needs into different levels or categories. It suggests that individuals have a set of basic physiological and safety needs that must be fulfilled before they can progress to higher-level needs such as love, belonging, esteem, and self-actualization. This theory emphasizes the importance of satisfying lower-level needs before moving on to higher ones, as each level builds upon the previous one. Therefore, the correct answer describes Maslow's hierarchy of needs as a system that arranges human needs into categories.

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175. Which of the following is not part of the cycle of abuse?

Explanation

The cycle of abuse consists of four phases: the honeymoon phase, tension-building phase, abusive incident, and then the cycle repeats. The resolution phase, which suggests the end of abuse and a return to a healthy relationship, is not part of the cycle of abuse. In abusive relationships, the cycle typically continues with escalating tension, abuse, and brief periods of apparent calm or remorse, but the resolution phase does not occur as part of this cycle.

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176. What condition is described when a person can breathe deeply and comfortably only while sitting?

Explanation

Orthopnea is a condition where a person can breathe deeply and comfortably only while sitting or standing upright. This is due to the fact that when lying flat, the weight of the abdominal organs can compress the diaphragm, making it harder to breathe. Therefore, orthopnea is the correct answer for the given statement.

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177. Respecting personal preferences is an example of:

Explanation

Respecting personal preferences is an example of autonomy because it refers to the individual's right to make decisions and choices regarding their own life, free from external interference or influence. Respecting personal preferences acknowledges and upholds the principle of autonomy, allowing individuals to exercise their own autonomy and have control over their own lives and decisions.

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178. Elastic stockings are used for all of the following reasons except:

Explanation

Elastic stockings are used for several reasons, including reducing swelling in the legs, preventing blood clots, and exerting pressure on the veins. However, they are not used to reduce circulation. In fact, elastic stockings are designed to improve circulation by providing compression and support to the legs, which helps to enhance blood flow and prevent pooling of blood in the veins.

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179. Which is not a barrier to communication? 

Explanation

Repeating what the person says is not a barrier to communication because it shows active listening and understanding. When someone repeats what the person says, it indicates that they are paying attention and trying to comprehend the message. This can enhance communication by confirming that the message was understood correctly and allowing for clarification if needed. Unlike interrupting, answering for the person, or giving advice, repeating what the person says promotes effective communication and encourages open dialogue.

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180. When is focusing a useful communication tool?

Explanation

Focusing is a useful communication tool when a person is rambling because it helps to bring the conversation back on track and maintain clarity. When someone is rambling, they may be going off-topic or providing excessive information that is not relevant to the main message. By using focusing techniques, such as asking specific questions or summarizing key points, you can redirect the conversation and ensure that the intended message is understood.

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181. Which of the following is false regarding when to report to your supervisor?

Explanation

The statement "when the client takes the medication as prescribed" is false because reporting to the supervisor is not necessary when the client is following the prescribed medication regimen correctly. Reporting to the supervisor is typically required in situations where the client is not adhering to the medication schedule, refuses to take the medication, or lacks understanding of why the medication is being taken.

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182. What is a contracture?

Explanation

A contracture refers to the lack of joint mobility caused by the shortening of the muscle. This means that the muscle becomes tight and restricts movement in the joint, leading to decreased range of motion. It is not related to the loss of muscle strength due to inactivity, the decrease in muscle size, or the formation of a blood clot.

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183. What is the purpose of a graphic sheet in healthcare?

Explanation

The correct answer is "is used to record measurements and observations made three to four times per day". This answer accurately describes the purpose and function of a graphic sheet. It explains that the sheet is used to record measurements and observations, and specifies that these recordings are made three to four times per day. This suggests that the graphic sheet is a tool for tracking and monitoring a client's activities and progress throughout the day.

