Nokea
A client has been voluntarily admitted to a mental health unit for treatment of acute depression. Which client request will the nurse deny based on this type of commitment?
- A. Notifying his wife to bring him his personal cell phone
- B. Arranging for him to cast his absentee vote for a city election
- C. Mailing out his driver's license renewal form as a registered letter
- D. Arranging for a private space where he can meet with his attorney
Correct Answer: A
Rationale: The correct answer is A because in a voluntary admission for acute depression, the client retains their basic rights, such as making personal phone calls. However, the nurse may deny the request to have the personal cell phone brought in due to concerns about safety, privacy, and potential access to harmful content. Choice B is incorrect as the client has the right to participate in civic activities like casting a vote. Choice C is incorrect as it involves maintaining personal documentation. Choice D is incorrect as the client has the right to meet with their attorney in a private space.
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Which statement made by a nurse who manages care for a number of culturally diverse Hispanic clients demonstrates an understanding of the challenges this assignment presents?
- A. I find the Hispanic language very difficult to master.'
- B. There are many differences between Hispanic subcultures.'
- C. Addressing the Hispanic culture's religious needs can be challenging.'
- D. I find Hispanic children to be very dependent upon their elders.'
Correct Answer: B
Rationale: The correct answer is B: "There are many differences between Hispanic subcultures." This answer demonstrates an understanding of the complexity and diversity within the Hispanic community, emphasizing that there is not a monolithic Hispanic culture but rather various subcultures with distinct customs, traditions, and beliefs. Understanding these differences is crucial for providing culturally competent care.
Rationale:
1. Option A focuses on language proficiency, not cultural diversity.
2. Option C mentions religious needs but does not address the broader complexity of Hispanic culture.
3. Option D makes a generalization about Hispanic children, not addressing the diversity within Hispanic communities.
In summary, the correct answer acknowledges and respects the diverse nature of Hispanic subcultures, highlighting the importance of recognizing and understanding these differences to provide effective care.
Which of the following is an ethical obligation of physicians?
- A. Patience
- B. Veracity
- C. Mercy
- D. Honor
Correct Answer: B
Rationale: Veracity, or truthfulness, is a core ethical duty in medicine.
Grasping the pencil represents a child's
- A. Gross motor skills
- B. Fine motor skills
- C. Large motor skills
- D. None of these
Correct Answer: B
Rationale: Grasping a pencil requires fine motor precision.
What non-addictive, non-benzodiazepine is commonly implemented for patients who suffer from generalized anxiety disorder (GAD)?
- A. Buspirone (BuSpar)
- B. ECG changes
- C. Valium
- D. Divalproex (Depakote)
Correct Answer: A
Rationale: The correct answer is A: Buspirone (BuSpar). Buspirone is commonly used for patients with GAD due to its non-addictive nature and lack of sedative effects like benzodiazepines. It works by affecting serotonin receptors in the brain, reducing anxiety symptoms. ECG changes (choice B) are not a treatment for GAD. Valium (choice C) is a benzodiazepine, which can be addictive and is not recommended for long-term use in GAD. Divalproex (Depakote) (choice D) is typically used for mood disorders like bipolar disorder and not as a first-line treatment for GAD.
A parent is admitted to a chemical dependency treatment unit. The patients spouse and adolescent children participate in a family session. What is the most important aspect of this familys assessment?
- A. Spouses codependent behaviors
- B. Interactions among family members
- C. Patients reaction to the familys anger
- D. Childrens responses to the family sessions
Correct Answer: B
Rationale: Interactions among all family members are the raw material for family problem solving. By observing interactions, the nurse can help the family make its own assessments of strengths and deficits. The other options are narrower in scope when compared with the correct option.