1. Have you heard of the Strussler-Scheinker syndrome? Explain it. 2. From the medical television series pure genius James bell is able to find cure
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1. Have you heard of the Sträussler-Scheinker syndrome? Explain it.

2. From the medical television series pure genius James bell is able to find cure for all ailments for his clients but he is unable to do so for his own. Do you consider it some form of paradox? Familiarize yourself with the television series to answer this part.

3. Throughout the series various form of medical technologies and new forms of medical treatments are showcased. What do you think of the treatments in the tv series? Use examples from across the series. 


4. A patient's family does not know the patient's end-of-life care preferences, but assumes that they know what is best for the patient under the circumstances. This assumption reflects:

 justice.

 paternalism.

 pragmatism.

 veracity.



5. Which statement by a patient with diabetes mellitus indicates an understanding of the medication insulin glargine (Lantus)?

 "Lantus causes weight loss."

 "Lantus is used only at night."

 "The duration of Lantus is six hours."

 "There is no peak time for Lantus."


6. Which action occurs primarily during the evaluation phase of the nursing process?

 Data collection.

 Decision-making and judgment.

 Priority-setting and expected outcomes.

 Reassessment and audit.



7.. Which action best describes a sentinel event alert?

 Documenting the breakdown in communication during a shift report.

 Indicating that a community or institution is unsafe.

 Recording the harm done when a medication error occurs.

 Signaling the need for immediate investigation and response.



8. Which is primarily a developmental task of middle age?

 Learning and acquiring new skills and information.

 Rediscovering or developing satisfaction in one's relationship with a significant other.

 Relying strongly upon spiritual beliefs.

 Risk taking and its perceived consequences.



9. The medical-surgical nurse, who is caring for a patient with a new diagnosis of cancer, observes the patient becoming angry with the physicians and nursing staff. The best approach to diffuse the emotionally charged discussion is to:

 allow the patient and family members time to be alone.

 arrange time for the patient to speak with another patient with cancer.

 direct the discussion and validation of emotion, without false reassurance.

 request a consultation from a social worker on the oncology unit.



10. It is hospital policy to assess and record a patient's pulse before administering digoxin (Lanoxin). By auditing the nursing records to determine the frequency of compliance with this policy, the quality assessment and improvement committee is conducting:

 a process analysis.

 a quality analysis.

 a system analysis.

 an outcome analysis.



11. The nursing diagnosis for a patient with a myocardial infarction is activity intolerance. The plan of care includes the patient outcome criterion of:

 agreeing to discontinue smoking.

 ambulating 50 feet without experiencing dyspnea.

 experiencing no dyspnea on exertion.

 tolerating activity well.



12. A nursing department in an acute care setting decides to redesign its nursing practice based on a theoretical framework. The feedback from patients, families, and staff reflects that caring is a key element. Which theorist best supports this concept?

 Erikson.

 Maslow.

 Rogers.

 Watson.



13. Which statement by a patient demonstrates an accurate understanding about herbal supplements?

 "Herbs may interact with prescribed medications but not other herbs."

 "Most herbs have been tested and found to be safe and therapeutic."

 "The Food and Drug Administration regulates herbs and allows advertising."

 "There is no standardization among the manufacturers of herbs in this country."



14. For a patient with Crohn's disease, the medical-surgical nurse recommends a diet that is:

 high in fiber, and low in protein and calories.

 high in potassium.

 low in fiber, and high in protein and calories.

 low in potassium.



15. When examining a patient who is paralyzed below the T4 level, the medical-surgical nurse expects to find:

 flaccidity of the upper extremities.

 hyperreflexia and spasticity of the upper extremities.

 impaired diaphragmatic function requiring ventilator support.

 independent use of upper extremities and efficient cough.

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