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184. When supporting a client with bipolar disorder who is in the manic phase, you should not:

Explanation

During the manic phase of bipolar disorder, clients often experience high energy levels and impulsivity. Providing a stimulating environment can exacerbate these symptoms, leading to increased agitation or risky behavior. It is more beneficial to encourage periods of rest, offer limited choices to reduce overwhelming decisions, and promote self-care to help the client manage their mood and behavior.

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185. The perineum is cleaned immediately before collecting:

Explanation

Midstream specimens refer to urine samples that are collected after the initial stream of urine has been allowed to pass. This is done to minimize contamination from the urethra and surrounding areas. Cleaning the perineum, which is the area between the anus and the genitals, before collecting midstream specimens helps to further reduce the risk of contamination and ensures a more accurate urine sample for testing.

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186. Which of the following is not a function of the health care plan?

Explanation

While a health care plan does aim to provide comprehensive information about the client's health problems, needs, treatment, and care, it does not necessarily ensure that this information never changes. Client information may change over time due to various factors such as changes in health status, treatments, or personal circumstances. Therefore, the statement that the information never changes is not accurate.

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187. Which of the following is NOT a common age-related change in the elderly?

Explanation

As people age, their skin naturally loses elasticity, becoming thinner and more prone to wrinkles and sagging. The other options are common age-related changes that can affect various aspects of health and well-being.

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188. What is the primary role of a Personal Support Worker (PSW) in managing a client's medication under the guidelines of NAAC?

Explanation

Personal Support Workers (PSWs) play a crucial role in assisting clients with their daily activities, including medication management. According to the guidelines, PSWs are not licensed to prescribe or adjust medications; those tasks are reserved for licensed healthcare professionals such as doctors and nurses. However, PSWs are typically trained to administer medication exactly as prescribed by a healthcare professional and are responsible for accurately documenting each administration to ensure consistency and safety in the care provided. This includes noting the time, dose, and any immediate effects or issues following the administration.

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189. What does the term "distal" refer to?

Explanation

The term "distal" is used in anatomy to describe a part of the body that is farther away from the point of origin or attachment, typically referring to limbs. For example, the fingers are distal to the elbow because they are farther from the point where the arm is attached to the body. This term helps in describing the relative position of body parts in relation to each other, particularly when discussing structures along limbs.

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190. Which statement is false about verbal communication?

Explanation

Verbal communication involves the spoken word, but it is not necessarily the truest reflection of a person's feelings. Non-verbal communication, which includes facial expressions, gestures, posture, body movements, appearance, and eye contact, can also convey a person's emotions and thoughts. Touch, on the other hand, can have different meanings to different people, further highlighting the complexity of communication and the limitations of relying solely on verbal expression to understand someone's feelings.

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191. Which statement about developmental disabilities is true?

Explanation

Developmental disabilities are lifelong conditions affecting cognitive, physical, or social development. While their severity varies, they do not always impair all areas such as self-care or employment. For example, someone with a developmental disability might learn skills to live independently or hold a job. Physical and intellectual impairments do not always occur together, making it crucial to understand the individual's unique challenges and strengths.

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192. What is the purpose of aseptic practices?

Explanation

Aseptic practices refer to a set of measures taken to prevent the spread of infection. These practices aim to reduce the number of microbes present in a given environment. By reducing the number of microbes, the risk of infection can be minimized. This can be achieved through various means such as proper hand hygiene, sterilization of equipment, and maintaining a clean environment. While aseptic practices may not completely eliminate all microbes, their primary goal is to significantly reduce their presence and prevent the transmission of pathogens.

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193. Which of the following is not a sign of approaching death?

Explanation

Increased pain and blood pressure are not signs of approaching death. Typically, as death approaches, the body experiences changes like decreased movement, muscle tone, and the onset of Cheyne-Stokes respiration (a pattern of irregular breathing). While pain and blood pressure might fluctuate, these are not direct indicators of impending death, which is marked by a general decline in bodily functions, including blood circulation, movement, and respiratory patterns.

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194. Which of the following is false about respiratory changes that occur with aging?

