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A resident returns to the long-term care center after a right total hip replacement. The nurse should reinforce teaching for maintaining which of the following postoperative leg positions?

Legs in adduction

More than 90-degree hip flexion

Internal leg rotation

Legs in abduction

Answer and Explanation

The Correct Answer is D

Choice A reason: Legs in adduction can increase the risk of dislocation after hip replacement surgery.

Choice B reason: Flexing the hip more than 90 degrees can also increase the risk of dislocation.

Choice C reason: Internal rotation of the leg can lead to dislocation of the new hip joint.

Choice D reason: Maintaining the legs in abduction helps to stabilize the hip and prevent dislocation.

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Correct Answer is B

Explanation

Choice A reason: Effective coping skills do not involve working on a problem to the point of exhaustion; this can lead to burnout and is not a sustainable strategy.

Choice B reason: Healthy coping involves making choices that are beneficial and tailored to the individual's needs, promoting well-being and stress management.

Choice C reason: Simply imitating others' coping behaviors may not be effective, as coping strategies should be personalized and fit the individual's unique situation.

Choice D reason: Overuse of defense mechanisms can be counterproductive and is not considered an effective coping skill.

A. The client's unconscious need to manipulate others B. The client's delusion that cleaning is necessary C. The client's wish to decrease the time available for interaction with others D. The client's attempt to decrease anxiety

Correct Answer is D

Explanation

Choice A reason: OCD is not characterized by an unconscious need to manipulate others but by anxiety-driven compulsions.

Choice B reason: While clients with OCD may feel a need to clean due to contamination fears, it is not a delusion but rather an obsession that drives the compulsion.

Choice C reason: The repetitive cleaning is not typically a conscious choice to decrease social interaction but a compulsion to alleviate anxiety.

Choice D reason: Repetitive behaviors in OCD, such as cleaning, are attempts to decrease the anxiety caused by obsessive thoughts.

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A resident returns to the long-term care center after a right total hip replacement. The nurse should reinforce teaching for maintaining which of the following postoperative leg positions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Effective coping skills are described as:

Correct Answer is B

Explanation

A nurse is collecting data from a client who has obsessive-compulsive disorder (OCD) and observes that the client demonstrates constant repetitive cleaning. The nurse should realize that the client's repetitive behaviors occur due to which of the following?

Correct Answer is D

Explanation

A nurse overhears a client who has schizophrenia talking to herself. The client keeps stating, "The muxtranks are coming. The muxtranks are coming." The nurse correctly recognizes the client's use of the word "muxtranks" as an example of which of the following alterations in speech?

The nurse is collecting data on a patient with minor chronic venous disease. What findings are anticipated?

Which of the following is a priority when caring for a highly anxious patient?

Which question will the nurse ask a client when assessing their abstract thinking and judgment?

A schizophrenic client is being assessed by the nurse. The client is demonstrating negative symptoms. Which symptoms should be considered negative? (select all that apply)