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Surgery via Latin: chirurgiae, meaning "hand work") is an ancient medical specialty that uses operative manual and instrumental techniques on a patient to investigate and/or treat a pathological condition such as disease or injury, to help improve bodily function or appearance or to repair unwanted ruptured areas (for example, a perforated ear drum). An act of performing surgery may be called a surgical procedure, operation, or simply surgery. In this context, the verb operate means to perform surgery. The adjective surgical means pertaining to surgery; e.g. surgical instruments or surgical nurse. The patient or subject on which the surgery is performed can be a person or an animal. A surgeon is a person who practices surgery and a surgeon's assistant is a person who practices surgical assistance.
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|A client who was wandering aimlessly around the streets acting inappropriately and appeared disheveled and admitted to a psychiatric unit and is experiencing auditory and visual hallucinations. The nurse would develop a plan of care based on:
* A. borderline personality disorder
* B. anxiety disorder
* C. schizophrenia
* D. depression
|The nurse should know that the normal therapeutic level of lithium is
* A. .6 to 1.2 meq/L
* B. 6 to 12 meq/L
* C. .6 to .12 cc/ml
* D. .6 to .12 cc3/L
|A client was hospitalized with major depression with suicidal ideation for 1 week. He is taking venlafaxine (Effexor), 75 mg three times a day, and is planning to return to work. The nurse asks the client if he is experiencing thoughts of self-harm. The client responds, "I hardly think about it anymore and wouldn't do anything to hurt myself." The nurse judges:
* A. The client to be decompensates and in need have being readmitted to the hospital
* B. The client to need an adjustment or increase in his dose of antidepressant
* C. The depression to be improving and the suicidal ideation to be lessening
* D. The presence of suicidal ideation to warrant a telephone call to the client's physician
|Client with a history of schizophrenia has been admitted for suicidal ideation. The client states "God is telling me to kill myself right now." The nurses best response is:
* A. I understand that god?s voice is real to you, but I do not hear anything. I will stay with you.
* B. The voices are part of your illness; it will stop if you take medication
* C. the voices are all in your imagination, think of something else and till go away
* D. Do not think of anything right now, just go, and relax.
|A decision is made to discharge a client with obsessive-compulsive disorder. Of the following abilities the client has demonstrated, the one that probably most influenced the decision not to hospitalize him is his ability to:
* a. Hold a job.
* b. Relate to his peers.
* c. Perform activities of daily living.
* d. Behave in an outwardly normal
|In assessing a clients suicide potential, which statement by the client would give the nurse the highest cause for concern?
* A. My thoughts of hurting my self are scary to me
* B. I would like to go to sleep and not wake up
* C. I have thought about taking pills and alcohol until I pass out
* D. I would like to be free from all these worries
|If a Patient complaints about vomiting, diarrhea, and restlessness after taking lithane, then the nurses initial intervention is:
* a. Recognize that this is a sign of toxicity and withhold the next medication.
* b. Notify the physician.
* c. Check V/S to validate patient?s concerns
* d. Recognize that this is a normal side effect of lithium and continue the drug.
|A client with paranoid schizophrenia has persecutory delusions and auditory hallucinations and is extremely agitated. He has been given a PRN dose of Thorazine IM. Which of the following would indicate to the nurse that the medication is having the desired effect?
* A. Complains of dry mouth
* B. State he feels restless in his body
* C. Stops pacing and sits with the nurse
* D. Exhibits increase activity and speech
|The client is taking Tofranil. The nurse should closely monitor the patient:
* a. Hypertension
* b. Hypothermia
* c. Increase Intra Ocular Pressure
* d. Increase Intra Cranial Pressure
|A client is admitted to the inpatient psychiatric unit. He is unshaven, has body odor, and has spots on his shirt and pants. He moves slowly, gazes at the floor, and has a flat affect. The nurses highest priority in assessing the client on admission would be to ask him:
* A. How he sleeps at night.
* B. If he is thinking about hurting himself
* C. About recent stresses
* D. How he feels about himself
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An offer which is open for acceptance over a period of time is:
(a) Cross Offer
(b) Counter Offer
(c) Standing Offer
(d) Implied Offer
Specific offer can be communicated to__________ (a) All the parties of contract (b) General public in universe (c) Specific person (d) None of the above
_________ amounts to rejection of the original offer. (a) Cross offer (b) Special offer (c) Standing offer (d) Counter offer
A advertises to sell his old car by advertising in a newspaper. This offer is caleed: (a) General Offer (b) Special Offer (c) Continuing Offer (d) None of the above
In case a counter offer is made, the original offer stands: (a) Rejected (b) Accepted automatically (c) Accepted subject to certain modifications and variations (d) None of the above
In case of unenforceable contract having some technical defect, parties (a) Can sue upon it (b) Cannot sue upon it (c) Should consider it to be illegal (d) None of the above
If entire specified goods is perished before entering into contract of sale, the contract is (a) Valid (b) Void (c) Voidable (d) Cancelled
______________ contracts are also caled contracts with executed consideration. (a) Unilateral (b) Completed (c) Bilateral (d) Executory
A offers B to supply books @ Rs 100 each but B accepts the same with condition of 10% discount. This is a case of (a) Counter Offer (b) Cross Offer (c) Specific Offer (d) General Offer
_____________ is a game of chance. (a) Conditional Contract (b) Contingent Contract (c) Wagering Contract (d) Quasi Contract
There is no binding contract in case of _______ as one's offer cannot be constructed as acceptance (a) Cross Offer (b) Standing Offer (c) Counter Offer (d) Special Offer
An offer is made with an intention to have negotiation from other party. This type of offer is: (a) Invitation to offer (b) Valid offer (c) Voidable (d) None of the above
When an offer is made to the world at large, it is ____________ offer. (a) Counter (b) Special (c) General (d) None of the above
Implied contract even if not in writing or express words is perfectly _______________ if all the conditions are satisfied:- (a) Void (b) Voidable (c) Valid (d) Illegal
A specific offer can be accepted by ___________. (a) Any person (b) Any friend to offeror (c) The person to whom it is made (d) Any friend of offeree
An agreement toput a fire on a person's car is a ______: (a) Legal (b) Voidable (c) Valid (d) Illegal
"Holiday Packages" announced as an advertisement are an example of _________: (a) Offer (b) Counter Offer (c) Invitation to Offer (d) None of the above
A match fixing contract between a player and a broker is a: (a) Valid Contract (b) Unenforceable Contract (c) Void Contract (d) Illegal Contract
When a bookseller sells a book on cash payment then it is called as ___________: (a) Unilateral Contract (b) Bilateral Contract (c) Executed Contract (d) Executory Contract
____________ agreements are created by situation: (a) Written (b) Oral (c) Void (d) Implied