Explanation

The side-lying position is not universally the best for breathing. While it may be beneficial for certain individuals, such as those with obstructive sleep apnea, it is not the optimal position for all aging individuals. The best position for optimal breathing varies depending on the person’s health condition, preferences, and specific respiratory needs. Factors like head elevation and frequent repositioning also help promote better lung function. Therefore, it is important to assess each individual's unique needs for the most effective breathing position.

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195. Providing a safe environment is an example of which ethical principle?

Explanation

Providing a safe environment is an example of nonmaleficence because it focuses on preventing harm or minimizing the risk of harm to individuals. By creating a safe environment, the intention is to ensure that no harm is caused to others, which aligns with the principle of nonmaleficence. This principle emphasizes the importance of avoiding harm and promoting the well-being of individuals.

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196. People with receptive aphasia have problems with?

Explanation

People with receptive aphasia have difficulty understanding spoken or written language. This condition affects their ability to comprehend what is being said or written to them, even though they can speak fluently and produce grammatically correct sentences. The problem lies in processing the meaning of the words. While receptive aphasia affects comprehension, it does not typically impair the ability to speak or write, although speech may be nonsensical or have improper word choices.

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197. Cognitive refers to all of the following except:

Explanation

Cognitive refers to various mental processes such as thinking, reasoning, understanding, judgment, and behavior. It encompasses the ability to process and comprehend information, make decisions, and exhibit appropriate behavior. However, it does not include memory loss and personality, which are separate aspects of mental functioning. Memory loss refers to the inability to recall or retain information, while personality refers to an individual's unique patterns of thoughts, feelings, and behaviors.

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198. Which statement about moist heat applications is false?

Explanation

Moist heat applications actually have greater and faster effects compared to dry heat. Moist heat is able to penetrate deeper into the tissues, increasing blood flow and promoting relaxation. The presence of water in contact with the skin enhances heat transfer and helps to increase the therapeutic benefits. Additionally, moist heat is often used to relieve pain and inflammation more effectively than dry heat. Therefore, the given statement is false.

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199. What is hypoxia?

Explanation

Hypoxia refers to a condition where the body's cells do not receive enough oxygen. Oxygen is essential for the normal functioning of cells, and when this is insufficient, it can lead to organ dysfunction or failure. Hypoxia can occur due to various reasons such as respiratory problems, heart disease, or high altitudes. While low oxygen levels in the blood or hemoglobin may contribute to hypoxia, the defining feature is the lack of oxygen in the cells.

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200. What does the Daily Value (DV) indicate?

Explanation

The daily value (DV) is a reference amount that helps consumers understand the nutrient content of a serving of food. It indicates whether there is a little or a lot of a nutrient in a serving of food. This information is important for individuals to make informed choices about their diet and ensure they are meeting their nutritional needs. By comparing the DV to their own daily requirements, individuals can determine if a food item is high or low in a particular nutrient and adjust their intake accordingly.

