The nurse is reinforcing teaching for a patient who is using a continuous passive motion (CPM) machine. Which of these, if stated by the patient, indicates to the nurse correct understanding of its purpose?

To control pain

To relieve foot swelling

To strengthen leg muscles

To restore joint function

Answer and Explanation

The Correct Answer is D

Choice A reason: While controlling pain is a benefit, it is not the primary purpose of a CPM machine.

Choice B reason: Relieving foot swelling is not the main function of a CPM machine.

Choice C reason: Strengthening leg muscles is not the direct purpose of a CPM machine; it is designed to move the joint without the patient's muscles being used.

Choice D reason: The primary purpose of a CPM machine is to restore joint function by moving the joint through a prescribed range of motion, often after surgery, to prevent stiffness and increase circulation.

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Correct Answer is D

Explanation

Choice A reason: Getting plenty of outdoor exercise all year is beneficial for overall health but does not specifically prevent Raynaud's attacks, especially in cold weather.

Choice B reason: Keeping affected body areas covered, especially in cold weather, helps prevent Raynaud's attacks by maintaining warmth.

Choice C reason: Taking vasopressors is not a measure to prevent Raynaud's attacks; vasopressors could potentially worsen the condition by causing further vasoconstriction.

Choice D reason: Avoiding stimulation that causes vasoconstriction, such as stress and cold temperatures, is key to preventing Raynaud's attacks.

A. "You seem to be having some very frightening thoughts." B. "Why do you think you are being lied about and poisoned?" C. "You are mistaken. Nobody is lying about you or trying to poison you." D. "Who is lying about you and trying to poison you?"

Correct Answer is A

Explanation

Choice A reason: This response acknowledges the client's feelings without agreeing with the delusion or challenging their reality, which can help in building trust and rapport.

Choice B reason: Asking "Why do you think you are being lied about and poisoned?" could potentially reinforce the delusion and lead the client to further justify their beliefs.

Choice C reason: Directly telling the client they are mistaken can be confrontational and may damage the therapeutic relationship.

Choice D reason: Asking "Who is lying about you and trying to poison you?" can validate the delusion and is not a therapeutic response.

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The nurse is reinforcing teaching for a patient who is using a continuous passive motion (CPM) machine. Which of these, if stated by the patient, indicates to the nurse correct understanding of its purpose?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reinforcing teaching provided to a patient with Raynaud's disease. Which measure should the nurse include to prevent an attack?

Correct Answer is D

Explanation

A nurse is caring for a client who has schizophrenia. The client states, "They lie about me all the time and are trying to poison my food." Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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