A nurse is collecting data from a group of clients. Which of the following images indicates a client the nurse should identify as exhibiting clubbing of the fingers?
A
B
C
The Correct Answer is B
A. This image shows Heberden's and Bouchard's nodes, which are bony enlargements of the finger joints typically associated with Osteoarthritis.
B. This image clearly shows the loss of the normal angle between the nail and the nail bed (Lovibond angle). The fingertips appear enlarged and "drumstick-like," and the nails have a distinct downward, convex curvature.
C. This image displays Ulnar Drift (the fingers slanting toward the pinky side) and joint swelling, which are classic manifestations of Rheumatoid Arthritis. It also shows age-related lentigines (liver spots) on the skin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Why do you feel the staff is the FBI”: Asking “why” can sound confrontational and may make the client feel interrogated or defensive. It can increase anxiety and does not provide emotional support. This approach is not therapeutic when a client is experiencing a fixed delusion.
B. "The psychiatric staff is not FBI. They are here to help you.": Directly contradicting the client’s delusion can increase mistrust and agitation in a client with paranoid schizophrenia. This response challenges the belief without acknowledging the client’s emotional experience, which can damage rapport.
C. "This must be very frightening for you, let's talk more about it.": This response acknowledges the client’s feelings without validating the delusion itself. It conveys empathy, reduces anxiety, and encourages further communication. This therapeutic approach helps build trust while gently redirecting focus to the client’s emotional state.
D. "What makes you think the staff is following you”: Although more open-ended than option A, this question encourages the client to further elaborate on the delusion. It risks reinforcing the false belief rather than focusing on emotional support and reality-based care.
Correct Answer is C
Explanation
A. The website URL is listed as com: A ".com" domain indicates a commercial site and does not guarantee the accuracy or credibility of health information. Commercial sites may have marketing motives that can bias the content.
B. The author's name is listed without credentials: Listing an author without credentials does not provide verification of expertise in the medical field. Credible health information should be authored or reviewed by qualified healthcare professionals.
C. The author cites references to statements made: Providing references to scientific studies or reputable sources demonstrates that the information is evidence-based and allows verification. Cited references indicate that the content is grounded in credible medical research, enhancing trustworthiness.
D. The website was last updated 3 years ago: Health information can become outdated quickly. A last update from several years ago may not reflect current guidelines or best practices, reducing the reliability of the resource.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today