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What is the most common accident in all settings?
How should medications be stored?
When brushing Mrs. Lam's teeth, what does not need to be reported?
Which of the following is not one of the five rights of assisting with...
What is professionalism?
Kathy says giants are climbing the wall. She is terrified. You see...
Adults of all ages often fear:
If you suspect an adult client is being abused, what should you do?
A client with major depression suddenly seems happy. She asks you to...
What is used to cut fingernails?
What is the basic unit of body structure?
Mr. Deal states, "My daughter won't give me food until I give her my...
Which Law ensures that every citizen has access to health care?
Which statement best describes the role of a Personal Support Worker...
If Mr. Poulin's hearing aid is not working, what is the first thing...
What does sundowning refer to?
What does a "do not resuscitate" order indicate for a client?
A fire alarm sounds. Which of the following actions is unsafe?
Mr. Lee has alopecia. What is this condition?
Reincarnation is the belief that:
When transferring a client to bed, a chair, or a toilet, which side...
What does it mean if Mr. Lau has bipolar disorder?
Which of the following statements about spousal abuse is true?
What is palliative care?
What can a toddler typically do?
Rehabilitation is often slower for which of the following?
When working in a kitchen, which is most hygienic?
Goals should be SMART. What does SMART stand for?
What are activities of daily living (ADLs)?
Gloves are worn when in contact with the following, except:
What type of injuries are support workers at greatest risk for?
If an RN delegates a task to you, which statement is true? 
As death approaches, which sense is the last to be lost?
A mother has red vaginal discharge in the first few days after...
In 24-hour time, what does 1330 represent?
What does the rehabilitation process address?
You and Mrs Jones are talking about her surgery. Which of the...
Support services provided through home care do not include:
Which statement will promote communication?
People with early-stage dementia usually:
Mr. Smith tires very easily. His morning care includes a bath, hair...
Intense fear of bathing or perineal care may be a sign of which type...
A caesarean delivery involves which type of incision?
Which action will not help normal elimination?
When should cord and circumcision care be given?
When are bed rails raised?
Which work setting may provide acute care?
When is post-mortem care done?
Which is not an accurate way to check for the right medication dose?
During an exchange of information, a message is sent from:
Mr. Graziano puts on his shirt using one arm. His progress is slow....
The membership of a healthcare team is determined by:
What is stress?
What is the abbreviation for "at once, immediately"?
In which order should you do laundry, dust surfaces, and mop the...
Which of the following is not a sign of infection?
What is the outer layer of the skin called?
What does a holistic approach to health involve?
What is cerebral palsy usually caused by?
Shira, 15, has lost 30 pounds. She is terrified of becoming fat, even...
Which thermometer is rarely used in healthcare settings?
If the nurse gives Mr. Smith medication for pain and a procedure is...
Which of the following helps prevent permanent plantar flexion?
Mrs. Muyama says, "I didn't sleep at all last night because of the...
Where is a single-tip cane used?
Which factor does not influence a person's reaction to a stressor?
What should you not do when a person is having a stroke?
Which of the following should you do to prevent falls, except?
What is a symptom of mastitis?
Which is not a purpose of bathing?
When is an ostomy pouch usually emptied?
Protein is needed for:
Which statement about the Canadian Charter of Rights and Freedoms is...
Which statement about feeding a client is false?
In older adults, when arteries lose their elasticity and become...
Which of the following is not a sign of physical abuse?
Which statement about laying infants down to sleep is false?
When assisting with oxygen therapy, what should you do?
When do developmental disabilities occur?
Which statement about restraints is false?
Which blood vessels carry blood away from the heart?
Which of the following statements about measuring weight is false?
In a community setting, who usually assesses, monitors, and evaluates...
The goals of first aid are to:
When giving CPR to an adult, how deep should chest compressions be?
When checking a client with heat application, which of the following...
Which of the following conditions does not usually require a...
Which of the following conditions does not usually require a...
When confronted by an abusive client, you should not:
The stage of infancy is the first:
What is a major complication of nasogastric or nasointestinal tubes?
Where does rehabilitation take place?
What is the most pressing cause of healthcare reform?
Mr. Mueller sees a psychologist to explore unconscious conflicts and...
What is the goal of bowel training?
What disorder is Mrs. Pare most likely to have if she washes her hands...
What type of residents are typically found in retirement facilities?
Which of the following statements is false?
What do home management duties include?
You are angry with a co-worker but yell at a friend instead. What...
What is the term for when a client's skin rubs against the sheet?
