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1. A patient with chronic alcohol use disorder has damage to the liver, brain, and heart. Alcohol injures cells in part because its metabolism: A. Increases glutathione stores B. Improves fatty acid oxidation C. Produces acetaldehyde and free radicals and alters the NADH/NAD ratio D. Has no effect on the liver Correct Answer: C. Produces acetaldehyde and free radicals and alters the NADH/NAD ratio Rationale: Ethanol is metabolized to toxic acetaldehyde, generates free radicals, and increa...

1. Oxygen and carbon dioxide cross the plasma membrane easily because the membrane is: A. Made mostly of carbohydrates B. Impermeable to all gases C. A single layer of protein D. A phospholipid bilayer that small, lipid-soluble molecules can diffuse through Correct Answer: D. A phospholipid bilayer that small, lipid-soluble molecules can diffuse through Rationale: The lipid bilayer lets small nonpolar molecules such as O2, CO2 and steroid hormones diffuse freely, while ions and large pol...

1. Asphyxial injury from strangulation causes cell injury by: A. Increasing oxygen delivery B. Causing hyperthermia C. Obstructing airflow and blood flow, leading to hypoxia D. Releasing lipases Correct Answer: C. Obstructing airflow and blood flow, leading to hypoxia Rationale: Strangulation compresses the airway and blood vessels, preventing oxygen delivery to the brain. Petechiae in the eyes and face are common findings. The other mechanisms do not apply. 2. Frostbite injures tissues ...

1. Wet gangrene differs from dry gangrene in that wet gangrene: A. Is always confined and slow B. Occurs only in the toes C. Has no odor D. Involves bacterial invasion with liquefaction and spreads rapidly Correct Answer: D. Involves bacterial invasion with liquefaction and spreads rapidly Rationale: Wet gangrene develops when bacteria invade necrotic tissue, causing swelling, foul odor and rapid spread with risk of sepsis. Dry gangrene is coagulative, black and well demarcated, often in ...

1. Evidence-based practice (EBP) in nursing is best defined as: A. Doing what has always been done on the unit B. Following physician orders without question C. A problem-solving approach that integrates the best available evidence with clinical expertise and patient preferences and values D. Conducting original research on every question Correct Answer: C. A problem-solving approach that integrates the best available evidence with clinical expertise and patient preferences and values Ra...

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Galen NSG 3160 Health Assessment: Exam 3 - Questions with Correct Answers 2 Exam (elaborations) Galen NSG 3160 Health Assessment: Final Exam (Comprehensive) - Questions with Correct Answers 3 Exam (elaborations) Galen NSG 3160 Health Assessment: Midterm Exam (Units 1-7)- Questions with Correct Answers

1. Erikson's stage most relevant to elementary students (about ages 6-12) is: A. Trust vs. mistrust B. Identity vs. role confusion C. Industry vs. inferiority D. Intimacy vs. isolation Correct Answer: C. Industry vs. inferiority Rationale: In the industry vs. inferiority stage, children build competence through school tasks and compare themselves with peers, so successful experiences matter. Identity vs. role confusion is the adolescent stage, and trust vs. mistrust belongs to infancy...

1. A student who forgets multi-step directions halfway through a task most likely needs support with: A. Phonemic awareness B. Working memory C. Gross motor skills D. Visual acuity Correct Answer: B. Working memory Rationale: Holding several steps in mind while acting on them is a working memory demand. Supports such as written checklists or chunked directions reduce that load. Phonemic awareness and motor skills are unrelated to remembering directions. 2. Accommodation, in Piaget's...

1. Intellectual disability under IDEA involves: A. Only low grades B. Only reading difficulty C. Average IQ with behavior issues D. Significantly subaverage general intellectual functioning with deficits in adaptive behavior, manifested during the developmental period Correct Answer: D. Significantly subaverage general intellectual functioning with deficits in adaptive behavior, manifested during the developmental period Rationale: Both intellectual and adaptive deficits must be present....

1. Lambert's research on therapy outcome attributes the largest share of improvement to: A. Specific techniques B. The therapist's office decor C. Session length D. Client and extratherapeutic factors Correct Answer: D. Client and extratherapeutic factors Rationale: Lambert estimated about 40% from client and life factors, 30% from relationship factors, 15% from hope and expectancy and 15% from technique. Techniques matter but are not the largest share. 2. A client of a different c...

1. The 'here-and-now' focus in group therapy means: A. Discussing only past events B. Attending to feelings and interactions occurring in the group session C. Planning future goals only D. Ignoring emotions Correct Answer: B. Attending to feelings and interactions occurring in the group session Rationale: Current interactions are the most vivid material for interpersonal learning. Past and future are explored as they connect to present experience. 2. During the adjourning (terminat...

1. Countertransference is: A. The client's feelings toward the therapist B. The therapist's emotional reactions to the client, influenced by the therapist's own history C. A billing error D. A type of medication interaction Correct Answer: B. The therapist's emotional reactions to the client, influenced by the therapist's own history Rationale: Recognizing countertransference through self-reflection and supervision can provide clinical information and prevent acting out. T...