Which of the following statements about dementia is false?
Mr. Dunn has moderate dementia and tends to wander. Which of the...
To prevent equipment accidents, which action should you avoid?
Mrs. Stein has sore, swollen joints in her hands. Which of the...
What is the Trendelenburg's bed position?
What do standard precautions involve?
Good body alignment means:
Which method is usually used to take a pulse?
People with diabetes must:
Which of the following changes to the skin occurs with aging?
A gastrostomy tube is inserted into the:
How often should you check Mrs. Know and the position of her...
What type of service aims to provide a temporary break to family...
What is the term for black, tarry stool?
A person complains of pain in the left side of the chest, extending to...
What does spina bifida involve?
Which of the following measures will not help Mr. Smith rest or sleep?
What does the term "medial" refer to?
What does the abbreviation BRP stand for?
Mrs. Carrera always tries to get up without help. You should do the...
What does the intentional threat to touch someone without consent...
Which of the following is the best practice for a Personal Support...
The highest functions of the brain take place in the:
When brushing hair that is not matted or tangled, where should you...
Which of the following is not true of chronic illness?
Which effect of hearing problems is often not obvious to others?
Which member of the rehabilitation team evaluates a client's strength...
When does playing with other children begin?
The statement "urinary elimination, impaired" is on a care plan. What...
When does Down syndrome occur?
Where does most food absorption take place?
Which of the following should be reported to your supervisor...
What is systolic blood pressure?
How are people with speech and language disorders often affected...
Which of the following is false about changes in the musculoskeletal...
Why should older adults avoid fried and fatty foods?
What is true of all people with intellectual disabilities?
What is the prolonged retention and accumulation of feces in the...
What characterizes an acute illness?
Which of the following is a benefit of the team approach to...
What does flexion involve?
What is the drainage called when you note clear, watery drainage from...
Kathy, 19, has schizophrenia and believes she is a famous actor. What...
Which of the following is false? People with substance dependence...
What is the best position for using a bedpan?
How should a surgical bed be positioned?
Mr. Poulin has Meniere's disease. Which of the following is likely...
You and Mr. Long are talking; Mr. Long avoids facing you and steps...
If a client's SpO2 is 98%, which of the following is true?
A person has an indwelling catheter. Which action is incorrect?
Which of the following statements about prejudice is false?
Which of the following is NOT used to treat pressure ulcers?
The illegal restraint of another person's movement is called:
Which of the following is not a common reason for tube feedings?
Which of the following is false? People with strong emotional health:
Mrs. Kwon has mitt restraints. What is critical to report?
What is nutrition?
What type of control do skeletal muscles have?
Which of the following statements about delirium is false?
Which measure will help prevent stasis ulcers?
Which statement about ambulation is false?
At what age do peer group activities become more important?
After paralysis of his right side, Mr. Graziano needs rehabilitation....
Which of the following is common with spina bifida?
What does assessment involve?
How can you ensure a vest restraint is neither too tight nor too...
Which statement about enemas is false?
What causes apraxia of speech?
Which of the following is not required for a person to give informed...
Which of the following statements about negligence is false?
Which is not a developmental task of young adulthood?
A person with the spastic type of cerebral palsy has problems with:
Maslow's hierarchy of needs can best be described as?
Which of the following is not part of the cycle of abuse?
What condition is described when a person can breathe deeply and...
Respecting personal preferences is an example of:
Elastic stockings are used for all of the following reasons except:
Which is not a barrier to communication? 
When is focusing a useful communication tool?
Which of the following is false regarding when to report to your...
What is a contracture?
What is the purpose of a graphic sheet in healthcare?
When supporting a client with bipolar disorder who is in the manic...
The perineum is cleaned immediately before collecting:
Which of the following is not a function of the health care plan?
Which of the following is NOT a common age-related change in the...
What is the primary role of a Personal Support Worker (PSW) in...
What does the term "distal" refer to?
Which statement is false about verbal communication?
Which statement about developmental disabilities is true?
What is the purpose of aseptic practices?
Which of the following is not a sign of approaching death?
Which of the following is false about respiratory changes that occur...
Providing a safe environment is an example of which ethical principle?
People with receptive aphasia have problems with?
Cognitive refers to all of the following except:
Which statement about moist heat applications is false?
What is hypoxia?
What does the Daily Value (DV) indicate?
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